This measure would limit how much certain large health care unions can spend on political campaigns related to state and local ballot measures unless they follow new rules about getting members’ permission first. California DOJ Attorney General
Plain language: Health care worker unions would have to get consent from members before spending big amounts of members’ dues on campaign efforts for or against ballot issues. California DOJ Attorney General
Health care labor unions — groups representing workers in hospitals and health care settings. California DOJ Attorney General
Applies only to union political spending, not to employers or other groups. California Elections
Political Spending Limits
Unions cannot spend over set amounts on political campaigns about state or local ballot measures without member consent first. California DOJ Attorney General
Member Consent Requirement
Before using member dues for big political expenditures (like supporting or opposing ballot measures), unions must get written permission from members. California DOJ Attorney General
Annual Notice Required
Unions must send members a yearly report that explains how dues were spent on politics the previous year. California DOJ Attorney General
Penalties
If a union breaks these rules:
They must pay back the amount spent illegally.
Or pay $1,000 per member if they fail to give the required annual notice (for example, $50 million penalty if there are 50,000 members). California DOJ Attorney General
Supporters say this measure:
Gives union members more control over how their dues are used politically. Ballotpedia
Increases transparency on political spending. Ballotpedia
Critics may argue:
It could make it harder for unions to support issues they believe help members. (This concern is noted in discussions of union regulation, though not directly in the summary.) Ballotpedia
The state could see higher costs to enforce the measure, possibly millions of dollars per year.
Some of that cost might be paid by penalties collected from unions that break the new rules. California DOJ Attorney General
Title and summary prepared by Attorney General: December 1, 2025. California DOJ Attorney General
The initiative has cleared for petition circulation. Gold Rush Cam
Proponents now need to collect valid voter signatures to get it on the November 2026 ballot.
Attorney General Title and Summary (25-0021A1):
https://oag.ca.gov/system/files/initiatives/pdfs/Title%20and%20Summary%20%2825-0021A1%29.pdf California DOJ Attorney General
Ballotpedia overview:
https://ballotpedia.org/California_Require_Health_Care_Union_Member_Approval_for_Ballot_Measure_Campaign_Spending_Initiative_(2026) Ballotpedia