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California Commentary by HJTA President










California’s Medi-Cal sales tax playbook is spreading but inviting skepticism
April 20, 2026
In the words of Rahm Emanuel, politicians should never let a crisis go to waste – even when they’re fake. In 2025, Santa Clara County supervisors pushed a sales tax measure citing the Medicaid cuts in the federal One Big Beautiful Bill Act as a fiscal emergency requiring immediate voter action. The ploy worked. Voters approved Measure A, a five-eighths-cent general sales tax with 57% in support. This success by healthcare unions, hospital systems, and politically aligned county supervisors created a template that other counties are attempting to replicate. The June 2 primary ballot will test how far that script...