LA County Board

15.\nRecommendation as submitted by Supervisors Mitchell and Solis: Adopt a\nresolution ordering, calling, and giving notice of a special election to implement\na Countywide general retail transactions and use sales tax measure to be\nplaced on the June 2, 2026 Statewide Direct Primary Election to be held in the\nCounty on June 2, 2026. Approve a general sales tax ordinance, which, subject\nto majority approval by the voters, would, impose a 0.5% general sales tax until\nOctober 1, 2031, establish a nine-member citizens’ oversight committee to\nprovide transparency and ensure fiscal accountability as to any revenues\nraised by the measure by reviewing the receipt and expenditures of the revenue\nfrom the sales tax, including the County’s annual independent audit, making\nrecommendations to the Board on how to allocate the general fund revenue\ngenerated by the sales tax, producing an annual oral or written report which\nshall be considered by the Board at a public meeting, and the committee’s\nresponsibilities shall not include decision-making on spending priorities,\nfinancing plans or tax rate projections or assumptions and the committee shall\nfinancing plans or tax rate projections or assumptions and the committee shall\nhave no authority to direct, nor shall it direct, County staff or officials. The\nBoard shall give special consideration to organizational representatives most\nimpacted by H.R.1 in making appointments to the citizens' oversight committee.\nCommittee members must either reside or work in County. Citizens’ oversight\ncommittee members shall serve a three-year term and are eligible to be\nreappointed by the Board, at its discretion. Instruct the Auditor-Controller to\ncause a report to be prepared by an independent auditor and filed with the\nBoard no later than March 31st of each year until all funds are expended,\nstating the amount of general sales tax proceeds collected and expended in\nsuch year; and the status of any projects or description of any services or\nprograms funded from proceeds of the general sales tax. Take the following\nactions: (Relates to Agenda No. 64)\nInstruct the Acting Chief Executive Officer through its Legislative Affairs\nand Intergovernmental Relations Branch, to support any legislative or\nadministrative relief necessary to immediately implement the measure\nupon passage, including any needed exemptions from sales tax caps.\nAdopt a spending plan expressing the Board's intent to allocate new\ngeneral fund revenues generated by the general sales tax, if approved by\nthe voters, in the following manner subject to the County's annual\nbudgeting process:\nUp to 47% of revenue generated shall be used by the Department of\nHealth Services (DHS) to fund a program under which a limited network\nof non-profit partner providers, licensed under Section 1204(a) of the\nCalifornia Health and Safety Code, shall furnish no-cost or reduced cost\ncare to low-income residents of the County who do not have health\ninsurance. In addition, to the extent appropriate, the network may include\na limited number of partner pharmacies, specialists, or ancillary service\nproviders for services not available through the network health centers.\nServices available through the program shall include, to the extent\nfunding is available, outpatient medical, specialty, dental,\nmild-to-moderate behavioral health, diagnostic, pharmaceuticals,\nnutrition, and medical supplies.\n5% shall be used for school-based health needs and programs as\ndetermined by the governing board of L.A. Care Health Plan.\n10% shall be allocated to the Department of Public Health to support core\npublic health functions and the awarding of grants to support health\nequity.\n5% shall be allocated to the Department of Public Social Services to\nsupport Medicaid outreach and enrollment activities as well as work and\nvolunteer programs.\n2.5% shall be allocated to support Correctional Health Services.\n22% shall provide financial support to DHS to safeguard its public\nhospital and clinic services.\n5% shall be allocated to support non-profit safety net hospitals in the\nCounty, as determined by meeting one of the following criteria:\nA critical access hospital in the County; or non-profit hospitals that\nmeet all of the following criteria:\nAt least 40% of the local population within a 5-mile radius\naround the hospital is living below 200% of the Federal\nPoverty Level.\nThe hospital’s location is listed under County’s\nConcentrated Disadvantage Index.\nThe hospital’s service area is listed in the highest two tiers\nof County’s COVID-19 Vulnerability and Recovery Index.\nThe hospital’s service area is listed in the highest need\nquartile of the California Healthy Places Index compiled by\nthe Public Health Alliance.\nThe hospital’s service area is listed in the highest need\nquartile of the Centers for Disease Control and Prevention’s\nSocial Vulnerability Index.\nThe hospital provides at least 75,000 emergency room visits\nper year to Medi-Cal and uninsured, Medi-Cal patients\nmake up at least 70% of its total patients each year, and the\nhospital is not affiliated with a larger hospital or health care\nsystem.\nThe hospital’s service area is federally designated as a\nHealth Professional Shortage Area.\n2.5% for In-Home Supportive Services (IHSS) for the elderly and those\nliving with disabilities with a priority on enhancing wages and benefits for\nIHSS providers.\n1% to provide financial support to the City of Pasadena Public Health\ny\nDepartment and the City of Long Beach Department of Health and\nHuman Services to safeguard their public services, to be divided between\nthe cities proportionately based on what each city spent on core public\nhealth services over the past five fiscal years.\nUnless otherwise specified, all non-County hospital funds shall be\ndistributed in a needs-based manner that is primarily based on Medicaid\nEmergency Department volume.  (26-0870)\nMotion by Supervisor Mitchell\nMotion by Supervisors Mitchell and Solis (Updates Following Cluster)\nTransparency and Fairness in Collective Bargaining for County Public\nSafety Workers through Binding Arbitration