What is Measure ER? Why some say LA County sales tax increase is crucial after health cuts

May 27, 2026 - 14:55

Los Angeles County voters are heading to the polls to decide on Measure ER, a proposed half-cent sales tax increase set to last five years. If approved, the measure would generate an estimated $1.3 billion annually for county health programs. Supporters argue the tax is not just another hike but a critical stopgap after recent budget cuts forced the closure of several public health clinics and reduced mental health services across the region.

Opponents, however, point to the county's already high cost of living and say a sales tax hits low-income households hardest. They question whether the funds will be managed efficiently or simply disappear into bureaucratic overhead. The measure requires a simple majority to pass.

Proponents counter that without this revenue, the county's safety-net health system faces deeper reductions, potentially leaving thousands without access to primary care or substance abuse treatment. They frame the vote as a choice between a modest tax increase and a collapse of essential services for the most vulnerable. The outcome will signal whether residents are willing to pay more to preserve a system that serves nearly 10 million people.