Overview

• Officials say Measure A would raise about $330 million annually to offset projected Medicaid losses to the county’s safety‑net hospital network.
• The measure is structured as a general‑fund tax needing a simple majority, so the revenue would not be legally restricted to hospital spending.
• Coverage differs on the exact rate and term, with reports describing either a one‑eighth‑cent increase or a 0.625% five‑year levy, underscoring the need for clarity before voting.
• Backers link the measure to broader opposition to the president’s policies and hope Proposition 50 drives turnout, while the organized opposition argues the tax is misleading and regressive.
• Supporters include San Jose Mayor Matt Mahan and local justice and public safety groups, with critics led by Rishi Kumar and the county GOP, as leaders note the plan would still leave a significant funding gap.