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COUNTY COUNSEL'S IMPARTIAL ANALYSIS OF MEASURE AA ANALYSIS BY THE ALAMEDA COUNTY COUNSEL OF THE COUNTY OF ALAMEDA ESSENTIAL HEALTH CARE SERVICES SALES AND USE TAX MEASURE Measure AA would authorize the County of Alameda ("County") to extend until June 30, 2034 a transaction and use tax("tax")without raising the tax rate. The proceeds from the tax will continue to provide additional funds for emergency medical, hospital, inpatient, outpatient, public health, mental health and substance abuse services to indigent, low-income and uninsured adults, children, families, seniors and other residents of the County. the tax will continue to be applicable throughout the entire County, including the incorporated and unincorporated areas. Measure AA.will also amend the,relevant ordinance to reflect the recent name change of the Alameda County Medical Center to the Alameda Health System ("AHS"). On March 2, 2004, the voters of the County approved the tax at a rate of one-half of one percent(0.5%) on sales and use of tangible personal property in a fashion similar to and in addition to the existing sales and use tax. The tax is currently:set to expire on June 30, 2019. If two-thirds of the qualified electors voting on this measure vote"yes,"the tax will continue to be imposed at the same rate and in the same fashion until June 30, 2034. The County has the authority to levy this tax under Part 1.6(commencing with Section 7251) of Division 2 and Section 7285:5 of Part 1.7 of Division 2 of the California Revenue and Taxation.Code. If Measure AA is approved, the tax will continue to be collected by the California State Board of Equalization and deposited in the County Treasury in a special fund entitled the"Essential Health Care Services Tax Fund" (the "Fund"). The distribution of the tax will not change. Seventy-five percent(75%)of the proceeds deposited into the Fund will be used by AHS; proceeds from this tax may not be used to replace funding currently provided by the County to AHS. The remaining twenty-five percent(25%)of the proceeds deposited into the Fund will be allocated by the County Board of Supervisors based on demonstrated needs and the County's commitment to a geographically dispersed network of health care providers for any of the following purposes: (a) critical medical services provided by community-based health care providers; (b)to partially offset uncompensated costs for emergency care End related hospital admissions; and (c)for essential public health, mental health and substance abuse services. If two-thirds of the qualified electors voting on this measure do not vote for approval, the measure will fail, and the tax will expire on June 30, 2019. This measure is placed on the ballot by the Board of Supervisors of the County. DONNA R. ZIEGLER County Counsel The above statement is an impartial analysis of Measure M, which measure is printed in full in this sample ballot pamphlet: If you desire an additional copy of the measure, please call the Elections Official's office at(510) 272-6933, and a copy will be mailed at no cost to you You may also access the full text of the measure on the Alameda County website at the following address: www.acgov.org/rov.