ACCMA Urges Alameda County Board of Supervisors to Oppose Prop 44 October 1, 2026 Advocacy ACCMA Urges Alameda County Board of Supervisors to Oppose Prop 44 ACCMA has urged the Alameda County Board of Supervisors to oppose Proposition 44, citing the additional financial strain it would place on community health centers already facing significant challenges under H.R. 1. In a letter to the Board, ACCMA warned that service reductions or clinic closures would increase pressure on physician practices, hospitals, and emergency departments, and urged the County to oppose the measure as part of its broader efforts to preserve the local healthcare safety net. In testimony before the Personnel, Administration and Legislation Committee, ACCMA Executive Director Joe Greaves emphasized that the measure’s rigid spending requirements and financial penalties could jeopardize access to essential care and services such as transportation, translation, insurance and eligibility assistance, and community education. Read the letter here