1000 San Leandro Blvd., Suite 300

San Leandro, CA 94577

Ph (510) 618-3452

Fax (510) 351-1367

Office of the Agency Director Programs

Measure A

Measure A, the Essential Health Care Services Initiative, was adopted by Alameda County voters in March 2004. The Measure authorized the County of Alameda to raise its sales tax by one-half cent in order to provide for additional financial support for emergency medical, hospital inpatient, outpatient, public health, mental health and substance abuse services to indigent, low-income, and uninsured adults, children, families, seniors and other residents of Alameda County. The Measure has generated approximately $100 million annually. Seventy-five percent (75%) of the proceeds are transferred directly to the Alameda County Medical Center and 25% of the proceeds are allocated by the Alameda County Board of Supervisors (BOS) based on demonstrated need and the County's commitment to a geographically dispersed network of providers. Since the passage of Measure A, the BOS has approved base allocations in four broad categories including: Public Health, Behavioral Health, Administration/Indigent Health, and Board of Supervisors Discretionary Accounts.


James Nguyen
Telephone: 510-618-2016

Measure A Oversight Committee Information

The following documents are provided in Portable Document Format (PDF) and require the free Adobe Reader.

Fact Sheets



General Information