Organizations publicly opposing Proposition 44 include the California Medical Assn., the California Hospital Assn., which represents hospitals and health systems, the Assn. of California Healthcare Districts, which represents the state’s 76 public healthcare districts, the California Teachers Assn., the state’s Planned Parenthood affiliate, the state Democratic Party, the state Chamber of Commerce and Reform California, a conservative advocacy group.
Opponents say the proposition’s vague wording could result in vital services being excluded from the list of program expenses permitted in the 90% of revenues, prompting clinics to cut programs to avoid financial penalties. A study commissioned by the California Primary Care Assn. found that clinics could face up to $1.7 billion in collective penalties in the first year of the measure’s implementation alone, an additional expense that could leave up to 88% of clinics operating in the red.
Opponents also say the measure adds an expensive layer of bureaucracy to the state’s budget and grants elected officials — in this case, the attorney general — authority to determine which services clinics can offer.
