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Bargaining, organizing, strikes, settlements, and effects on patient care.
Registered nurses at three Cottage Health hospitals vote December 8 and 9 on joining SEIU 121RN. Nurses cite pay transparency and living costs, some oppose a union, and Cottage urges a no vote. On October 14 an NLRB administrative law judge found that Innercare broke federal labor law during the 2024 SEIU-UHW drive. The judge set aside the July 2024 vote and ordered a new election, but denied a bargaining order, and the case goes to the Board. LifeLong Medical Care providers held a one-day strike on September 28. The California Primary Care Association and five clinics are suing SEIU-UHW, alleging it offered to drop Proposition 44 for union elections for 25,000 workers. SB 525 raises the health center minimum wage from $22 to $25 an hour on July 1, 2027.
As of
Based on: Noozhawk · National Labor Relations Board, Division of Judges · Berkeleyside / Richmondside · Los Angeles Times · CA DIR
CA DIR
SB 525 created a two-tier wage structure. Large health systems (10,000+ full-time staff) and dialysis clinics started at $23/hr on October 16, 2024 and reached $25/hr on July 1, 2026.
SEIU 721
In March 2026, SEIU 721 and St. John's Community Health reached a three-year tentative agreement with a $30 hourly minimum, retroactive to March 1, 2026. SEIU 721's May 2026 President's Report confirmed ratification.
Corrected Oct 13, 2026: The $30/hr floor is retroactive to March 1, 2026 under the tentative agreement, not effective in July 2026.
Kaiser Permanente / NUHW
Kaiser mental health therapists in NUHW ratified a deal in late April 2026, ending a 196-day strike that began in September 2025, the longest mental health worker strike in U.S. History.
Noozhawk
Noozhawk reported that registered nurses at three Cottage Health hospitals will vote December 8 and 9 on joining SEIU 121RN. Nurses cite pay transparency and living costs, and some oppose a union. Cottage spokespeople urge a no vote.
NLRB Region 19
An individual employee filed a decertification petition with NLRB Region 19 on July 29, 2026 covering about 139 employees at Seattle Roots Community Health…
Desert Review
SEIU-UHW filed more than 30 charges against Innercare (Clinicas de Salud del Pueblo) after workers voted down a 2024 union drive 214-132.
Corrected Oct 13, 2026: The case summary said the NLRB found violations and called the case the most serious against a California FQHC. The complaint alleges them, Innercare denies them, and no judge has ruled.
National Labor Relations Board
An NLRB administrative law judge found that Innercare broke federal labor law during the 2024 SEIU-UHW drive, including a demotion and coercive questioning. The judge set aside the July 2024 vote and ordered a new election.
Desert Review
SEIU-UHW filed more than 30 charges against Innercare (Clinicas de Salud del Pueblo) after workers voted down a 2024 union drive 214-132.
Corrected Oct 13, 2026: The case summary said the NLRB found violations and called the case the most serious against a California FQHC. The complaint alleges them, Innercare denies them, and no judge has ruled.
OPEIU Local 8
OPEIU Local 8 members at Sea Mar Community Health Centers, a large Washington FQHC, are in active contract bargaining and have publicly rejected a management proposal to shift $300-$1,100 per month in medical-premium costs onto employees…
California Secretary of State
California's Secretary of State lists two health ballot measures as withdrawn on June 25. One would have capped health executive pay at $450,000, and the other, backed by hospitals, would have limited health-care union political spending.
Ballotpedia
Companion measure to 25-0008 capping healthcare executive compensation at $450,000 with a 3.5% annual escalator.
Indybay / SEIU 1021
SEIU 1021 announced on May 6, 2026 a worker and community rally set for May 13 at the SE Mission Geriatric Clinic in San Francisco. The rally opposes the closure of the Cole, Larkin and Mission Geriatric clinics, and all CCSF union members are invited.
and 25 more organizations