When our advocacy efforts at the Legislature and administrative level have been exhausted or unsuccessful, Advocates can use the constitutionally protected initiative process to create or change laws or make constitutional amendments.
CPCA Advocates’ 2026 Positions and What They Mean for Health Centers
Health outcomes are shaped by access to care, education, economic opportunity, civic participation, and strong public systems. CPCA supports ballot initiatives that strengthen these foundations and opposes measures that threaten patient access, community health, or the long-term stability of California’s health care safety net.
Ballot Initiative |
CPCA Advocates Position |
Why It Matters to Health Centers |
|---|---|---|
|
Proposition 44 |
Oppose |
Directly targets federally qualified health centers with rigid spending requirements, penalties, and legal exposure. Will force health centers to cut vital patient services, reduce staff, or close sites, further straining our health care system and threatening patient access to care. Visit noprop44.com to learn more. |
|
Proposition 2 |
Support |
Strengthens California’s budget reserves to help protect essential programs during economic downturns. Stable state finances reduce the risk of cuts to Medi-Cal and other programs that health centers and patients rely on. |
|
Proposition 3 |
Support |
Maintains funding for public education and may support children’s health coverage through Medi-Cal. Strong schools and healthy children are foundational to long-term community health. |
|
Proposition 39 |
Oppose |
Creates unnecessary voter identification and additional verification requirements that could make it harder for eligible voters to participate in an election. Civic participation is connected to community well-being, especially for low-income communities and communities served by Health Centers. |
|
Proposition 40 |
Oppose |
Creates temporary revenue without a dependable path to support health centers. CPCA is concerned it could add uncertainty to the health care financing system and fail to provide sustainable support for safety-net care. |
|
Proposition 45 |
Support |
Streamlines approval processes for health care facilities, making it easier and faster for health centers to expand services, open new sites, and respond to community needs. |