No on Prop. 44
One Community Health was founded to serve people who are being left behind. That’s good for patients, good for the healthcare system, and good for our communities. Today, we remain committed to expanding access to care, investing in technology and new facilities, and modernizing how we deliver patient care.
That is Why One Community Health Opposes Proposition 44
Prop. 44 is a statewide measure on the November ballot that would create new restrictions for community health centers, including requirements about how we are able to use our resources.
For decades, OCH has built a healthcare safety net for our community. Prop. 44 limits our ability to expand services and will make it harder to bring care to where it is needed most.
- Fewer places to get healthcare. Prop. 44 will make it harder for OCH to open new locations and expand capacity to keep up with the needs of our community.
- Longer waits, higher costs. If OCH can’t grow, patients get pushed toward overcrowded ERs increasing wait times and healthcare costs for everyone.
- Innovation at risk. Prop. 44 will make it harder for OCH to develop new programs and invest in innovative, quality care our patients deserve.
What Prop. 44 Means for Our Community
Community members, especially those with Medi-Cal coverage, already have limited options for care and face long wait times. We are working to increase access to care and if we cannot grow, invest, and innovate patients lose opportunities to receive healthcare.
OCH was founded because our community needed compassionate, accessible healthcare and that need continues to grow. In 2025, we served 1,563 more patients than in 2024 and in the last 10 years we have grown by over 17,000 patients.
As our community’s needs continue to expand we must invest in our people, services, and facilities so we can reach more patients and ensure all Sacramento residents have access to high-quality healthcare regardless of their ability to pay.
Why Prop. 44 is Bad for All Californians
To learn more about Prop. 44 and its devastating impact on community health centers in California, visit No on Prop. 44.
Frequently Asked Questions
Why does One Community Health oppose Prop. 44?
OCH opposes Prop. 44 because it will make it harder for us to expand our services and add new locations to meet the needs of Sacramento residents. Reducing access to care at community clinics creates pressure across other parts of the healthcare system. If we are unable to grow, that means more overcrowded emergency rooms, longer wait times, and higher healthcare costs for everyone.
How will Prop. 44 affect current patients at One Community Health?
The initiative will have different impacts on different community clinics throughout the state. Some will be forced to make drastic cuts or even shut down. For OCH, Prop. 44 will limit our ability to grow, modernize our patient care models, develop new programs and invest in innovative, high-quality care our patients deserve.
How does One Community Health make sure patients’ needs come first?
One Community Health is governed by a patient-majority Board of Directors, ensuring that the voices, experiences and needs of the people we serve remain at the center of organizational decision-making.
Will Prop. 44 strengthen oversight of One Community Health?
Prop. 44 is unnecessary – new restrictions proposed under Prop 44 are duplicative, reduce efficiencies and detract from patient care. OCH is heavily regulated by the federal and state government with already existing mandatory spending requirements, public audits, and reporting of clinic spending.
What other organizations oppose Prop. 44?
We are joining hundreds of health clinics, providers, hospitals, community groups, labor organizations, and others throughout California to oppose the measure. You can see the whole coalition opposed to Prop. 44 here: noprop44.com/our-coalition/