What is Prop 50?

Prop 50, the Election Rigging Response Act, is a measure on the November 4, 2025, California ballot. It would require the California Legislature to temporarily redraw new congressional district maps for use through 2030, giving California the ability to respond to other states’ partisan redistricting that could weaken California’s representation in Congress. Following the 2030 US Census, the Independent Citizens Redistricting Commission would resume authority and redraw new maps.

What Prop 50 Does

  • Ensures Fair Representation– Protects California’s congressional voice if other states gerrymander away fair representation for communities of color, immigrants, and rural residents.
  • Safeguards Health Equity – Prevents further erosion of resources for vulnerable communities who already bear disproportionate health burdens.
  • Provides for Only Targeted and Temporary Changes – Implements only the short-term protections needed until the next census in 2030.
  • Keeps Independent Redistricting – Reinforces California’s citizen-led redistricting process, protecting transparency and fairness with the next census cycle.

Protecting Health, Equity, and Fair Representation

As physicians and health professionals, we see firsthand how policy decisions by elected officials translate into life-and-death consequences for our patients, communities, and future generations. Proposition 50 is more than a redistricting measure — it is about defending health by ensuring fair representation at a time when federal policies are raising costs, closing hospitals, rolling back environmental safeguards and programs that address our climate emergency, and catastrophically undermining public health.

Why Proposition 50 Matters to Health Professionals

Federal health and science agencies exist to protect health and the environment, guide medical practice, and fund lifesaving research. Since January, the Trump administration has significantly weakened those agencies:

  • Centers for Disease Control and Prevention (CDC) – Undermined funding and authority for pandemic preparedness, disease surveillance, and life-saving vaccines.
  • Environmental Protection Agency (EPA) – Rolled back protections for climate, clean air, clean water, and toxic chemicals that are crucial to health.
  • National Institutes of Health (NIH) –Threatened, withdrew, and politically targeted research budgets, researchers, and expert panelist members.
  • Department of Health and Human Services (HHS) – Restructured and cut funding that reduced grants to hospitals, clinics, and community health programs. See back…
  • Occupational Safety and Health Administration (OSHA) – Weakened workplace protections and put health professionals, frontline health workers, and all workers at greater risk of getting sick or dying from work.

In addition to attacking the agencies above, the administration is pushing through the wrongly named “Big Beautiful Bill” that will cut $1 trillion from the Affordable Care Act and Medicaid resulting in millions of Americans losing healthcare coverage.

The bill and the weakening of these critical agencies mean—our patients, communities, and the medical establishment will pay the price. The cuts jeopardize access to health care, essential medical research, access to food and housing assistance, disaster preparedness, and will amplify the health harms of pollution and climate change.

The Stakes for Our Communities

Our communities cannot afford more harm. The cumulative impact of these cuts is a higher disease burden for our most vulnerable communities who are at greater risk of infectious disease outbreaks, public health crises, toxic exposures, heat stress, and unsafe working conditions. Also, the cuts will directly worsen asthma, cardiovascular disease, and cancer rates, particularly in low-income and frontline communities to name a few.

As health professionals, we have a duty to advocate for the health and safety of our patients, staff, and communities.

Prop 50 helps ensure Californians maintain strong representation in Congress to defend these critical agencies and the protections they provide.

Join us and vote YES on Proposition 50 — for health, equity, and democracy.

Vote Early!

November 4: Election Day!

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Thank you!