Healthcare facility funding ballot measures

Voters have decided on healthcare facility funding ballot measures across the U.S. As a state ballot measure topic, healthcare facility funding includes measures regarding the allocation of public funds, bond issues, or other financial support for hospitals, clinics, and healthcare institutions. The topic is grouped within the labor, healthcare, and public assistance policy area.

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Healthcare facility funding

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Upcoming ballot measures

See also: 2026 ballot measures and 2027 ballot measures

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

2026

1. California Establish Immunology and Immunotherapy Research Institute Initiative (2026) - Potential
2. California Require Transparency in Health Clinic Funding and Regulate Use of Profits Initiative (2026) - Potential
3. Colorado Prohibit Surgeries to Alter Biological Sex Characteristics of Minors Measure (2026) - Potential

List of state ballot measures

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

Years

States

2026

1. California Establish Immunology and Immunotherapy Research Institute Initiative (2026) - Potential
2. California Require Transparency in Health Clinic Funding and Regulate Use of Profits Initiative (2026) - Potential
3. Colorado Prohibit Surgeries to Alter Biological Sex Characteristics of Minors Measure (2026) - Potential

2024

1. California Proposition 1, Behavioral Health Services Program and Bond Measure (March 2024)

2019

1. Washington Advisory Vote 20, Nonbinding Question on Tax to Fund Long-Term Healthcare Services (2019)

2018

1. California Proposition 4, Children's Hospital Bonds Initiative (2018)

2014

1. Louisiana Medical Assistance Trust Fund, Amendment 1 (2014)
2. Maine Cancer and Aging Research Center Bond Issue, Question 4 (2014)

2013

1. Texas State Medical Education Board and State Medical Education Fund Elimination Amendment, Proposition 2 (2013)

2010

1. Georgia Amendment 2, Motor Vehicle Fee for Trauma Care Funding Measure (2010)
2. Idaho Hospital Debt, HJR 4 (2010)

2009

1. California Proposition 1D, Redirect Tobacco Tax Revenue Funds to Health Programs for Children Measure (May 2009)
2. Texas Proposition 8, Resources for Veterans Hospital Amendment (2009)

2008

1. California Proposition 3, Children's Hospital Bonds Initiative (2008)
2. Maine Question 1, Dirigo Health Program Funding Referendum (2008)

2007

1. Alabama Funds for Healthcare Costs Amendment (June 2007)
2. Texas Proposition 15, Cancer Prevention and Research Institute Amendment (2007)

2004

1. California Proposition 61, Children's Hospital Bonds Initiative (2004)
2. California Proposition 63, Tax Increase on Income Above $1 Million for Mental Health Services Initiative (2004)

2002

1. Colorado Referendum B, Private Partnerships for Healthcare Facilities Amendment (2002)
2. Michigan Proposal 02-4, Allocation of Tobacco Settlement Revenue Initiative (2002)
3. Missouri Proposition A, Tobacco Tax for Healthy Families Trust Fund Initiative (2002)
4. Oregon Measure 11, Bonds for OHSU Medical Research Amendment (May 2002)

2001

1. Maine Question 2, Bond Issue to Fund Biomedical and Marine Research Measure (2001)

2000

1. Arizona Proposition 200, Tobacco Settlement Fund Allocation for Children's Health, Disease Prevention, and Hospice Care Initiative (2000)
2. Oklahoma State Question 685, Levy for Health Departments Amendment (2000)
3. Oregon Measure 4, Oregon Health Plan Trust Fund from Tobacco Settlement Initiative (2000)

1998

1. Colorado Referendum A, Joint Ownership of Healthcare Services and Facilities Amendment (1998)

1997

1. Maine Question 3, Adaptive Equipment Loan Program Bond Measure (1997)

1996

1. Idaho Public Hospital Financing, SJR 111 (1996)

1995

1. Maine Question 4, Housing for Individuals with Mental Illness Bond Measure (1995)

1992

1. Virginia Question 2, Mental Health Facilities Bond Measure (1992)

1989

1. Maine Question 8, Bond Issue to Fund Programs to Support People with Mental Illnesses Measure (1989)

1988

1. New Mexico Bond Question: Senior Citizens Facilities Bonds (1988)
2. Oklahoma State Question 604, Extra Mills for Hospitals Amendment (March 1988)

1986

1. Maine Question 4, School Compliance with Educational Reform Law and Mental Health Institute Activity Building Bond Measure (1986)

1984

1. Oklahoma State Question 561, Tax for Health Departments Amendment (August 1984)
2. Oklahoma State Question 575, Tax Levy for Healthcare Amendment (1984)

1982

1. North Dakota Medical Center Mill Levy Referendum, Measure 1 (1982)

1980

1. Idaho Empower Health Facilities, HJR 12 (1980)

1979

1. Washington Referendum 37, Handicapped Persons Care Bond Measure (1979)

1978

1. Alaska Bonding Proposition 3, Health Facilities, Senior Centers, and Assisted Living Pioneer Homes Bond Measure (1978)
2. Idaho Empower Health Facilities to Finance Health Facilities, SJR 110 (1978)
3. Oklahoma State Question 528, Hospital Districts Amendment (August 1978)

1977

1. Virginia Mental Health Facilities Bond Measure (1977)

1976

1. North Carolina Healthcare Facilities Bonds Amendment (March 1976)
2. Oklahoma State Question 521, Establish Institutions to Support the Deaf and Blind Amendment (April 1976)

1975

1. Ohio Housing and Nursing Care Assistance Initiative (1975)

1974

1. Alaska Proposition 6, Healthcare Facilities Bond Measure (1974)
2. Alaska Proposition 8, Assisted Living Pioneer Homes Bond Measure (1974)

1972

1. Alaska Proposition 1, Health and Medical Facilities Bond Measure (1972)
2. California Proposition 2, Health Science Facilities Bond Measure (1972)
3. Georgia Amendment 10, Tax Exemptions for Nonprofit Hospitals Amendment (1972)
4. Maine Question 3, Mental and Correctional Institutions Expansion and Improvement Bond Measure (June 1972)
5. Washington Referendum 29, Health and Social Service Facility Bond Measure (1972)

1970

1. Alaska Proposition 6, Health and Medical Facility Bond Measure (1970)
2. California Proposition 1, University Health Science Buildings Bond Measure (June 1970)
3. Maine Question 2, Vocational-Technical Institutes and Boys Training Center Funding Bond Measure (June 1970)

1969

1. Maine Question 12, Mental and Correctional Institutions Expansion and Improvement Bond Measures (1969)
2. New York Amendment 1, Hospital Loans Amendment (1969)

1968

1. Alaska Proposition 3, Hospital Construction Bond Measure (1968)
2. California Proposition 5, Loans for Hospital Facilities Amendment (1968)
3. Maine Question 3, Mentally Handicapped Children's Residential Facility Bond Measure (1968)
4. Virginia Mental Hospitals and Institutions Bond Measure (1968)

1967

1. Maine Question 2, Bangor Regional Mental Healthcare Facility Bond Measure (September 1967)
2. Maine Question 3, Mental Hospitals and Correctional Institutions Expansion Bond Measure (1967)

1964

1. Alaska Proposition 1, Fairbanks Assisted Living Pioneer Home Bond Measure (1964)
2. Alaska Proposition 2, Health and Welfare Construction Bond Measure (1964)
3. California Proposition 2, Facilities Bond Measure (1964)

1963

1. Oklahoma State Question 411, Medical Center Indebtedness Amendment (December 1963)

1962

1. California Proposition 1A, State College, Junior College University, and Healthcare Facilities Bond Measure (1962)

1961

1. North Carolina Hospital Construction Bonds Referendum (1961)
2. North Carolina Mental Institution Improvement Bonds Referendum (1961)

1960

1. Alaska Proposition 5, Hospital Construction Bond Measure (1960)
2. Oklahoma State Question 390, Tax Levy for the Health Department Amendment (July 1960)

1959

1. North Carolina Referendum 2, Mental Health Institution Improvement Bonds Referendum (October 1959)
2. North Carolina Referendum 4, Hospital Improvement Bonds Referendum (October 1959)
3. North Carolina Referendum 7, Blind Rehabilitation Center Improvement Bonds Referendum (October 1959)

1958

1. California Proposition 3, State Educational, Mental, and Correctional Institutions Bond Measure (1958)

1954

1. Montana State Hospital Bond Issue, R-57 (1954)

1952

1. California Proposition 20, Funds for Hospital Facilities Amendment (1952)
2. Georgia Amendment 24, Chatham County Hospital Bonds Measure (1952)
3. Georgia Amendment 25, City of Savannah Hospital Bonds Measure (1952)
4. Georgia Amendment 4, Medical School Scholarships Measure (1952)
5. Oregon Measure Nos. 304-305, State Hospital for the Elderly Mentally Ill Measure (1952)

1950

1. Michigan Proposal No. 2, Bonds for Specialized Hospitals and Schools Amendment (1950)

1948

1. North Dakota State Medical Center Referendum (1948)

1946

1. Alabama Compulsory County Tax, Amendment 8 (1946)
2. Alabama Public Health Funding, Amendment 2 (1946)
3. Montana Hospital for the Insane Bond, R-50 (1946)

1944

1. Arkansas Hollingsworth State Hospital System, Initiated Act No. 3 (1944)

1942

1. Idaho Senior Citizens Grants Act, Initiative 1 (1942)

1940

1. Montana State Hospital for the Insane Bond, R-43 (1940)

1939

1. Georgia Amendment 30, Tift County Bonds Measure (June 1939)

1938

1. Georgia Amendment 15, County Authority to Levy Taxes for Hospital Care Measure (1938)
2. Missouri Amendment 3, County Hospital Tax Measure (1938)

1937

1. New York Proposition 1, State Bond for the Construction of State Buildings Bond Measure (1937)

1934

1. Michigan Funds for Unemployment Projects Referendum (April 1934)
2. Oregon Measure Nos. 304-305, Multnomah County Tuberculosis Hospital Measure (May 1934)
3. Oregon Measure Nos. 306-307, Insane Hospital in Multnomah County Measure (May 1934)

1930

1. Georgia Amendment 1, Stephens County Hospital Bonds Measure (1930)

1928

1. Georgia Amendment 3, Ware County Hospital Bonds Measure (1928)

1926

1. Oregon Measure Nos. 320-321, Establishment of Eastern Oregon Tuberculosis Hospital Measure (1926)

1920

1. Colorado Measure 6, Fund for Psychopathic Hospital and Laboratory Initiative (1920)

1916

1. Colorado Treatment of "Insane Persons", Measure 4 (1916)
2. North Dakota Hospital for the Insane Referendum (1916)

1912

1. Montana State Hospital Property Purchase, Referendum 1 (1912)

1910

1. Oregon Measure Nos. 302-303, Construction of Eastern Oregon State Hospital Measure (1910)

1872

1. Minnesota Amendment 1, Authorizing Loans to Construct Asylum Facilities Measure (1872)

1871

1. Minnesota Amendment 2, Authorizing Loans to Construct Asylum Facilities Measure (1871)

Alabama

1. Alabama Compulsory County Tax, Amendment 8 (1946)
2. Alabama Funds for Healthcare Costs Amendment (June 2007)
3. Alabama Public Health Funding, Amendment 2 (1946)

Alaska

1. Alaska Bonding Proposition 3, Health Facilities, Senior Centers, and Assisted Living Pioneer Homes Bond Measure (1978)
2. Alaska Proposition 1, Fairbanks Assisted Living Pioneer Home Bond Measure (1964)
3. Alaska Proposition 1, Health and Medical Facilities Bond Measure (1972)
4. Alaska Proposition 2, Health and Welfare Construction Bond Measure (1964)
5. Alaska Proposition 3, Hospital Construction Bond Measure (1968)
6. Alaska Proposition 5, Hospital Construction Bond Measure (1960)
7. Alaska Proposition 6, Health and Medical Facility Bond Measure (1970)
8. Alaska Proposition 6, Healthcare Facilities Bond Measure (1974)
9. Alaska Proposition 8, Assisted Living Pioneer Homes Bond Measure (1974)

Arizona

1. Arizona Proposition 200, Tobacco Settlement Fund Allocation for Children's Health, Disease Prevention, and Hospice Care Initiative (2000)

Arkansas

1. Arkansas Hollingsworth State Hospital System, Initiated Act No. 3 (1944)

California

1. California Establish Immunology and Immunotherapy Research Institute Initiative (2026) - Potential
2. California Proposition 1, Behavioral Health Services Program and Bond Measure (March 2024)
3. California Proposition 1, University Health Science Buildings Bond Measure (June 1970)
4. California Proposition 1A, State College, Junior College University, and Healthcare Facilities Bond Measure (1962)
5. California Proposition 1D, Redirect Tobacco Tax Revenue Funds to Health Programs for Children Measure (May 2009)
6. California Proposition 2, Facilities Bond Measure (1964)
7. California Proposition 2, Health Science Facilities Bond Measure (1972)
8. California Proposition 20, Funds for Hospital Facilities Amendment (1952)
9. California Proposition 3, Children's Hospital Bonds Initiative (2008)
10. California Proposition 3, State Educational, Mental, and Correctional Institutions Bond Measure (1958)
11. California Proposition 4, Children's Hospital Bonds Initiative (2018)
12. California Proposition 5, Loans for Hospital Facilities Amendment (1968)
13. California Proposition 61, Children's Hospital Bonds Initiative (2004)
14. California Proposition 63, Tax Increase on Income Above $1 Million for Mental Health Services Initiative (2004)
15. California Require Transparency in Health Clinic Funding and Regulate Use of Profits Initiative (2026) - Potential

Colorado

1. Colorado Measure 6, Fund for Psychopathic Hospital and Laboratory Initiative (1920)
2. Colorado Prohibit Surgeries to Alter Biological Sex Characteristics of Minors Measure (2026) - Potential
3. Colorado Referendum A, Joint Ownership of Healthcare Services and Facilities Amendment (1998)
4. Colorado Referendum B, Private Partnerships for Healthcare Facilities Amendment (2002)
5. Colorado Treatment of "Insane Persons", Measure 4 (1916)

Georgia

1. Georgia Amendment 1, Stephens County Hospital Bonds Measure (1930)
2. Georgia Amendment 10, Tax Exemptions for Nonprofit Hospitals Amendment (1972)
3. Georgia Amendment 15, County Authority to Levy Taxes for Hospital Care Measure (1938)
4. Georgia Amendment 2, Motor Vehicle Fee for Trauma Care Funding Measure (2010)
5. Georgia Amendment 24, Chatham County Hospital Bonds Measure (1952)
6. Georgia Amendment 25, City of Savannah Hospital Bonds Measure (1952)
7. Georgia Amendment 3, Ware County Hospital Bonds Measure (1928)
8. Georgia Amendment 30, Tift County Bonds Measure (June 1939)
9. Georgia Amendment 4, Medical School Scholarships Measure (1952)

Idaho

1. Idaho Empower Health Facilities, HJR 12 (1980)
2. Idaho Empower Health Facilities to Finance Health Facilities, SJR 110 (1978)
3. Idaho Hospital Debt, HJR 4 (2010)
4. Idaho Public Hospital Financing, SJR 111 (1996)
5. Idaho Senior Citizens Grants Act, Initiative 1 (1942)

Louisiana

1. Louisiana Medical Assistance Trust Fund, Amendment 1 (2014)

Maine

1. Maine Cancer and Aging Research Center Bond Issue, Question 4 (2014)
2. Maine Question 1, Dirigo Health Program Funding Referendum (2008)
3. Maine Question 12, Mental and Correctional Institutions Expansion and Improvement Bond Measures (1969)
4. Maine Question 2, Bangor Regional Mental Healthcare Facility Bond Measure (September 1967)
5. Maine Question 2, Bond Issue to Fund Biomedical and Marine Research Measure (2001)
6. Maine Question 2, Vocational-Technical Institutes and Boys Training Center Funding Bond Measure (June 1970)
7. Maine Question 3, Adaptive Equipment Loan Program Bond Measure (1997)
8. Maine Question 3, Mental Hospitals and Correctional Institutions Expansion Bond Measure (1967)
9. Maine Question 3, Mental and Correctional Institutions Expansion and Improvement Bond Measure (June 1972)
10. Maine Question 3, Mentally Handicapped Children's Residential Facility Bond Measure (1968)
11. Maine Question 4, Housing for Individuals with Mental Illness Bond Measure (1995)
12. Maine Question 4, School Compliance with Educational Reform Law and Mental Health Institute Activity Building Bond Measure (1986)
13. Maine Question 8, Bond Issue to Fund Programs to Support People with Mental Illnesses Measure (1989)

Michigan

1. Michigan Funds for Unemployment Projects Referendum (April 1934)
2. Michigan Proposal 02-4, Allocation of Tobacco Settlement Revenue Initiative (2002)
3. Michigan Proposal No. 2, Bonds for Specialized Hospitals and Schools Amendment (1950)

Minnesota

1. Minnesota Amendment 1, Authorizing Loans to Construct Asylum Facilities Measure (1872)
2. Minnesota Amendment 2, Authorizing Loans to Construct Asylum Facilities Measure (1871)

Missouri

1. Missouri Amendment 3, County Hospital Tax Measure (1938)
2. Missouri Proposition A, Tobacco Tax for Healthy Families Trust Fund Initiative (2002)

Montana

1. Montana Hospital for the Insane Bond, R-50 (1946)
2. Montana State Hospital Bond Issue, R-57 (1954)
3. Montana State Hospital Property Purchase, Referendum 1 (1912)
4. Montana State Hospital for the Insane Bond, R-43 (1940)

New Mexico

1. New Mexico Bond Question: Senior Citizens Facilities Bonds (1988)

New York

1. New York Amendment 1, Hospital Loans Amendment (1969)
2. New York Proposition 1, State Bond for the Construction of State Buildings Bond Measure (1937)

North Carolina

1. North Carolina Healthcare Facilities Bonds Amendment (March 1976)
2. North Carolina Hospital Construction Bonds Referendum (1961)
3. North Carolina Mental Institution Improvement Bonds Referendum (1961)
4. North Carolina Referendum 2, Mental Health Institution Improvement Bonds Referendum (October 1959)
5. North Carolina Referendum 4, Hospital Improvement Bonds Referendum (October 1959)
6. North Carolina Referendum 7, Blind Rehabilitation Center Improvement Bonds Referendum (October 1959)

North Dakota

1. North Dakota Hospital for the Insane Referendum (1916)
2. North Dakota Medical Center Mill Levy Referendum, Measure 1 (1982)
3. North Dakota State Medical Center Referendum (1948)

Ohio

1. Ohio Housing and Nursing Care Assistance Initiative (1975)

Oklahoma

1. Oklahoma State Question 390, Tax Levy for the Health Department Amendment (July 1960)
2. Oklahoma State Question 411, Medical Center Indebtedness Amendment (December 1963)
3. Oklahoma State Question 521, Establish Institutions to Support the Deaf and Blind Amendment (April 1976)
4. Oklahoma State Question 528, Hospital Districts Amendment (August 1978)
5. Oklahoma State Question 561, Tax for Health Departments Amendment (August 1984)
6. Oklahoma State Question 575, Tax Levy for Healthcare Amendment (1984)
7. Oklahoma State Question 604, Extra Mills for Hospitals Amendment (March 1988)
8. Oklahoma State Question 685, Levy for Health Departments Amendment (2000)

Oregon

1. Oregon Measure 11, Bonds for OHSU Medical Research Amendment (May 2002)
2. Oregon Measure 4, Oregon Health Plan Trust Fund from Tobacco Settlement Initiative (2000)
3. Oregon Measure Nos. 302-303, Construction of Eastern Oregon State Hospital Measure (1910)
4. Oregon Measure Nos. 304-305, Multnomah County Tuberculosis Hospital Measure (May 1934)
5. Oregon Measure Nos. 304-305, State Hospital for the Elderly Mentally Ill Measure (1952)
6. Oregon Measure Nos. 306-307, Insane Hospital in Multnomah County Measure (May 1934)
7. Oregon Measure Nos. 320-321, Establishment of Eastern Oregon Tuberculosis Hospital Measure (1926)

Texas

1. Texas Proposition 15, Cancer Prevention and Research Institute Amendment (2007)
2. Texas Proposition 8, Resources for Veterans Hospital Amendment (2009)
3. Texas State Medical Education Board and State Medical Education Fund Elimination Amendment, Proposition 2 (2013)

Virginia

1. Virginia Mental Health Facilities Bond Measure (1977)
2. Virginia Mental Hospitals and Institutions Bond Measure (1968)
3. Virginia Question 2, Mental Health Facilities Bond Measure (1992)

Washington

1. Washington Advisory Vote 20, Nonbinding Question on Tax to Fund Long-Term Healthcare Services (2019)
2. Washington Referendum 29, Health and Social Service Facility Bond Measure (1972)
3. Washington Referendum 37, Handicapped Persons Care Bond Measure (1979)

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