A ballot initiative to require nonprofit federally qualified health centers (FQHCs) and FQHC Look-Alikes to spend at least 90% of their annual total revenue on expenses that advance the health center's mission qualified for the general election in California. The initiative defines the spending requirement as a mission spend ratio.
A FQHC is defined in federal law as a community-based healthcare center that provides primary care and other services in underserved areas and qualifies for certain reimbursement systems under Medicaid and Medicare. An FQHC Look-Alike is an organization designated by the federal Health Resources and Services Administration as meeting FQHC program requirements.
The initiative would also require the attorney general to make the data reported to calculate the mission spend ratio publicly available on its website within 90 days of receipt, along with the calculated mission spend ratio. The initiative would authorize the attorney general to conduct audits to verify the accuracy of submitted information and ensure compliance with reporting requirements.
