您的一票代表什么
如果不获通过
不获通过则一切维持不变
如果第44号提案未通过，现行规则维持不变，不会加入90%的最低要求。立法分析师（LAO）说，私营非营利安全网诊所现在申报，平均约有80%的收入用于医疗服务。这个比例各诊所不同。 3
为何现在出现在选票上
资金
立法分析师（LAO）说，州的执法费用每年约为一两千万至两三千万美元，由向受影响诊所收取的费用支付。它说，可能还有其他不确定的州和地方费用。最新申报总额请参阅资金图表。 3
- 金额
- 州的费用每年约为一两千万至两三千万美元，由诊所缴纳的费用支付
- 为期多久
- 没有结束日期；从每家诊所在通过后至少6个月才开始的第一个完整财政年度起适用
由谁承担费用
私营非营利安全网诊所
他们目前已缴付的费用
- LAO说，私营非营利安全网诊所现在申报，平均约有80%的收入用于医疗服务。 3
谁在背后
支持来自哪里
根据背书者和出资者来定位，而非根据我们的意见。 我们如何定位提案
加州民主党、加州共和党和Howard Jarvis Taxpayers Association都建议对第44号提案投反对票。劳工组织California Teachers Association和League of Women Voters of California也反对此提案，旧金山绿党和San Francisco Women's Political Committee则支持。支持第44号提案的委员会的最大捐款者是SEIU United Healthcare Workers West。反对此提案的委员会的最大捐款者是Altamed Health Services Corporation和California Primary Care Association Advocates。 89101211761314
背书
追踪资金
赞成主要捐款者
一名捐款者捐出此方一半以上的资金。
- SEIU United Healthcare Workers West (committees combined)US$1693万
这是谁？
Service Employees International Union 在加州的全州性地方工会。2020年约有97,000名会员。 1
捐款者的说法
- SEIU United Healthcare Workers West - Wikipedia
- Campaign finance filings as of 2026-10-23 (compiled by this guide from CA Secretary of State: Proposition 44 contribution totals)
- Proposition 44: Official Title and Summary (prepared by the Attorney General), CA Official Voter Information Guide, Nov 3, 2026, p. 1
- SEIU-UHW submits signatures for California ballot initiatives capping executive pay and requiring clinics to spend 90% on patient care - Ballotpedia News
- 前5大捐款者捐出此方资金的100%。
- 0%来自加州以外。
委员会: Yes on Prop 44, Sponsored by Service Employees International Union - United Healthcare Workers West
反对主要捐款者
- Altamed Health Services CorporationUS$613.3万
这是谁？
洛杉矶县和橙县的医疗服务提供者。其网站说，它服务超过50万名病人，是一家独立的联邦合格健康中心。 1
- California Primary Care Association AdvocatesUS$167.3万
这是谁？
CPCA Advocates表示，它是California Primary Care Association的倡导附属机构。它说，它通过州和联邦层面的倡导工作，为社区健康中心服务。 1
捐款者的说法
- Family Health Centers of San DiegoUS$151.5万
- North East Medical ServicesUS$150万
这是谁？
North East Medical Services是总部设于旧金山的非营利社区健康中心。其网站说，它在湾区和拉斯维加斯运营32家诊所和服务网点。 1
- WellSpace HealthUS$150万
这是谁？
萨克拉门托地区的非营利医疗系统。其网站说，它为服务不足的人群提供医疗、牙科和行为健康护理。 1
- San Ysidro HealthUS$100.8万
- InnercareUS$100万
这是谁？
Innercare的网站说，它是私营非营利机构。它为帝王县和河滨县的民众提供初级医疗保健。 1
- Neighborhood HealthcareUS$92.1万
- Community Health Center NetworkUS$77.7万
这是谁？
- SAC HealthUS$76.7万
这是谁？
联邦合格健康中心。它在 Barstow、Blythe、Indio、Murrieta 和 San Bernardino 经营10个诊所。 1
- 前5大捐款者捐出此方资金的32%。
- 0%来自加州以外。
- 独立开支（不受竞选活动控制）：US$5.5万
委员会: No on Prop 44 - Stop the Attack on Patients and Community Health Clinics, Sponsored by California Primary Care Association Adovcates
- NO side independent expenditures (Form 496) of $54,956, mostly by: Reform California with Carl DeMaio - Ballot Measure Committee $31,000; California Partnership for Health PAC $10,000; Million Voter Project Action Fund, Sponsored by Social Justice Organizations $5,299. Separate from total_raised.
- Committee totals are the Secretary of State's per-measure 'Total Reported Contributions' through 2026-10-22 (secretary of state page), plus later 24-hour reports from the Cal-Access bulk export built 2026-10-28. Donors, geography and independent expenditures come from the itemized Cal-Access filings. Contributions to committees that back several measures are credited pro rata to the share the Secretary of State assigns to this measure.
- Source cutoff: the Cal-Access export used was built 2026-10-27 (UTC) and the Secretary of State's per-measure totals run through 2026-10-22. as_of is the latest filing from this measure's own committees, which can be earlier.
- Money given to a committee by another committee is shown as that committee, not the money's original source (e.g. a union's issues PAC, not its members). Donor type is inferred from the name; check the filing for sponsors.
资料来源: CA Secretary of State: Proposition 44 contribution totals · Cal-Access raw campaign finance data export · FPPC Top 10 Contributors, November 2026 General Election
支持与反对的最有力论点
双方各自最有力的论点，按其支持者的说法撰写。两者都不代表我们的观点。
支持的最有力论点
支持第44号提案的官方论据由“Shawna Brown，倡议提出人”和“Brisa J. Barrera，社区诊所工作人员”签署。他们说，诊所获得数十亿美元的纳税人资金，但有些诊所将不到一半的资金用于病人护理和服务。支持者认为，很大比例用于CEO的薪酬和他们称为浪费的支出。他们说，病人要等候数月才能预约。他们说，那90%必须用于病人护理和使护理得以进行的服务。这些“可以包括”护理经理、医疗设备和信息技术。支持者说，该议案“不会削减诊所资金或减少病人所依赖的服务”。他们说，未达标的诊所可以透过符合规定取回罚款。他们说，反对该议案的运动是“由从现行制度中获益的同一批高薪诊所高层管理人员资助的”。 4
反对的最有力论点
反对者包括美国儿科学会加州分会（American Academy of Pediatrics, California）、加州学校护士组织（California School Nurses Organization）、加州医学会（California Medical Association）和加州家庭医生学会（California Academy of Family Physicians）。他们说，第44号提案设定了无法实行的限制。这些限制使诊所无法为病人提供所需的护理。他们说，经济和卫生专家警告，它会在第一年从诊所削减17亿美元，并导致88%的诊所亏损经营。他们认为，它限制在护理经理、医生领导人员、翻译、保险协助、社区教育、乳腺X光检查、X光和计算机断层扫描（CT）机器、信息技术以及诊所升级方面的支出。反对者说，诊所受到严格监管，法律规定须“定期审计并公开报告诊所支出”。他们说，诊所服务每4名Medi-Cal病人中的1名。他们认为，一个特殊利益团体撰写并资助了第44号提案。 14
资料来源
本页每项事实都连结至以下其中一个来源。
- Ballot label: title (table of contents) and summary (Quick Reference Guide), Proposition 44 (en edition), CA Official Voter Information Guide, Nov 3, 2026, p. 3, 11
- Proposition 44: Official Title and Summary (prepared by the Attorney General), CA Official Voter Information Guide, Nov 3, 2026, p. 1
- Proposition 44: Analysis by the Legislative Analyst, CA Official Voter Information Guide, Nov 3, 2026, p. 1-2
- Proposition 44: Arguments and rebuttals, CA Official Voter Information Guide, Nov 3, 2026, p. 3-4
- Proposition 44: Text of Proposed Law, CA Official Voter Information Guide, Nov 3, 2026, p. 1-5
- San Francisco Women's Political Committee: recommendations for the November 3, 2026 election
- San Francisco Green Party: recommendations for the November 3, 2026 election
- California Democratic Party: recommendations for the November 3, 2026 election
- California Republican Party: recommendations for the November 3, 2026 election
- Howard Jarvis Taxpayers Association: recommendations for the November 3, 2026 election
- League of Women Voters of California: recommendations for the November 3, 2026 election
- California Teachers Association: recommendations for the November 3, 2026 election
- How endorsers line up on Prop 44: this guide's coalition groupings (endorsement method 1.0, data as of 2026-10-27)
- Campaign finance filings as of 2026-10-23 (compiled by this guide from CA Secretary of State: Proposition 44 contribution totals; data/money/ca-2026-11-p44.json, main@0dcbec8)