Require Certain Health Care Providers to Spend 98% of Revenues on Patient Care
Sponsor: Citizen initiative; California Apartment Association (proponent); measure targeted at AIDS Healthcare Foundation's advocacy spending
Fiscal impact
Limited statewide fiscal impact; millions of dollars annually in state enforcement costs, funded by fees charged to affected entities.
Official ballot summary
Requires health care entities that receive federal 340B drug discount revenue and spend money outside their primary county to dedicate at least 98% of that revenue to direct patient care.
Who's behind this measure?
Public positions and campaign money—not a recommendation for how to vote.
Supporting groups and campaigns
- Protect Patients Now (opens in a new tab)Secondary reporting
- Republican Party of California (opens in a new tab)Secondary reporting
- ALS Association (opens in a new tab)Secondary reporting
More groups (5)
- California Apartment Association (opens in a new tab)Secondary reporting
- California Association of Realtors (opens in a new tab)Secondary reporting
- California Chamber of Commerce (opens in a new tab)Secondary reporting
- Howard Jarvis Taxpayers Association (opens in a new tab)Secondary reporting
- San Francisco Women's Cancer Network (opens in a new tab)Secondary reporting
- Yes on 34, Protect Patients Now
- Raised
- $44,798,041.75
- Spent
- $44,763,999.29
Snapshot retrieved Nov 7, 2026 · USDReports through Dec 31, 2024Donors & reporting details · Yes on 34, Protect Patients Now
Totals as compiled by Ballotpedia for reports covering through 2024-12-31; cash contributions $44,759,427.00, in-kind contributions $38,614.75, cash expenditures $44,725,384.54. Ballotpedia cites Cal-Access — Proposition 34 (https://cal-access.sos.ca.gov/Campaign/Measures/Detail.aspx?id=1470599&session=2023).
Reported donors are included in receipts, not additional money. This is not a complete donor list. Contributions do not establish influence over an outcome.
Reported across this side’s campaigns; not assigned to an individual committee. See source for the reporting window.
More donors to this side
- California Association of Realtors Issues Mobilization PAC (opens in a new tab) · $250,000.00Secondary reporting
- St. Anton Communities (opens in a new tab) · $20,000.00Secondary reporting
- Glen Raft (opens in a new tab) · $2,500.00Secondary reporting
- Smith-Brennan Properties, LLC (opens in a new tab) · $2,000.00Secondary reporting
- Steve Talbert (opens in a new tab) · $2,000.00Secondary reporting
Reported donors are part of receipts, not additional money. This is not a complete donor list.
Opposing groups and campaigns
- Stop the Revenge Initiative – No on 34 (opens in a new tab)Secondary reporting
- UNITE HERE Local 11 (opens in a new tab)Secondary reporting
- AIDS Healthcare Foundation (opens in a new tab)Secondary reporting
More groups (4)
- Consumer Watchdog (opens in a new tab)Secondary reporting
- Dolores Huerta Foundation (opens in a new tab)Secondary reporting
- Housing is a Human Right (opens in a new tab)Secondary reporting
- National Organization for Women (opens in a new tab)Secondary reporting
- Stop the Revenge Initiative - No on 34
- Raised
- $16,512,316.56
- Spent
- $16,472,243.11
Snapshot retrieved Nov 7, 2026 · USDReports through Dec 31, 2024Donors & reporting details · Stop the Revenge Initiative - No on 34
Totals as compiled by Ballotpedia for reports covering through 2024-12-31; cash contributions $16,281,340.00, in-kind contributions $230,976.56, cash expenditures $16,241,266.55. Ballotpedia cites Cal-Access — Proposition 34 (https://cal-access.sos.ca.gov/Campaign/Measures/Detail.aspx?id=1470599&session=2023).
Reported donors are included in receipts, not additional money. This is not a complete donor list. Contributions do not establish influence over an outcome.
Reported across this side’s campaigns; not assigned to an individual committee. See source for the reporting window.
More donors to this side
- Youth Power PAC (opens in a new tab) · $4,466.41Secondary reporting
- PICO California Action Fund (opens in a new tab) · $294.00Secondary reporting
Reported donors are part of receipts, not additional money. This is not a complete donor list.
Dated snapshots, not live totals. Missing amounts are not zero. Committees are shown separately.
About sources & coverage
Group positions come from the linked sources. Secondary reporting and first-party statements are distinct from official filings. Committee-wide totals may fund other measures; they are not allocations to this measure. Donor amounts are already part of receipts; neither donors nor overlapping snapshots are added together.
Groups as listed by Ballotpedia (secondary reporting), retrieved 2026-11-07: campaigns, parties, unions and organizations; elected officials and candidates omitted.
Figures compiled by Ballotpedia (secondary reporting) from Cal-Access — Proposition 34 for reports covering through 2024-12-31; retrieved 2026-11-07. Donor lists are the top donors to all committees on that side; they are not allocated to individual committees.
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