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WorkforceWatchingUpdated

Safety-net workforce and capacity shifts

Layoffs, hiring freezes, closures and openings at health centers, with dates and headcounts.

194 updates · 186 sources · 8 analysis

RSSThis week's summary

Where it stands

Health care added 42,000 jobs in October, above its 12-month average of 31,000, the Bureau of Labor Statistics reported on November 6. Hospitals added 16,000 and outpatient care centers 5,000. Shortages persist. In North Carolina's annual survey, 12% of RN positions and 16% of LPN and nursing assistant positions were unfilled. In Arizona, Valle del Sol, a primary and behavioral health provider, says it would hire 20 physicians and 100 therapists if it could. Training money is arriving. New York awarded $32.5 million to 34 facilities, including Sun River Health and The Chautauqua Center, and West Virginia awarded Charleston Area Medical Center more than $3.9 million in Rural Health Transformation funds. California's AB 1811 keeps areas on the January 1, 2025 federal shortage list counted in state programs until 2035.

As of

Based on: U.S. Bureau of Labor Statistics · North Carolina Health News · Cronkite News · Office of the Governor of New York · Office of the Governor of West Virginia · California Legislative Information

Analysis

A layoff reached WARN two weeks after the press

FQHC Talent ·

SAC Health laid off 49 nonclinical employees and closed two San Bernardino clinics, as reported on September 6. Its WARN notice, for 51 permanent layoffs at two San Bernardino sites, was filed on September 22. A count of zero health center layoffs in WARN data can lag the cuts by weeks.

This week: If you track regional workforce supply from WARN filings, add local reporting and health centers' own notices to the same list.

Based on: SAC Health lays off 49 and closes two San Bernardino clinics · SAC Health — 51 positions

What to watch

  • Effective dates, jobs affected, where patients are sent, and whether cuts are reversed.
  • Named expansions and openings that balance out cuts.

What changed

The health care labor market

Open
Show 10 earlier updates

Training pipelines and loan repayment

Open
Show 92 earlier updates

Layoffs and hiring freezes

Open

California EDD Detailed WARN Report

SAC Health, 51 positions

SAC Health filed two California WARN notices on September 22, 2026 (processed September 24), typed "Layoff Permanent" and effective September 28, 2026: 42 employees at 1003 East Brier Drive and 9 at 250 South G St. In San Bernardino.

CASAC HealthSource
Show 45 earlier updates

Scope-of-practice laws

Open
Show 10 earlier updates

Community health workers and promotoras

Open
Show 23 earlier updates

Other updates

Show 4 earlier updates

Where

Who

Sources

  • NACHC (5)
  • U.S. Bureau of Labor Statistics (4)
  • California HCAI (3)
  • Mission Local (3)
  • Office of the Governor of New York (3)
  • California Health Care Foundation (2)
  • Health Resources and Services Administration (2)
  • SEIU 1021 (2)
  • 90.5 WESA (Pittsburgh public radio), quoting Pennsylvania state officials (1)
  • AAMC (1)
  • Alabama Rural Health Transformation Program (ADECA) (1)
  • AltaMed Foundation (1)
  • American Samoa Government / LBJ Tropical Medical Center (1)
  • Arkansas Department of Finance and Administration (1)
  • Atrius Health Equity Foundation (1)
  • Aviva Health (1)
  • Bay State Banner (1)
  • Becker's Hospital Review (1)
  • Becker's Hospital Review (Tehachapi closure + $1B losses per KERO/turnto23) (1)
  • Becker's Payer Issues (1)
  • BLS (1)
  • Bluestem Health (1)
  • Boston.com (1)
  • CA EDD WARN Report (1)
  • California Attorney General (1)
  • California Department of Health Care Access and Information (HCAI), in partnership with DHCS (1)
  • California EDD Detailed WARN Report (notices of September 22, 2026); San Bernardino Sun, September 29, 2026 (1)
  • California Legislative Information (AB 1811, Chapter 549, Statutes of 2026) (1)
  • California Legislative Information (AB 96, Chapter 497, Statutes of 2026) (1)
  • California Legislative Information (bulk bill-version data, 2025-26 session) (1)

and 146 more organizations