Understanding Measure ER and What It Means for Our Communities

Asian Pacific Health Care Venture, Inc. (APHCV) would like to provide information about issues that may affect our patients, staff and the communities we serve.

Measure ER is a Los Angeles County ballot initiative that will appear on the June 2, 2026 election ballot. This information provides an overview of the measure and what it could mean for healthcare access for our patients and our communities.

What is Measure ER?

Measure ER is a proposed temporary ½-cent (0.5%) increase in the Los Angeles County sales tax for five years.

If approved by voters, the measure is estimated to generate approximately $1 billion per year to support healthcare and other essential services across the county.

Key details:

Tax: About 5 cents per $10 spent
Duration: 5 years only (automatically expires in October 2031)
Exemptions:
- Groceries
- Prescription medications
- Medical equipment

The measure also includes independent oversight and public reporting on how funds are used.

Why is Measure ER being proposed?

Recent federal policy changes will reduce federal funding for Medi-Cal and other health programs.

As a result:

An estimated 700,000 L.A. County residents are projected to lose health insurance
When disaster strikes—fires, earthquakes, public health crises—we rely on our County hospitals. Measure ER keeps our public health infrastructure and other essential services strong and ready—for all of us.
Seven of LA County’s Public Health clinics have closed as a result of cuts to grants from the federal goverment, which means these clinics are not expected to reopen.
These cuts currently threaten disease surveillance, water safety, and other essential services that protect public health.
When emergency rooms and community clinics close, patients do not simply disappear; they crowd into the nearest hospital or primary care facility, which increases wait times, costs, and worsens care for everyone. Measure ER is a temporary-emergency measure to help stabilize our healthcare system in the wake of urgent funding shortfalls from the federal government.
Hospitals, clinics and public health programs face $2.4 billion in lost revenue over 3 years.

What will the passage of Measure ER mean for healthcare in Los Angeles County?

If passed, Measure ER funding will support:

Safety-net hospitals and emergency care
Community clinics like APHCV.
Public health programs
School-based health services
In-home support services for seniors and individuals with disabilities
Other essential health and human services

The goal is to help sustain healthcare services and access across Los Angeles County in the face of reduced federal funding.

What could the passage of Measure ER mean for APHCV?

Nearly about 90% of our patients at APHCV rely on Medicaid.

If Measure ER passes:

The patients who lose Medi-Cal will be able to continue to get care as Measure ER will be able to pay for their care. APHCV can continue to keep our doors open for those who lose Medi-Cal.
These funds will help to sustain the continued operation of the local hospitals, emergency care, and intervening the spread of communicable diseases such as TB, Hepatitis, etc.). This helps APHCV and our patients and communities stay safer.