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Supporters of a new Los Angeles County half-cent sales tax rallied Wednesday to celebrate what they framed as a historic win for the region’s cash-strapped healthcare system.

After a rocky election night that showed the tax lagging, supporters claimed victory Tuesday after the latest vote tally pushed Measure ER further over the 50% margin needed to pass. The measure would impose a new half-cent sales tax countywide, with the proceeds going toward local hospitals and clinics hit by federal funding cuts.

Jim Mangia, the chief executive of St. John’s Community Health who helped craft the measure, summed up the campaign as “grueling and expensive.”

“We had to ask an already overtaxed community — in the midst of runaway inflation and [an] affordability crisis — to tax themselves yet again,” he told a crowd of supporters Wednesday.

L.A. County already has a sales tax of 9.75%, and some cities add their own on top. Measure ER passing would raise the countywide sales tax to 10.25%, with some individual cities having a sales tax of more than 11%, according to the California Department of Tax and Fee Administration.

Despite a recent winning streak for sales taxes in L.A. County, some political observers had forecast doom for the measure, which came at a time of skyrocketing gas prices and cost-weary voters.

The largely informal opposition had consisted mainly of local cities that warned another sales tax would disproportionately burden the poorest residents and force shoppers across the county border in hopes of finding lower costs. Some city leaders had also dinged the county for misusing homelessness money generated from a previous sales tax and argued this new pot of dollars would be handled no better.

But supporters were able to eke out a narrow victory, according to the latest election returns, by emphasizing looming hospital closures and the temporary nature of the tax, which is set to sunset in five years.

“It’s a lifesaver to carry us through the storm we’re all in,” said county Supervisor Holly Mitchell, who led the push within the Board of Supervisors to get the measure on the ballot.

County leaders in February voted 4-1 to put the tax on the ballot after federal legislation threatened to pull health insurance from the poorest residents, leaving the already cash-strapped county to foot the bill for their care. Officials say cuts in the One Big Beautiful Bill Act are expected to slash more than $2 billion from the county’s budget for health services over the next three years.

“It’s disgusting what’s going to happen to our residents,” said Supervisor Hilda Solis, who championed the measure alongside Mitchell.

The tax, which begins Oct. 1, comes at a time of budget-tightening for the county amid rising labor costs and a $4-billion sex abuse settlement that is set to be paid out over the next five years.

Officials estimate the tax will bring in about $1 billion per year, which will go to clinics, hospitals and Planned Parenthood services that supporters say are at risk of closure without a new source of cash.

A similar proposed healthcare sales tax in Contra Costa County, meant to generate $150 million a year, was soundly rejected with about 57% of voters opposing the measure, according to votes tallied as of Wednesday.

In the race for Los Angeles mayor, incumbent Karen Bass secured a place on the November ballot. But who will challenge her is yet to be determined, as votes are still being tallied.

With 62% of the expected vote counted, reality television personality Spencer Pratt sits in second place and City Councilmember Nithya Raman trails in third. Although Pratt has declared victory, the Associated Press, which estimates the expected votes in, has not called the race.

This story is based on a snapshot of precinct-level results provided by the L.A. County registrar on Wednesday. The Times analyzed the 525,326 votes processed so far. This story will be updated when winners are finalized in early July by the secretary of state.

This map shows the margin and density of votes by precinct. Areas where a candidate leads by a wide margin, such as Brentwood for Pratt, appear darker on the map. More densely populated neighborhoods — such as Bass strongholds in Baldwin Hills and Hyde Park — appear in brighter colors. As of Wednesday, an estimated 710,000 ballots were yet to be counted, according to L.A. County officials.

The preliminary results show narrow margins among precincts on the Eastside, with some precincts showing an almost 30% split across the top 3 candidates.

Bass retained a strong lead in precincts across South L.A. compared with her 2022 race against Rick Caruso. Pratt has garnered heavy support from his neighbors in Pacific Palisades, as well as precincts in Bel-Air and Shadow Hills.

Raman, who represents Los Feliz, Hollywood Hills, Sherman Oaks and Encino on the city council, has so far underperformed in her home 4th District. She led in 12 of the 66 precincts, particularly in parts of Los Feliz. A few precincts in East Hollywood swung heavily for Pratt; but Bass led much of CD-4.

To win the race outright, Bass needs to secure at least 50% of the vote. She currently holds 35% of the vote and a five-point lead over Pratt. A Berkeley IGS poll released last week found that Bass and Raman would likely defeat Pratt by double digits in the event of a runoff.

Mail-in ballots with a June 2 postmark will be accepted by county election officials through Tuesday.

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