Measure CC on Marin ballots would create a parcel tax for the Marin Healthcare District, which owns MarinHealth Medical Center, the county's only trauma center.

What it does

  • Charges 14 cents per square foot of improved building area a year for 30 years. The Ark calculates that comes to $280 a year, or $8,400 over 30 years, for a 2,000-square-foot house.
  • Raises about $12.4 million a year.
  • Funds an expanded emergency room, intensive care and trauma care, seismic safety, patient rooms, operating rooms, labs and imaging, staffing, and mental health and addiction services. No money may go to administrator salaries.
  • Lets the district borrow against the tax. It includes annual audits and citizens' committee oversight.
  • Has no senior or low-income exemption. Backers say state law bars healthcare districts from offering a senior exemption.

How it passes

Measure CC qualified through a citizen petition, so it needs only a simple majority, rather than the two-thirds a district-sponsored special tax would need, The Ark reports.

The arguments

Supporters, including MarinHealth emergency medicine chair Jason Ruben, Rep. Jared Huffman, the League of Women Voters of Marin County and the North Bay Leadership Council, say the county depends on one trauma center and that ER visits have risen nearly 25% over a decade. The district estimates replacing its Redwood Pavilion at $350 million to $550 million.

Physician Clay Hess, who signed the ballot argument against, says the hospital is financially healthy and the oversight is only advisory. He also points to debt still owed on the 2013 Measure F bond. Faith and Reason PAC / Local Common Cents is campaigning for a no vote.

Stacking with Measure P

The Ark notes that the countywide Measure P childcare tax, also on the ballot at 5 cents per square foot, would bring the combined rate to 19 cents per square foot if both pass. County counsel says the two would not cancel each other.

More races and measures: our 2026 election hub.

How to vote

Election Day is Tuesday, Nov. 3. Polls and vote centers close at 8 p.m., and mailed ballots must be postmarked by Election Day and arrive within seven days. You can check your registration and ballot status at sos.ca.gov/elections. California lets you register and vote the same day at a vote center.