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California Charity Care Initiative (2016)

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California
Charity Care Initiative
Flag of California.png
TypeStatute
OriginCitizens
TopicHealthcare
StatusNot on ballot

Not on Ballot
Proposed ballot measures that were not on a ballot
This measure was not put
on an election ballot

Voting on Healthcare
Health care.jpg
Ballot Measures
By state
By year
Not on ballot
Local Measures


The Charity Care Initiative (#15-0102) was an initiated state statute that did not make the California ballot on November 8, 2016.

The measure would have required nonprofit hospitals to provide free healthcare to needy patients in the annual amount of at least five percent of their net patient revenues.[1]

Text of measure

Ballot title

The official ballot title was as follows:[2]

Nonprofit Hospitals. Required Minimum Charity Care. Initiative Statute.[3]

Ballot summary

The official ballot summary was as follows:[2]

Requires nonprofit hospitals to provide free health care to needy patients in annual amount equal to at least 5 percent of their net patient revenues. Exempts hospitals where minimum charity care would result in operating margin less than 1 percent, and hospitals that are part of certain large nonprofit health systems. Requires nonprofit hospitals to give Attorney General annual reports on charity care provided. Authorizes penalties for non-compliance, including revocation of tax-exempt status and appointment of Attorney General representative to hospital’s board of directors. Makes nonprofit director/officer liability protections inapplicable to enforcement actions.[3]

Full text

The full text of the measure can be found here.

Fiscal impact

Note: The fiscal impact statement for a California ballot initiative authorized for circulation is jointly prepared by the state's legislative analyst and its director of finance. The statement was as follows:[2]

To the extent nonprofit hospitals subject to the measure comply by increasing their reported cost of charity care, the measure would not have a significant impact on state and local finances. Potential increased state and local revenues and/or state and local savings of an unknown amount, if hospitals comply with the measure by converting to for-profit status and/or decreasing their net patient revenues.[3]

Path to the ballot

See also: California signature requirements
  • Roberta B. Johansen and Karen Getman submitted a letter requesting a title and summary on October 29, 2015.[1]
  • A title and summary were issued by California's attorney general's office on January 4, 2016.[2]
  • 365,880 valid signatures are required for qualification purposes.
  • Supporters had until July 5, 2016, to collect the required signatures.
  • The secretary of state's office reported the measure was withdrawn on January 13, 2016.[4]


State profile

Demographic data for California
 CaliforniaU.S.
Total population:38,993,940316,515,021
Land area (sq mi):155,7793,531,905
Race and ethnicity**
White:61.8%73.6%
Black/African American:5.9%12.6%
Asian:13.7%5.1%
Native American:0.7%0.8%
Pacific Islander:0.4%0.2%
Two or more:4.5%3%
Hispanic/Latino:38.4%17.1%
Education
High school graduation rate:81.8%86.7%
College graduation rate:31.4%29.8%
Income
Median household income:$61,818$53,889
Persons below poverty level:18.2%11.3%
Source: U.S. Census Bureau, "American Community Survey" (5-year estimates 2010-2015)
Click here for more information on the 2020 census and here for more on its impact on the redistricting process in California.
**Note: Percentages for race and ethnicity may add up to more than 100 percent because respondents may report more than one race and the Hispanic/Latino ethnicity may be selected in conjunction with any race. Read more about race and ethnicity in the census here.

Presidential voting pattern

See also: Presidential voting trends in California

California voted for the Democratic candidate in all seven presidential elections between 2000 and 2024.


More California coverage on Ballotpedia

See also

Footnotes