Prop 40
California
billionaire tax
Keep Hospitals & ERs Open
We’re calling on California’s billionaires to pay a one-time, 5% emergency billionaire tax to prevent the collapse of California healthcare and ensure our state’s families can get the care we need. Prop 40 is a common sense solution to a looming crisis and will help our state build a strong middle class.
Massive federal healthcare cuts are driving California towards a healthcare collapse
Deep federal cuts strip roughly $100 billion from California healthcare over the next five years—pushing our state toward a healthcare collapse that hurts California families. Insurance premiums will go up for everyone, and millions of Californians will lose coverage altogether. Local hospitals, clinics, and nursing homes, home care services that we rely on will cut services or close. Skeleton crews will be left on the front lines as 145,000 healthcare jobs disappear, burning out the people who care for our families. Prop 40 is a common sense solution to stop the healthcare collapse.
OUR SOLUTION: PROP 40 - THE CALIFORNIA BILLIONAIRE TAX ACT:
A one-time, 5% emergency billionaire tax
How it Works
- Paid only by Californians worth more than $1 billion—about 200 people who together hold $2 trillion in wealth, most of which will never be taxed in their lifetimes due to loopholes in state and federal tax laws.
- Raises about $100 billion to replace lost federal dollars and protect essential services. Directs 90% of funds to healthcare and 10% to public K-14 education and state food assistance programs.
- No new taxes on the middle class, small businesses, or homeowners.
What it does Prop 40 do for Californians
- Keeps hospital ERs, clinics, nursing homes, and home care open and staffed in every community.
- Stabilizes premiums and coverage, so families can see a doctor when they need one.
- Protects healthcare jobs and the middle-class economy they support.
- Funds public K-14 education to keep classrooms staffed, protect programs, and ensure every child gets a quality education.
- Funds state food assistance programs to keep millions of Californians from losing access to food and support school nutrition programs.
What we want is simple
- Protect our fragile healthcare system from collapse so our families can get the care we need.
- Billionaires doing their part to support California and contribute to the social safety nets and public infrastructure that enabled their wealth accumulation.
- A state with a strong middle class where everyone can thrive.
What people are saying
At a time of unprecedented and growing wealth consolidation and income inequality, I strongly support the grassroots effort in California to impose this reasonable and necessary 5% wealth tax on about 200 California billionaires.
U.S. Senator Bernie Sanders
In California alone, 16 [rural hospitals] are at risk. If we don’t take action, many will almost certainly be forced to close, and the impact will be devastating for so many of us.
Frank Espinosa, healthcare worker at Mercy Medical Center
This initiative would provide the necessary funding to prevent over three million working class Californians from losing the healthcare they currently have — and would help prevent the closures of California hospitals and emergency rooms.
U.S. Senator Bernie Sanders
When federal leaders choose tax breaks for billionaires over keeping our hospitals and ERs open, working families pay the price.
Andres Gonzalez, a frontline healthcare worker and Maywood, CA resident
I’m collecting signatures because if we don’t get the billionaire tax on the ballot, more and more clinics will close.
Diego Rubalcava-Alvarez, volunteer for the Billionaire Tax Act campaign
Californians won’t stand by while essential care is put at risk.
Matt Schlegel, Palo Alto campaign volunteer
It should be common sense that the billionaires pay just slightly more so that entire communities can preserve access to life-saving medical care. Our country needs access to hospitals and emergency rooms, not more tax breaks for billionaires.
U.S. Senator Bernie Sanders
By standing together to ensure that billionaires pay their fair share, we can protect the healthcare services our communities depend on.
Dr. Jackline Lasola, OBYGN physician and member of CIR-SEIU Local 1957
Healthcare is the difference between stability and collapse for millions of families.
Nidal Rafeedie, Respiratory therapist and Vice President of Teamsters Local 1932
Here's the truth: if California doesn't tax the billionaires, hospitals will close their doors forever, and the patient care crisis will get much, much worse.
Mayra Castaneda, Ultrasound technologist and SEIU-UHW West member leader
Without my medication, my health, and my life, are at risk.
Lisandro Preza, UNITE HERE Local 11 member and a Medicaid patient who lost coverage
THE BIG PICTURE:
prop 40 can stop the healthcare collapse
The wealth of U.S. and California billionaires has grown enormously over the past decades — much faster than overall economic growth. In 1982, the wealth of the top .0002% Americans was about 2% of the country’s GDP (gross domestic product). In 2025, it has increased to 20% of GDP. From 1982 to 2025 the annual growth of billionaire’s wealth has been 7.5% per year, five times the growth of average incomes over the same period (1.5% per year).