CCALAC joins a broad coalition of patients, health care providers, community leaders and more in opposing Proposition 44, a dangerous statewide ballot measure that will harm millions of patients by shutting down hundreds of community health clinics across the state and forcing clinics to cut back on vital patient services.

About Proposition 44:

Cuts $1.7 billion from California’s community health clinics in the first year and billions thereafter. Forces community health clinics to cut vital patient services or shut down entirely, leaving millions of patients with reduced access to care. Millions of patients will lose access to care and end up in hospital emergency rooms for routine care, resulting in more emergency room overcrowding, longer wait times and billions of dollars in higher costs for everyone. Opposed by a broad and growing coalition of patients, doctors, nurses, more than 1,000 community health clinics, ...

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Reckless measure will force clinics to close, harming millions of Los Angeles patients 

LOS ANGELES – Aug. 3, 2026 – This National Health Center Week, patients and community clinics should be celebrating the whole-person, whole-community care that helps millions of Angelenos stay healthy. Instead, they are facing a dangerous ballot measure that will force clinics to cut services and close their doors – jeopardizing health care for more than two million patients who depend on community clinics for their care. 

Proposition 44 will appear on the November ballot. If approved, the initiative would divert billions of dollars away from community clinics and the critical services that patients rely on, including preventative medical visits, urgent care, maternity services, transportation, translation, and more.  

“Prop 44 will disproportionately harm patients who are already facing federal Medicaid cuts, state budget cuts, and other barriers to care,” ...

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LOS ANGELES – June 30, 2026 – Yesterday, Governor Gavin Newsom signed a budget for the 2026-27 fiscal year that aims to balance the budget over two years while maintaining the state’s commitment to health care coverage and access. The budget includes funding for community health centers’ top priorities, including continuing existing reimbursement rates for state-only funded Medi-Cal services for another year. 

“Over three-fourths of health center patients are Medi-Cal members, so Medi-Cal reimbursement is the backbone of health centers’ financial stability. The health center Prospective Payment System, known as PPS, enables health centers to provide comprehensive, whole-person care and critical wrap-around services that promote patient health,” said Louise McCarthy, President & CEO of the Community Clinic Association of Los Angeles County. “The loss of PPS, in combination with H.R. 1 coverage losses and rising uncompensated care, would have pushed safety net clinics to the breaking point. Maintaining PPS ...

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LOS ANGELES – June 10, 2026 – CCALAC and community health centers across LA are celebrating the passage of Measure ER in LA’s June 2nd election. The measure offers some relief to LA’s health care safety net as it grapples with federal funding cuts and state policy changes that are making it harder for people to access care.

“Community clinics serve one in five LA residents – the very people in our communities who are the most vulnerable to losing their coverage, if they haven’t already,” said Louise McCarthy, President & CEO of the Community Clinic Association of Los Angeles County. “Measure ER provides a pathway to help uninsured patients access care and to keep clinics open.”

The funding cannot come quickly enough: since H.R. 1 was passed, more than 200,000 LA residents have lost health coverage, the Los Angeles County Department of Public ...

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LOS ANGELES – May 15, 2026 – Despite higher-than-projected tax revenue, Governor Gavin Newsom’s May Revision again seeks to solve California’s budget problems on the backs of the most vulnerable, including immigrants, older adults, and people with disabilities. The revised budget proposal leverages higher tax revenue while maintaining reserves over the next two fiscal years, yet fails to reverse harmful Medi-Cal cuts. 

The budget maintains damaging Medi-Cal cuts from FY2025-26 that impact immigrants, including the elimination of health centers’ prospective payment system (PPS) reimbursement for state-only funded services, effective July 1, 2026. This cut will cost Los Angeles health centers roughly $400 million a year — combined with H.R. 1 coverage losses and rising uncompensated care, this change threatens to push safety net clinics to the breaking point. 

Further, the budget proposes raising monthly premiums from $30 to $50 for adults with unsatisfactory immigration status, reinstating Medi-Cal asset limits for seniors and people with disabilities, and narrowing eligibility for Enhanced Care Management (ECM) and Community Supports ...

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LOS ANGELES – January 12, 2026 –  Governor Newsom kicked off California’s 2026-27 budget process with the release of his budget proposal. The main takeaway: the real budget news will come in May. At that time, California will need to address the negative impact of H.R. 1 and other federal policies, along with the State’s significant structural deficit. In the meantime, the proposed budget only assumes a $2.9 billion shortfall for the fiscal year, compared to the Legislative Analyst’s Office projection of an $18 billion deficit.  

While the Governor’s budget proposal doesn’t make drastic new cuts to Medi-Cal, it does continue last year’s unfair changes to Medi-Cal eligibility and benefits for immigrants, along with reduced payments to health centers for serving them. We are disheartened by the Governor’s proposal to eliminate full scope Medi-Cal coverage for certain immigrants, including refugees, ...

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