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Hopeton Leahong, a family nurse practitioner, examines Ramonte Means at St. John's Community Health's Avalon Clinic in Los Angeles on Feb. 7, 2026.
Jules Hotz
/
CalMatters
Proposition 44, placed on the ballot by the SEIU-United Healthcare Workers West union, would require California’s community health clinics to spend at least 90% of their annual revenue on patient care or pay fines to the state.
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