Citing California's ongoing fiscal crisis and its adverse impact on California's health care delivery system, the California Medical Association (CMA) has endorsed a ballot measure proposed by Governor Jerry Brown to temporarily increase sales and income taxes. The initiative would boost the statewide sales tax by half a cent for four years starting in January 2013, and would also raise the income tax rate on those making $250,000 a year, increasing it from 9.3 percent to a maximum of 11.3 percent, depending on the amount of income, and last for five years. The CMA took this position out of concern that this additional revenue is necessary to avoid deeper cuts that would adversely affect access to care.