San Francisco union homecare providers are proud to stand with nurses, firefighters, teachers and other union workers in support of Proposition D, the Overpaid CEO Act.
The Trump Medicaid Cuts are Coming to San Francisco
In July 2025, President Trump and the Republican-led Congress approved over $1 trillion in cuts to Medicaid and SNAP in H.R.1, known as the Big Beautiful Bill. In exchange, trillions of dollars in tax cuts were given to large corporations and wealthy households.
These cuts to public health will directly impact California. Statewide, the health care industry is expected to lose between 3% to 5% of total jobs, and hospitals will be burdened with an increase of over $200 billion in uncompensated care costs. But the impacts will be felt locally too.
Studies show that reductions to Medicaid funding lead to widespread reduction in services. The city’s in-home care workers are facing a dual risk to both their clients and their own health care, as many homecare clients are Medicaid recipients and many providers rely on Medicaid themselves. More than half (53%) of the patients at SF’s public hospitals rely on Medicaid, and 100% of In-Home Support Services (IHSS) are funded by Medicaid.
Care workers across San Francisco will be facing dire challenges from these Trump Medicaid cuts, and we can’t sit back while we lose critical services.
Proposition D Offers a Real Solution
A coalition of nurses, firefighters, teachers and other union workers have placed Proposition D on the ballot as a permanent solution that protects services at the moment they are needed most. The Overpaid CEO Act taxes corporations whose highest-paid executive makes more than 100 times what their median worker earns.
The measure is focused only on the largest corporations conducting business in San Francisco with at least 1,000 employees and over $1 billion in revenues—in short, the same businesses that are most likely to benefit from trillions of dollars in tax breaks due to H.R.1. Only a handful of the biggest companies will pay, NOT small businesses or working people.
It would raise between $250-$300 million in revenue and give the city the tools it needs to meet the community’s needs. It would allow San Francisco to take a path towards recovery that works for all residents, not just large corporations.
Protect Homecare and Public Hospitals – Vote Yes on D
SEIU 2015 and San Francisco care workers are taking action to protect public health services. Revenue from the Overpaid CEO Tax would go towards preserving critical local programs like mental health programs, public hospitals, and emergency response services, ensuring San Francisco remains a place where all families can thrive.
By reinvesting these dollars locally, we can close funding gaps, protect vital programs, and keep San Francisco a place where all families can thrive.
Click here to read a detailed report about the impacts of Prop D.