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.