Vote NO · county
Measure ER
Essential Services Restoration Act (Sales Tax for Health Services)
What it does
Imposes a half-cent (0.5%) general sales tax in LA County for five years, sunset 2031. Allocates revenue to county health services, community clinics, school health, and public health. Establishes a 9-member citizens' oversight committee. Requires a simple majority to pass.
Fiscal impact
Approximately $1 billion per year in new sales tax revenue.
Why Thrive LA opposes Measure ER
Measure ER would impose a new half-cent sales tax across Los Angeles County for five years, raising approximately $1 billion per year. The revenue would flow into the county's general fund, with a non-binding spending plan directing it toward county hospitals, community clinics, and public health services. Vote No. Every new tax reduces economic activity, and this one is enormous. At $5 billion over five years, Measure ER would push LA County's combined sales tax rate to 10.25%, the legal state maximum. That means LA County would have zero remaining local sales tax capacity, and no city within the county could levy its own sales tax increase without special state legislation. Residents already paying among the highest sales taxes of any major metro in the nation would see that burden grow, and businesses near county borders would lose customers to neighboring jurisdictions. The measure's structure tells you everything about the Board of Supervisors' priorities. Proponents deliberately classified this as a general tax so it needs only a simple majority to pass, not the two-thirds supermajority required for a special tax with legally enforceable spending restrictions. The "spending plan" is a wish list. The oversight committee is advisory. And the measure was placed on a low-turnout June primary ballot rather than the November general election, a strategic choice proponents openly acknowledged to improve their odds. Proponents frame the measure as an emergency response to federal Medi-Cal funding cuts, but the county has not demonstrated it exhausted alternatives before reaching into residents' wallets. The crisis framing deserves skepticism, not a blank check. Measure ER is a billion-dollar annual tax with no binding accountability, structured to avoid voter protections, and rushed onto a low-turnout ballot. LA County residents deserve better.
Key points
- Hits the State Tax Ceiling: Measure ER would push LA County's sales tax to 10.25%, the legal maximum under California law, exhausting all remaining local sales tax capacity for every city in the county.
- No Binding Spending Commitment: Despite being marketed as a healthcare measure, the revenue flows into the general fund with a non-binding spending plan. The Board of Supervisors retains full discretion over every dollar.
- Regressive Tax Hurts Working Families: Sales taxes take a larger share of income from low-income households, the very population this measure claims to serve. Imposing a $1 billion annual burden on residents already facing the highest cost of living in the country is the wrong approach.
- Structured to Dodge Accountability: Proponents classified the measure as a general tax to require only a simple majority, then placed it on a low-turnout June ballot rather than the November general election. Both choices prioritize passage over public accountability.
- Broad Opposition: Glendale, Norwalk, Arcadia, Rosemead, and Temple City have formally opposed Measure ER, alongside the California Contract Cities Association, the Howard Jarvis Taxpayers Association, and the LA County Taxpayers Association. Supervisor Kathryn Barger is the lone Board member standing against the measure.
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