LA County's Measure ER Officially Passes — Final Registrar Count: 1,013,747 Yes (50.64%) to 987,977 No (49.36%)

Official final update: LA County Registrar-Recorder results show Measure ER passing with 1,013,747 yes votes (50.64%) to 987,977 no votes (49.36%). The half-cent (0.5%) health sales tax takes effect October 1, 2026 (countywide rate 9.75% -> 10.25%), raising roughly $1 billion a year through 2031 — roughly 45% flowing directly to nonprofit clinics serving uninsured patients, about 22% to LA County Health Services, and the remainder need-weighted by ED volume — to backfill H.R.

1 Medi-Cal cuts and shore up county hospitals, clinics, and public health. For LA-area FQHCs this is the positive resolution of the central FY2027-28 local backstop question: the largest local-government replacement for federal Medicaid cuts in the country now arrives while the signed state budget moves the major UIS/PPS clinic-payment exposure into a July 1, 2027 planning horizon and LA Health Services absorbs a >$662M (rising to ~$700M by 2029) federal revenue decline while consolidating three county health centers.

It does NOT erase state-budget risk; it creates a stronger local cushion for 2027 sensitivity planning. The statewide pattern now reads 2 wins (Santa Clara Measure A + LA Measure ER) vs. 1 loss (Contra Costa Measure B, ~42% yes): voters will fund a county-anchored health system but rejected Contra Costa's general-fund version.