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Santa Clara County Voters Approve Five-Year Sales Tax Increase to Support Safety-Net Health Care

The five-eighths-cent general tax is projected to raise about $330 million a year to help offset Medi-Cal funding cuts tied to the federal One Big Beautiful Bill.

Overview

  • Final election night updates reported the measure passing with about 57% support, clearing the simple-majority threshold required for a general tax.
  • Measure A adds 0.625 percentage points to the county sales tax starting April 1, 2026, and it is set to sunset in April 2031 unless extended.
  • County leaders say the revenue will help keep four public hospitals and essential services like emergency care and mental health treatment operating despite federal cuts.
  • The money will flow into the county’s general fund rather than being legally earmarked for hospitals, a design critics argue reduces oversight and allows diversion to other priorities.
  • The Yes campaign vastly outfunded opponents, reporting more than $2.6 million raised including $525,000 from the Valley Health Foundation, and it drew late endorsements from public safety unions and San José Mayor Matt Mahan.