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Posted inLocal News

Santa Clara County sales tax hike to save hospitals appears headed for voter approval

by Brandon Pho, San Jose Spotlight November 4, 2025November 4, 2025

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Supporters of Measure A at an election night watch party react to early results showing the sales tax increase ahead on Nov. 4, 2025. (Brandon Pho/San Jose Spotlight)

Early results show Santa Clara County’s sales tax increase measure leaning toward voter approval on election night.

As of 8:45 p.m. Tuesday, just more than 57% of voters cast ballots in favor of Measure A, or 184,177 votes, with nearly 43% voting against it, or 138,676 votes. The general tax needs a simple majority of more than 50% to pass. County leaders say the five-eighth cent sales tax increase would bring in $330 million in extra revenue annually to stave off the threat of crushing hospital closures, but wouldn’t avoid cuts entirely. County hospitals are losing their largest source of federal funding after the passage of unprecedented cuts to Medicaid under President Donald Trump’s “One Big Beautiful Bill,” or H.R. 1.

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Tagged: ballot measures, closures, Election 2026, Health care access, hospitals, Measure A, One Big Beautiful Bill, public health, sales tax, San Jose Spotlight, Santa Clara County, Silicon Valley

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