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Measure ER Trails in Early Returns as Voters Reject County Healthcare Sales Tax

If sustained, the early rejection would leave hospitals and clinics facing staffing cuts and closures, since county officials say federal funding losses will not be replaced.

Overview

  • Early June election returns showed Measure ER trailing with a majority of counted ballots opposing the half-cent county sales tax, but final results remain unsettled while more ballots are tabulated.
  • The measure would have raised the Los Angeles County sales tax from 9.75% to 10.25% for five years to generate roughly $1 billion a year and about $5 billion total.
  • County leaders placed the measure on the ballot to offset an estimated multi‑billion‑dollar shortfall tied to recent federal and state policy changes that officials say will cut more than $2 billion from local health funding.
  • Supporters warned that money was needed to prevent clinic closures, emergency department reductions and thousands of layoffs, while opponents said a sales tax is regressive, burdens low‑income residents, and lacks strict spending protections.
  • The proposal included a nine‑member citizens’ oversight committee and a supervisor-drawn spending plan prioritizing care for uninsured patients, and the vote outcome could force the county to consider further service cuts or alternate revenue steps.