Chanting “no new taxes” in front of the Santa Clara County Government Center on Monday, a small coalition of residents spoke out against Measure A — a proposed five-eighths-of-a-cent sales tax increase to counteract the estimated billion dollars annually in lost federal revenue to the county.

Santa Clara County voters will decide on Nov. 4 whether to approve the general sales tax, which county officials say is critical to preserving access to health care and other services that largely rely on revenues from Medicaid. In July, Republicans in Congress cut one trillion dollars from the federally funded health insurance program over the next decade via the “Big, Beautiful Bill.” One in four residents in the county rely on Medicaid, known as Medi-Cal in California.

But the coalition, which is

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