The November proposal could raise about $360m annually, with roughly $80m earmarked for Tijuana River pollution and an 11-member oversight committee appointed if voters approve it.
Supporters say it would create the first dedicated local funding stream, but the measure identifies no specific projects and leaves spending recommendations to county-appointed overseers and a new pollution crisis chief.
The plan follows years of federal and binational delays despite EPA priorities, treaty commitments and emergency repairs, while some county leaders argue San Diego may need to fund major U.S.-side fixes itself.
Sewage is the crisis, but gets only 4% of the tax. Where will the other $344 million really go?
After decades of failed efforts, can a local sales tax finally stop the toxic flow from the Tijuana River?
Ending the Tijuana River Sewage Crisis: The 2026 San Diego Health and Safety Act’s Path to the Ballot and Local Funding Solutions
Overview
The San Diego Health and Safety Act is a community-driven initiative created in response to citizen concerns about ongoing public health, environmental, and safety problems in San Diego County. Supported by a broad coalition, including labor unions and advocacy groups, the Act aims to bring real solutions to these issues. As of May 2026, it is working to qualify for the November 2026 ballot by collecting over 102,900 signatures. Unlike measures proposed by county supervisors, this citizens’ initiative follows a different approval process, highlighting its grassroots origins and the strong local support behind it.