LA County's Measure ER sales tax increase.

LOS ANGELES COUNTY, Calif. — Los Angeles County voters will decide on June 2, 2026 whether to approve a temporary half-cent sales tax increase aimed at protecting healthcare and essential services from anticipated federal funding cuts.

The measure, titled the Essential Services Restoration Act, or Measure ER, was placed on the ballot by the Board of Supervisors in response to H.R. 1, the "One Big Beautiful Bill Act," and projected reductions to Medi-Cal funding that officials say will strain the County’s healthcare system.

What Measure ER Would Do

If approved, Measure ER would raise the Los Angeles County sales tax by 0.5% for five years. The increase is estimated to generate about $1 billion annually for the County’s general fund. The County has outlined a spending plan that prioritizes healthcare services and safety-net providers, County hospitals and clinics, and public health programs.

Under current proposed allocations approved by the Board, about 10% of Measure ER revenue would support Public Health’s efforts. That would generate an estimated $100 million per year for Public Health, though actual funding may vary based on annual budget decisions.

Why It’s on the Ballot

County officials say Measure ER is intended to address significant funding losses tied to federal changes to Medi-Cal, California’s Medicaid program. Those changes are projected to result in substantial revenue losses and reduced healthcare coverage for residents, increasing demand for County services and placing pressure on hospitals, clinics, and public health programs.

Without additional funding, the County projects risks including reductions in healthcare services, potential hospital and clinic impacts, and strain on services for low-income and vulnerable residents.

Cost to Taxpayers

The tax increase would cost about $0.50 for every $100 spent and would raise the County sales tax rate to approximately 10.25%. Essential items including groceries, prescription medications, and medical equipment would remain exempt from the tax.

Measure ER is a general tax, meaning funds go into the County’s general fund. Funding is allocated annually by the Board of Supervisors through the County budget process.

Duration and Oversight

The tax would be in effect for five years only and cannot be extended without voter approval. The County says accountability would be ensured through independent audits, public reporting, and a citizens’ oversight committee to review spending.

When Voters Decide

Measure ER is scheduled for the June 2, 2026 election ballot.