Local labor and healthcare policy ballot measures

As a local ballot measure topic, local labor and healthcare policy refers to measures regarding labor unions, workplace regulations, and healthcare at the local level.

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Local labor and healthcare

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Local labor and healthcare policy ballot measures

Local healthcare policy Local minimum wage Local paid sick leave Local project labor agreement Local public employee retirement funds Local unions and collective bargaining

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Upcoming ballot measures

See also: 2026 ballot measures and 2027 ballot measures

The following is a list of local ballot measures related to this topic that are certified or potential for this year and future elections:

2026

1. Montgomery, Alabama, Permit Members of the City Council to Participate in the Employees' Retirement System Amendment (2026) - On the ballot
2. Ontario, California, Measure V, Hospitality Labor Regulations and Minimum Wage Initiative (March 2026) - On the ballot
3. Sangamon County, Illinois, Increase Sales Tax for Mental Health Purposes Measure (March 2026) - On the ballot

List of local ballot measures

Click the tabs to view local ballot measures related to this topic, organized by year or state.

Years

States

2026

1. Montgomery, Alabama, Permit Members of the City Council to Participate in the Employees' Retirement System Amendment (2026) - On the ballot
2. Ontario, California, Measure V, Hospitality Labor Regulations and Minimum Wage Initiative (March 2026) - On the ballot
3. Sangamon County, Illinois, Increase Sales Tax for Mental Health Purposes Measure (March 2026) - On the ballot

2025

1. Burien, Washington, Initiative Measure 1, Minimum Wage and Labor Policies Initiative (February 2025)
2. Columbus, Ohio, Issue 5, Departments of Health and Safety Infrastructure Bond Measure (November 2025)
3. Franklin County, Ohio, Issue 1, Mental Health Service Tax Levy Measure (November 2025)
4. Olympia, Washington, Proposition 1, $20 Minimum Wage and Work Regulations Initiative (November 2025)
5. Washington Township Health Care District, California, Measure B, Health Care Services Parcel Tax Measure (November 2025)

2024

1. Dale County, Alabama, Local Amendment 1, Mayors in Employees' Retirement System Measure (March 2024)
2. Dallas, Texas, Proposition A, Changes to City Employee Retirement Fund Measure (November 2024)
3. Denver, Colorado, Referred Question 2U, Establishment of Collective Bargaining for Non-Supervisory City Employees Measure (November 2024)
4. Denver, Colorado, Referred Question 2V, Allow Binding Arbitration in Firefighters' Collective Bargaining Measure (November 2024)
5. Glendale, Arizona, Proposition 499, Minimum Wage Increase for Hotel and Event Center Workers Initiative (November 2024)
6. Glendale, California, Measure A, Charter Amendment (March 2024)
7. Ingham County, Michigan, Property Tax to Fund Health Services Measure (August 2024)
8. Irving, Texas, Proposition A, Allow Collective Bargaining for Fire Fighters Measure (November 2024)
9. Long Beach, California, Measure RW, Minimum Wage Increase for Hotel Workers Measure (March 2024)
10. Los Angeles, California, Charter Amendment FF, Fire and Police Pensions and Peace Officers Amendment (November 2024)
11. Massachusetts House District 10, Question 6, Single-Payer Healthcare Measure (November 2024)
12. Massachusetts House District 14, Question 6, Single-Payer Healthcare Measure (November 2024)
13. Massachusetts House District 2, Question 6, Single-Payer Healthcare Measure (November 2024)
14. Montpelier, Vermont, Article 13, Central Vermont Home Health and Hospice Expenditures Measure (March 2024)
15. Pasadena, California, Measure S, Limits on Contract, Settlement, and Claim Approvals Charter Amendment (March 2024)
16. Pasadena, California, Measure T, Contract Selection Charter Amendment (March 2024)
17. San Benito Health Care District, California, Measure X, Lease and Sale of District Property Measure (November 2024)
18. San Francisco, California, Proposition F, Require Drug Screening for Certain Beneficiaries of the County Adult Assistance Program Initiative (March 2024)
19. San Francisco, California, Proposition H, Firefighter Retirement Benefits Amendment (November 2024)
20. San Francisco, California, Proposition I, Nurses and 911 Operators Retirement Benefits Amendment (November 2024)

2023

1. Anaheim, California, Measure A, Minimum Wage Increase to Hotel and Event Center Workers Measure (October 2023)
2. El Paso, Texas, Proposition I, Police and Fire Pension Fund Charter Amendment (May 2023)
3. Flagstaff, Arizona, Proposition 480, Northern Arizona Healthcare Medical Center Rezoning Referendum (November 2023)

2022

1. Albany, California, Measure K, Emergency Services Tax (Measure 2022)
2. Corte Madera, California, Measure E, Property Tax For Emergency Response Services Measure (November 2022)
3. Duarte, California, Measure J, Healthcare Workers Minimum Wage Initiative (November 2022)
4. Fairfax, California, Measure F, Emergency Response Services Property Tax Measure (November 2022)
5. Fort Worth, Texas, Proposition K, Delete Language on Department of Public Health Amendment (May 2022)
6. Inglewood City, California, Measure HC, Healthcare Workers Minimum Wage Initiative (November 2022)
7. Kansas City, Missouri, Question 2, Property Tax Levy Renewal for Emergency and Hospital Services Measure (April 2022)
8. Laguna Beach, California, Measure S, Hotel Employees Measure (November 2022)
9. Mesa, Arizona, Proposition 476, Allow Collective Bargaining for Police and Firefighters Measure (November 2022)
10. Montgomery County, Alabama, Local Amendment 2, Allow Mayors to Participate in Employee Retirement System Measure (November 2022)
11. Nashville, Tennessee, Charter Amendment 3, Metro Health Department Clarifications and Differentiations Charter Amendment (August 2022)
12. Ross Valley Paramedic Authority, California, Measure N, Emergency Response Services Special Tax Measure (November 2022)
13. San Diego, California, Measure D, Project Labor Agreements Measure (November 2022)
14. San Francisco, California, Proposition A, Supplemental Cost of Living Adjustment for Certain City Retirees and Employment Contract for Retirement Board Executive Director Amendment (November 2022)
15. San Francisco, California, Proposition G, Public Health Emergency Leave Requirement Measure (June 2022)
16. Tehachapi Valley Healthcare District, California, Measure X, Lease Agreement Measure (November 2022)
17. Washington, D.C., Initiative 82, Increase Minimum Wage for Tipped Employees Measure (2022)
18. Westside Community Health Care District, California, Measure D, Public Safety Parcel Tax Measure (November 2022)

2021

1. Austin, Texas, Proposition A, Binding Arbitration for Firefighters Association Initiative (May 2021)
2. Lubbock, Texas, Proposition A, Abortion Ban Within City Limits Initiative (May 2021)
3. San Antonio, Texas, Proposition B, Repeal Police Collective Bargaining Initiative (May 2021)
4. Thurston County, Washington, Proposition 1, Property Tax Increase for Medic One Emergency Services (August 2021)
5. Tucson, Arizona, Proposition 206, Minimum Wage Initiative (November 2021)

2020

1. Alameda County, California, Measure C, Early Childhood Healthcare and Education Ordinance (March 2020)
2. Avalon, California, Measure H, Traveler and Boat Mooring Tax for Hospital Funding Initiative (November 2020)
3. Chula Vista, California, Measure E, Project Labor Agreements Measure (March 2020)
4. DuPage County, Illinois, COVID-19 Personal Protective Equipment Stockpile Advisory Referendum (November 2020)
5. Lincoln, Nebraska, City Contracts Charter Amendment (May 2020)
6. Maricopa County Special Health Care District, Arizona, Proposition 449, Continue Property Tax Levy (November 2020)
7. Mariposa County, California, Measure N, Hospital Sales Tax (November 2020)
8. Miami, Florida, Straw Ballot Question, COVID-19 Screening Program at Miami International Airport (August 2020)
9. North Sonoma County Healthcare District, California, Measure BB, Hospital Sale Agreement (November 2020)
10. Petaluma Health Care District, California, Measure CC, Hospital Sale Agreement (November 2020)
11. Philadelphia, Pennsylvania, Question 1, Department of Labor Amendment (June 2020)
12. San Francisco, California, Proposition C, San Francisco Housing Authority Retirement Benefits (March 2020)
13. Santa Cruz, California, Measure W, City Construction Charter Amendment (March 2020)

2019

1. Colorado Springs, Colorado, Issue 1, Collective Bargaining for Fire Department Initiative (April 2019)
2. Irving, Texas, Proposition A, Removal of City Retirement Contribution Limits Charter Amendment (November 2019)
3. King County, Washington, Proposition 1, Emergency Medical Services Property Tax Levy Renewal (November 2019)
4. Memphis, Tennessee, Public Safety Officer Benefits and Pensions Sales Tax Initiative (October 2019)
5. Philadelphia, Pennsylvania, Question 3, Call on Legislature for $15 Minimum Wage Charter Amendment (May 2019)
6. Phoenix, Arizona, Proposition 106, Pension Debt Policies and City Budget Growth Limits Initiative (August 2019)
7. Rancho Palos Verdes, California, Measure B, Minimum Wage Increase and Working Condition Regulations for Hospitality Employees (November 2019)

2018

1. Anaheim, California, Measure L, Hospitality Industry Minimum Wage Initiative (November 2018)
2. Avalon, California, Measure T, Traveler Tax to Fund Hospital Initiative (April 2018)
3. Cambria Community Healthcare District, California, Measure C-18, Ambulance Transport Services and Equipment Parcel Tax (November 2018)
4. Chicago, Illinois, Address Opioid and Heroin Use Advisory Question (March 2018)
5. Chicago, Illinois, Preserve Affordable Care Act Advisory Question (March 2018)
6. Cook County, Illinois, Earned Sick Time for Workers Measure (November 2018)
7. Cook County, Illinois, Minimum Wage Measure (November 2018)
8. Flagstaff, Arizona, Proposition 418, Initiative to Decrease the Minimum Wage (November 2018)
9. Livermore, California, Measure U, Healthcare Cost Limitations (November 2018)
10. Long Beach, California, Measure WW, Emergency Contact Devices for Hotel Employees (November 2018)
11. Mark Twain Health Care District, California, Measure A, Medical Center Lease (June 2018)
12. Oakland, California, Measure Z, Hotel Employee Minimum Wage Charter Amendment (November 2018)
13. Palo Alto, California, Measure F, Healthcare Cost Regulations (November 2018)
14. San Diego County, California, Measure C, Pension Stabilization Funds Charter Amendment (November 2018)
15. San Jose, California, Measure S, Construction Contract Charter Amendment (November 2018)
16. Surprise Valley Health Care District, California, Measure I, Permit to Sell Assets to Qualified Buyers (June 2018)
17. Tulare Local Healthcare District, California, Measure H, Hospital Lease (November 2018)
18. Washington, D.C., Initiative 77, Minimum Wage Increase for Tipped Workers (June 2018)

2017

1. Albuquerque, New Mexico, Paid Sick Leave Initiative, Ordinance (October 2017)
2. Kansas City, Missouri, $15 Per Hour Minimum Wage Initiative, Question No. 3 (August 2017)

2016

1. Berkeley, California, $15 Minimum Wage Increase, Measure BB (November 2016)
2. Berkeley, California, $16.37 Minimum Wage Increase, Measure CC (November 2016)
3. Bernalillo County, New Mexico, Hospital Mill Levy (November 2016)
4. Chicago, Illinois, Creation of West Side Expanded Mental Health Services Program Measure (November 2016)
5. Cook County, Illinois, Earned Sick Time Measure (November 2016)
6. Jacksonville, Florida, Pension Liability Sales Tax Referendum (2016)
7. Los Angeles, California, Airport Police Officers Pension Changes Amendment, Measure SSS (November 2016)
8. Milpitas, California, Exclusive Contract with Waste Management, Inc. for Trash Services, Measure L (November 2016)
9. Monterey, California, Contracts for Public Works, Measure I (November 2016)
10. San Diego, California, Minimum Wage Increase Veto Referendum, Proposition I (June 2016)
11. San Francisco, California, Paid Sick Leave Changes, Proposition E (June 2016)
12. San Jose, California, Additional Hours for Part-Time Workers, Measure E (November 2016)
13. San Jose, California, Pension Modification Agreement, Measure F (November 2016)
14. San Mateo, California, Fire Protection Services Contracting Amendment, Measure L (November 2016)

2015

1. City of Phoenix Pension Plan Charter Amendment, Proposition 103 (August 2015)

2014

1. City of Phoenix Initiative to Amend Pension Plan, Proposition 487 (November 2014)

2013

1. Phoenix, Arizona, Proposition 201, Employee Retirement System Charter Amendment (March 2013)
2. Phoenix, Arizona, Proposition 202, Add Prudent Investor Rule to City Retirement Plan Charter Amendment (March 2013)

2012

1. Long Beach, California, Measure N, Minimum Wage Increase and Paid Sick Time for Hotel Workers Measure (November 2012)

2011

1. San Francisco Pension Reform, Propositions C and D (November 2011)#Proposition D .28the .22Adachi Initiative.22.29

Alabama

1. Dale County, Alabama, Local Amendment 1, Mayors in Employees' Retirement System Measure (March 2024)
2. Montgomery, Alabama, Permit Members of the City Council to Participate in the Employees' Retirement System Amendment (2026) - On the ballot
3. Montgomery County, Alabama, Local Amendment 2, Allow Mayors to Participate in Employee Retirement System Measure (November 2022)

Arizona

1. City of Phoenix Initiative to Amend Pension Plan, Proposition 487 (November 2014)
2. City of Phoenix Pension Plan Charter Amendment, Proposition 103 (August 2015)
3. Flagstaff, Arizona, Proposition 418, Initiative to Decrease the Minimum Wage (November 2018)
4. Flagstaff, Arizona, Proposition 480, Northern Arizona Healthcare Medical Center Rezoning Referendum (November 2023)
5. Glendale, Arizona, Proposition 499, Minimum Wage Increase for Hotel and Event Center Workers Initiative (November 2024)
6. Maricopa County Special Health Care District, Arizona, Proposition 449, Continue Property Tax Levy (November 2020)
7. Mesa, Arizona, Proposition 476, Allow Collective Bargaining for Police and Firefighters Measure (November 2022)
8. Phoenix, Arizona, Proposition 106, Pension Debt Policies and City Budget Growth Limits Initiative (August 2019)
9. Phoenix, Arizona, Proposition 201, Employee Retirement System Charter Amendment (March 2013)
10. Phoenix, Arizona, Proposition 202, Add Prudent Investor Rule to City Retirement Plan Charter Amendment (March 2013)
11. Tucson, Arizona, Proposition 206, Minimum Wage Initiative (November 2021)

California

1. Alameda County, California, Measure C, Early Childhood Healthcare and Education Ordinance (March 2020)
2. Albany, California, Measure K, Emergency Services Tax (Measure 2022)
3. Anaheim, California, Measure A, Minimum Wage Increase to Hotel and Event Center Workers Measure (October 2023)
4. Anaheim, California, Measure L, Hospitality Industry Minimum Wage Initiative (November 2018)
5. Avalon, California, Measure H, Traveler and Boat Mooring Tax for Hospital Funding Initiative (November 2020)
6. Avalon, California, Measure T, Traveler Tax to Fund Hospital Initiative (April 2018)
7. Berkeley, California, $15 Minimum Wage Increase, Measure BB (November 2016)
8. Berkeley, California, $16.37 Minimum Wage Increase, Measure CC (November 2016)
9. Cambria Community Healthcare District, California, Measure C-18, Ambulance Transport Services and Equipment Parcel Tax (November 2018)
10. Chula Vista, California, Measure E, Project Labor Agreements Measure (March 2020)
11. Corte Madera, California, Measure E, Property Tax For Emergency Response Services Measure (November 2022)
12. Duarte, California, Measure J, Healthcare Workers Minimum Wage Initiative (November 2022)
13. Fairfax, California, Measure F, Emergency Response Services Property Tax Measure (November 2022)
14. Glendale, California, Measure A, Charter Amendment (March 2024)
15. Inglewood City, California, Measure HC, Healthcare Workers Minimum Wage Initiative (November 2022)
16. Laguna Beach, California, Measure S, Hotel Employees Measure (November 2022)
17. Livermore, California, Measure U, Healthcare Cost Limitations (November 2018)
18. Long Beach, California, Measure N, Minimum Wage Increase and Paid Sick Time for Hotel Workers Measure (November 2012)
19. Long Beach, California, Measure RW, Minimum Wage Increase for Hotel Workers Measure (March 2024)
20. Long Beach, California, Measure WW, Emergency Contact Devices for Hotel Employees (November 2018)
21. Los Angeles, California, Airport Police Officers Pension Changes Amendment, Measure SSS (November 2016)
22. Los Angeles, California, Charter Amendment FF, Fire and Police Pensions and Peace Officers Amendment (November 2024)
23. Mariposa County, California, Measure N, Hospital Sales Tax (November 2020)
24. Mark Twain Health Care District, California, Measure A, Medical Center Lease (June 2018)
25. Milpitas, California, Exclusive Contract with Waste Management, Inc. for Trash Services, Measure L (November 2016)
26. Monterey, California, Contracts for Public Works, Measure I (November 2016)
27. North Sonoma County Healthcare District, California, Measure BB, Hospital Sale Agreement (November 2020)
28. Oakland, California, Measure Z, Hotel Employee Minimum Wage Charter Amendment (November 2018)
29. Ontario, California, Measure V, Hospitality Labor Regulations and Minimum Wage Initiative (March 2026) - On the ballot
30. Palo Alto, California, Measure F, Healthcare Cost Regulations (November 2018)
31. Pasadena, California, Measure S, Limits on Contract, Settlement, and Claim Approvals Charter Amendment (March 2024)
32. Pasadena, California, Measure T, Contract Selection Charter Amendment (March 2024)
33. Petaluma Health Care District, California, Measure CC, Hospital Sale Agreement (November 2020)
34. Rancho Palos Verdes, California, Measure B, Minimum Wage Increase and Working Condition Regulations for Hospitality Employees (November 2019)
35. Ross Valley Paramedic Authority, California, Measure N, Emergency Response Services Special Tax Measure (November 2022)
36. San Benito Health Care District, California, Measure X, Lease and Sale of District Property Measure (November 2024)
37. San Diego, California, Measure D, Project Labor Agreements Measure (November 2022)
38. San Diego, California, Minimum Wage Increase Veto Referendum, Proposition I (June 2016)
39. San Diego County, California, Measure C, Pension Stabilization Funds Charter Amendment (November 2018)
40. San Francisco, California, Paid Sick Leave Changes, Proposition E (June 2016)
41. San Francisco, California, Proposition A, Supplemental Cost of Living Adjustment for Certain City Retirees and Employment Contract for Retirement Board Executive Director Amendment (November 2022)
42. San Francisco, California, Proposition C, San Francisco Housing Authority Retirement Benefits (March 2020)
43. San Francisco, California, Proposition F, Require Drug Screening for Certain Beneficiaries of the County Adult Assistance Program Initiative (March 2024)
44. San Francisco, California, Proposition G, Public Health Emergency Leave Requirement Measure (June 2022)
45. San Francisco, California, Proposition H, Firefighter Retirement Benefits Amendment (November 2024)
46. San Francisco, California, Proposition I, Nurses and 911 Operators Retirement Benefits Amendment (November 2024)
47. San Francisco Pension Reform, Propositions C and D (November 2011)#Proposition D .28the .22Adachi Initiative.22.29
48. San Jose, California, Additional Hours for Part-Time Workers, Measure E (November 2016)
49. San Jose, California, Measure S, Construction Contract Charter Amendment (November 2018)
50. San Jose, California, Pension Modification Agreement, Measure F (November 2016)
51. San Mateo, California, Fire Protection Services Contracting Amendment, Measure L (November 2016)
52. Santa Cruz, California, Measure W, City Construction Charter Amendment (March 2020)
53. Surprise Valley Health Care District, California, Measure I, Permit to Sell Assets to Qualified Buyers (June 2018)
54. Tehachapi Valley Healthcare District, California, Measure X, Lease Agreement Measure (November 2022)
55. Tulare Local Healthcare District, California, Measure H, Hospital Lease (November 2018)
56. Washington Township Health Care District, California, Measure B, Health Care Services Parcel Tax Measure (November 2025)
57. Westside Community Health Care District, California, Measure D, Public Safety Parcel Tax Measure (November 2022)

Colorado

1. Colorado Springs, Colorado, Issue 1, Collective Bargaining for Fire Department Initiative (April 2019)
2. Denver, Colorado, Referred Question 2U, Establishment of Collective Bargaining for Non-Supervisory City Employees Measure (November 2024)
3. Denver, Colorado, Referred Question 2V, Allow Binding Arbitration in Firefighters' Collective Bargaining Measure (November 2024)

District of Columbia

1. Washington, D.C., Initiative 77, Minimum Wage Increase for Tipped Workers (June 2018)
2. Washington, D.C., Initiative 82, Increase Minimum Wage for Tipped Employees Measure (2022)

Florida

1. Jacksonville, Florida, Pension Liability Sales Tax Referendum (2016)
2. Miami, Florida, Straw Ballot Question, COVID-19 Screening Program at Miami International Airport (August 2020)

Illinois

1. Chicago, Illinois, Address Opioid and Heroin Use Advisory Question (March 2018)
2. Chicago, Illinois, Creation of West Side Expanded Mental Health Services Program Measure (November 2016)
3. Chicago, Illinois, Preserve Affordable Care Act Advisory Question (March 2018)
4. Cook County, Illinois, Earned Sick Time Measure (November 2016)
5. Cook County, Illinois, Earned Sick Time for Workers Measure (November 2018)
6. Cook County, Illinois, Minimum Wage Measure (November 2018)
7. DuPage County, Illinois, COVID-19 Personal Protective Equipment Stockpile Advisory Referendum (November 2020)
8. Sangamon County, Illinois, Increase Sales Tax for Mental Health Purposes Measure (March 2026) - On the ballot

Massachusetts

1. Massachusetts House District 10, Question 6, Single-Payer Healthcare Measure (November 2024)
2. Massachusetts House District 14, Question 6, Single-Payer Healthcare Measure (November 2024)
3. Massachusetts House District 2, Question 6, Single-Payer Healthcare Measure (November 2024)

Michigan

1. Ingham County, Michigan, Property Tax to Fund Health Services Measure (August 2024)

Missouri

1. Kansas City, Missouri, $15 Per Hour Minimum Wage Initiative, Question No. 3 (August 2017)
2. Kansas City, Missouri, Question 2, Property Tax Levy Renewal for Emergency and Hospital Services Measure (April 2022)

Nebraska

1. Lincoln, Nebraska, City Contracts Charter Amendment (May 2020)

New Mexico

1. Albuquerque, New Mexico, Paid Sick Leave Initiative, Ordinance (October 2017)
2. Bernalillo County, New Mexico, Hospital Mill Levy (November 2016)

Ohio

1. Columbus, Ohio, Issue 5, Departments of Health and Safety Infrastructure Bond Measure (November 2025)
2. Franklin County, Ohio, Issue 1, Mental Health Service Tax Levy Measure (November 2025)

Pennsylvania

1. Philadelphia, Pennsylvania, Question 1, Department of Labor Amendment (June 2020)
2. Philadelphia, Pennsylvania, Question 3, Call on Legislature for $15 Minimum Wage Charter Amendment (May 2019)

Tennessee

1. Memphis, Tennessee, Public Safety Officer Benefits and Pensions Sales Tax Initiative (October 2019)
2. Nashville, Tennessee, Charter Amendment 3, Metro Health Department Clarifications and Differentiations Charter Amendment (August 2022)

Texas

1. Austin, Texas, Proposition A, Binding Arbitration for Firefighters Association Initiative (May 2021)
2. Dallas, Texas, Proposition A, Changes to City Employee Retirement Fund Measure (November 2024)
3. El Paso, Texas, Proposition I, Police and Fire Pension Fund Charter Amendment (May 2023)
4. Fort Worth, Texas, Proposition K, Delete Language on Department of Public Health Amendment (May 2022)
5. Irving, Texas, Proposition A, Allow Collective Bargaining for Fire Fighters Measure (November 2024)
6. Irving, Texas, Proposition A, Removal of City Retirement Contribution Limits Charter Amendment (November 2019)
7. Lubbock, Texas, Proposition A, Abortion Ban Within City Limits Initiative (May 2021)
8. San Antonio, Texas, Proposition B, Repeal Police Collective Bargaining Initiative (May 2021)

Vermont

1. Montpelier, Vermont, Article 13, Central Vermont Home Health and Hospice Expenditures Measure (March 2024)

Washington

1. Burien, Washington, Initiative Measure 1, Minimum Wage and Labor Policies Initiative (February 2025)
2. King County, Washington, Proposition 1, Emergency Medical Services Property Tax Levy Renewal (November 2019)
3. Olympia, Washington, Proposition 1, $20 Minimum Wage and Work Regulations Initiative (November 2025)
4. Thurston County, Washington, Proposition 1, Property Tax Increase for Medic One Emergency Services (August 2021)

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