In March, NUHW members won new contracts with sizable raises, welcomed 850 RNs and healthcare professionals who voted join our union, participated in an NUHW co-sponsored Los Angeles Mayoral Debate, and commemorated Womens History Month. In 2020, Kaiser boosted its CEOs annual pay to $17.3 million. Kaiser will return to contract talks with union of 2,000-plus mental health workers in California. We have been pleased with our progress in bargaining, including reaching several tentative agreements, and holding productive discussions regarding Kaiser Permanentes Indirect Patient Care (IPC) proposals. We continued to discuss flexible schedules and leaves of absence, arriving at an understanding on mutually agreeable language to include in the contract. Mental health clinicians at Kaiser Permanente's Oakland and Richmond locations said the health care giant went back on its promise to make MLK Day a paid holiday this year. Clinicians Kaiser Permanente . Learn more. New 4-year agreement with NUHW will enable greater collaboration aimed at improving access to mental health care. Kaiser Integrated Behavioral Health Services Union leaders representing more than 30,000 Kaiser Permanente workers, including nearly 27,000 in Southern California, have given management a 10-day notice of their intent to strike beginning Monday, Nov. 15 over what they claim are proposed wage cuts for new and existing employees. January 17, 2022 Kaiser Permanente statement on NUHW MLK Day strike. The three-year agreement improves wages, expands eligibility for student loan repayments, provides a new paid holiday, and increases retiree medical benefits. While the union is issuing press statements about staffing, the real issue at the table is how much therapists are paid. And as Kaiser activist Dan Mallen told me, workers in all Kaiser facilities are watching closely, and will be energized as never before should NUHW prevail. Yes. You can fill out a complaint form on cca.hawaii.gov. Unlike SEIU, NUHW is a union that is accountable to healthcare workers, and only to healthcare workers. NUHW members who provide behavioral health care at Kaiser Permanente in Southern California overwhelmingly ratified a contract that improves wages, expands eligibility for student loan repayments, provides a new paid holiday, and increases retiree medical benefits. Randy Shaw is the author of Beyond the Fields: Cesar Chavez, the UFW and the Struggle for Justice in the 21st Century. Read more. About | News & Press | Member Resources | Workplaces| Search | Store | Contact Us, Fountain Valley Regional Hospital EVS & Food Service, Fountain Valley Regional Hospital RNs and Professionals, Fountain Valley Regional Hospital Service & Tech, Kaiser Integrated Behavioral Health Hawaii, Kaiser Integrated Behavioral Health Services, Providence Cedars-Sinai Tarzana Medical Center, San Rafael Healthcare and Wellness Center, Sutter Care at Home: Concord & San Leandro, its understaffing crisis has only grown worse. It would have been easy to have settled for less months ago, but we made a commitment to each other to never let UCSF devalue our work or our services for our underserved families.Read more. Jump to: EUTF Members | Petition | File Complaint | How to Support | FAQ. Kaiser Psych-Social, Keck USC Sodexo Dietary contract (English) Unfortunately, the union responded that it is not willing to negotiate the percentage and will not settle a contract unless it gets its way. We will continue to keep you informed. News March 28, 2022. In our last bargaining session we were about 1% apart in our respective wage proposals, and we came to bargaining last Friday with hopes to bargain vigorously and bring negotiations to a conclusion. KP-NUHW Bargaining Update, April 5, 2022. You have a right to receive services out-of-network if Kaiser is unable to provide them in-network, and not to pay more than you would have if services were provided in-network. Today, more than nine months after receiving the complaint, the agency has not completed its investigation or issued its findings. NUHW is advocating for: 1) Increasing staffing so patients can be seen at appropriate intervals and improving working conditions so clinicians want to work and keep working at Kaiser 2) Significant improvement in patient access and clinician workloads 3) Retroactive wage increases and pay 4) Kaiser investment in mental health services Mental health and well-being are essential to total health and this agreement underscores our unwavering commitment to helping our members stay mentally, physically, and emotionally healthy. If Kaiser fails to do this, it is violating state law. Candid dialogue was exchanged regarding Indirect Patient Care (IPC) time. However, eight months later the number of full-time clinicians has actually decreased from 51 to 48. Assuming that we all share a commitment to meeting the needs of our patients, it is deeply concerning that the union is inflexible with their proposals and threatening actions that undermine access to care for patients. Kaiser Permanente gave two counter proposals on Model of Care, and on grievance and arbitrability which we expect to reach tentative agreement on. Investigators concluded that the lack of access to (behavioral health care) for Kaiser members poses a potential patient safety risk and that Kaisers prior efforts to improve access have largely been ineffective. Currently, Kaiser is the only health plan in Hawaii under corrective action. Aug 11, 2022 &183; Minnesota Nurses Association members will vote Monday to decide whether nurses will go on strike, MNA members announced Thursday morning at a news conference in St. Paul. NUHW celebrates Womens History Month 07/06/2022 : Dismissal Letter: NLRB - GC: 04/19/2022 : Initial Letter to Charging Party* NLRB - GC: . During their ongoing contract negotiations, mental health clinicians have asked Kaiser to do the following to improve access to mental health care: (1) improve the recruitment and retention of therapists by providing therapists with the same wage increases and benefits received by nearly 2,000 other unionized Kaiser workers in Hawaii and (2) boost staffing so Kaiser can provide timely appointments to mental health patients. NUHW per diem worker on Cloud 9 after winning benefits from Kaiser Kaiser will return to contract talks with union of 2,000-plus mental health workers in California. KP-CNA Bargaining Update, Week of Oct. 3, 2022. NUHW members also retain an annual performance bonus of up to $5,000. We remain committed to concluding these negotiations and reaching an agreement that is good for our therapists and for our members and patients. In May, the National Committee for Quality Assurance (NCQA) in Washington, DC downgraded Kaisers status by placing it under corrective action due to its violation of national behavioral health standards. NUHW has already helped secure a state audit of Kaisers compliance with mental health access laws and clinicians are organizing to document when patients cant get the timely care to which they are legally required. They were helping people get the things they were owed.Read more. In mid-November 2021, over 100,000 Kaiser workers across California and Oregon were set to strike, determined to win adequate staffing, manageable workloads, and pay raises exceeding inflation . Today Kaiser Permanentes negotiating team met again to bargain with NUHW. In a Consultant-Liaison role, evaluates and diagnosis' Health Plan members seen in primary care who have mental disorders or behavioral conditions that affect or are a consequence of their medical con . document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); On Dec. 21, U.S. Nearly 2,000 Kaiser Permanente therapists, represented by NUHW, will participate in a two-day ratification vote starting this evening, after which more details about the agreement will be available. Kaiser Permanente and the National Union of Healthcare Workers (NUHW), which represents nearly 2,000 of our mental health professionals in Northern California, began bargaining in late July. 2022 Kaiser Permanente and the National Union of Healthcare Workers (NUHW) are pleased to jointly announce that in the early hours of Oct. 18, we reached a tentative agreement for a new contract, bringing the 10-week strike by mental health therapists in Northern California to a conclusion. With Kaiser staffing just 52 psychologists, social workers, psychiatric nurses and chemical dependency counselors to care for its 266,000 members in Hawaii, patients are being forced to wait months for therapy in violation of state law and clinical standards. The contract for approximately 1,900 psychologists, social workers, psychiatric nurses, addiction counselors, therapists and other mental health classifications includes a 3 percent raise retroactive to last . Union of Healthcare Workers data demonstrates that 377 clinicians based in Northern California left their jobs at Kaiser between . Check out the stories below, and learn how one per diem worker at Kaiser is benefitting from winning the fight she and her colleagues wagedto be reclassified and receive health benefits. In fact, Kaisers proposed benefit cuts would leave its mental health therapists as the most poorly compensated among Kaisers entire healthcare workforce in Hawaii. About | News & Press | Member Resources | Workplaces| Search | Store | Contact Us, The National Union of Healthcare Workers is a member-led movement for, Recalling NUHW's strike to make Kaiser honor MLK Day, NUHW receives record new organizing inquiries in 2022, More USC & WEST ANAHEIM workers join NUHW, Hawai'i residents can leave Kaiser over mental health concerns, Fountain Valley RNs & Pros win first contract, Workers at SF nursing home ratify contract, Recalling NUHWs strike to make Kaiser honor MLK Day, More USC and West Anaheim Medical Center workers join NUHW, Nursing home workers in San Francisco win 7 percent raises in Year 1 of new contract, Hawaii Therapists Protest Kaiser Permanente Shortchanging Both Therapists and Hawaii Patients, Safety issues, short staffing prompt strike authorization of 800 healthcare workers at Fountain Valley Regional Medical Center, Kaiser Permanente Mental Health Clinicians in Hawaii to Start Open-Ended Strike Monday, Aug. 29, More than 2,000 Kaiser Permanente mental health clinicians to start open-ended strike August 15, Fountain Valley Regional Hospital EVS & Food Service, Fountain Valley Regional Hospital RNs and Professionals, Fountain Valley Regional Hospital Service & Tech, Kaiser Integrated Behavioral Health Hawaii, Kaiser Integrated Behavioral Health Services, Providence Cedars-Sinai Tarzana Medical Center, San Rafael Healthcare and Wellness Center, Sutter Care at Home: Concord & San Leandro. on friday, march 18, 2022, the national union of healthcare workers announced to kaiser permanente that it had ratified a new 3-year contract that ensures continued delivery of high-quality care and service for our members and sustainable marketplace-competitive wages and benefits for our employees represented by the bargaining unit in southern 2023 Kaiser Foundation Health Plan, Inc. All rights reserved. On Friday, March 18, 2022, the National Union of Healthcare Workers announced to Kaiser Permanente that it had ratified a new 3-year contract that ensures continued delivery of high-quality care and service for our members and sustainable marketplace-competitive wages and benefits for our employees represented by the bargaining unit in Southern California. Consequently, Kaiser is violating a state law requiring it to maintain sufficient out-of-network coverage when in-house coverage is unavailable. Sign their Support Petition below. KP-NUHW Bargaining Update, July 22, 2022 July 25, 2022 We have been pleased with our progress in bargaining, including reaching several tentative agreements, and holding productive discussions regarding Kaiser Permanente's Indirect Patient Care (IPC) proposals. We are very pleased with the outcome of the ratification vote between Kaiser Permanente and the National Union of Healthcare Workers. NUHW and Kaiser Permanente wish to thank Sacramento Mayor Darrell Steinberg for mediating and helping to bring negotiations to a close. Kaiser Permanente has put forth ideas and demonstrated movement to address, We are grateful to have trusted resources available for our members, and, A statement from chair and chief executive Greg A. Adams on the importance, Kaiser Permanente therapists ratify new contract, Share Kaiser Permanente Therapists Ratify New Contract on Pinterest, Share Kaiser Permanente Therapists Ratify New Contract on Linkedin, Share Kaiser Permanente Therapists Ratify New Contract on Twitter, Share Kaiser Permanente Therapists Ratify New Contract on Facebook, Print Kaiser Permanente Therapists Ratify New Contract, Email Kaiser Permanente Therapists Ratify New Contract. CNA and NUHW will now jointly seek decertification of SEIU in a unit of 43, 000 service and technical employees at Kaiser. Although Kaiser acknowledges its members must wait months for mental health appointments, the HMO attempts to escape responsibility by blaming the problem on a workforce shortage. KP-NUHW Bargaining Update, May 27, 2022 June 1, 2022 Friday's bargaining session was focused and continued in the cordial tone of prior sessions. Kaiser Healthcare Professionals (HPC) See this PDF for information from EUTF on how to change your insurer. They were supporting them. At last Friday's bargaining session, a tentative agreement was formalized for Appendix D of the contract, regarding incentive plan criteria and eligibility for performance bonuses. However, the HMO is continuing to insist on paying its therapists in Hawaii at least 20 percent less than their counterparts in Northern California and eliminating retirement benefits for new hires, which would make it even harder for Kaiser to address its understaffing crisis that led to the strike. New 4-year agreement with NUHW will enable greater collaboration aimed at improving access to mental health care. Our next bargaining date is scheduled for Friday, Aug. 5. In honor of Womens History Month, NUHW highlighted important women, past and present, who have made great contributions in health care and in the struggle for womens and workers rights. Keck USC Sodexo Dietarycontract (Spanish) The contract was signed less than four months before SB 221, NUHWs landmark behavioral health timely access law, is scheduled to take effect. This experience has really opened my eyes to the importance of being part of a union like NUHW that is willing to advocate for us and show us how to advocate for ourselves, said Stacey Miller a speech language pathologist at Kaiser. ONA 2018-2021 Contract. For example, just as Kaiser did during the RN shortage, Kaiser can offer hiring bonuses, improve working conditions, boost wages and benefits, and incentivize more people to join the field. 06/23/2022 : Dismissal Letter: NLRB - GC: 04/20/2022 : Initial Letter to Employer in C Case* . Kaiser mental health clinicians in California and Hawaii are both represented by the National Union of Healthcare Workers. Behavioral Health Manager 1 -Adult Team (09/ 2021 - Current) Accelerate Treatment Program (ATP) (09/2022-current) A brief therapy program treating mild-moderate symptoms. PORTLAND, Ore. Nurses at Providence St. Vincent Medical Center have . Bargaining with California Nurses Association on Tuesday, August 9, and Thursday, Aug. 11, was constructive and professional. In addition, Kaiser Permanente counter-proposed language changes that once agreed to by NUHW would . For example, internal records presented in the complaint show how Kaisers patients wait five times longer for initial mental health appointments than the maximum wait times required by national standards. Thirdly, many tried-and-tested tools are available to Kaiser to address its recruitment and retention problem. For example, its trying to cut therapists benefits while insisting on paying wages that far fall below what Kaiser pays its therapists in California. At a rally at Kaiser headquarters in Oakland by striking NUHW Kaiser clinicians, NUHW Kaiser president Sal Roselli demanded that Governor Newsom and the Democratic legislature enforce healthcare laws that were passed to protect patients with behavioral health problems. The majority of our therapists are coming to work. 2022 KP-NUHW Bargaining Update, May 13, 2022 May 16, 2022 Last Friday, May 13th, in bargaining between Kaiser Permanente and NUHW, conversation continued on the topic of job duties and workload distribution. Contracts Kaiser 2019 National Agreement Kaiser and UHW Local Agreement 2019 - 2023 Wage scales Kaiser Northern California Wage Scales 2019-2022 Kaiser Southern California Wage Scales 2019-2022 2020 PSP PSP Bonus Chart Southern California PSP Bonus Chart Northern California Tentative Agreements Tentative Agreement Summary The complaint, utilizing Kaisers own records, found that: Kaiser didnt refute any of the allegations in its formal response to the complaint. Kaiser which is one of the largest HMOs in the nation with 12.6 million members reported $8.1 billion in profits during 2021. Kindred Hospital Westminster, Lakewood Medical Center EVS contract (English) Nearly 2,000 Kaiser Permanente therapists, represented by NUHW, will participate in a 2-day ratification vote starting the evening of October 18, after which more details about the agreement will be available. Kaiser has plenty of resources to ensure that its members receive timely and appropriate mental health care. The contract for approximately 1,900 psychologists, social workers, psychiatric nurses, addiction counselors, therapists and other mental health classifications includes a 3 percent raise retroactive to last October with 2 percent raises and 2 percent lump sum payments in Years 2 and 3 for full- and part-time workers. This is in sharp contrast to Kaisers treatment of its non-mental health unionized employees, who recently received substantial raises and no reductions in benefits, including their pension plan. The nearly 2,000 therapists will participate in a two-day ratification vote starting Tuesday evening. As of March 31, 2021, Kaiser held $55 billion in cash and investments. All are members of NUHW, a democratic, worker-led union dedicated to improving the lives of caregivers and patients. News of the Month Related Cases data is not . After co-sponsoring a mayoral debate on March 26, NUHW members voted decisively to endorse Congresswoman Karen Bass for mayor of Los Angeles. [Photo: WSWS] This is the third strike by Kaiser mental health workers since 2015. Cheryl Kaiser Foundation Hospitals Health Plan, Inc. Legal Department 393 East Walnut Street, 2nd Floor Pasadena, CA 91188 (626)405-6196 : . Im so proud of all of my colleagues and the contract weve won, said Felicia Hashimoto, an occupational therapist. We are optimistic about reaching agreement on important areas after further discussion. September 15, 2022 Offers made to reward and relieve therapists Kaiser Permanente has put forth ideas and demonstrated movement to address Strike Fund NUHW San Rafael and Petaluma needs your support for Strike Fund NUHW San Rafael & Petaluma Therapists . 2023 Kaiser Foundation Health Plan, Inc. All rights reserved. NUHW: Forging ahead in 2023 More USC & WEST ANAHEIM workers join NUHW Hawai'i residents can leave Kaiser over mental health concerns About | News & Press | Member Resources | Workplaces| Search | Store | Contact Us, Fountain Valley Regional Hospital EVS & Food Service, Fountain Valley Regional Hospital RNs and Professionals, Fountain Valley Regional Hospital Service & Tech, Kaiser Integrated Behavioral Health Hawaii, Kaiser Integrated Behavioral Health Services, Providence Cedars-Sinai Tarzana Medical Center, San Rafael Healthcare and Wellness Center, Sutter Care at Home: Concord & San Leandro. Kaiser Permanente Therapists Ratify New Contract | Kaiser Pe. The discussion, which was cordial, focused on detailed review of a revised comprehensive package proposal the union presented. . This level of care requires retaining the current skilled workforce and recruiting new talent into the statenot engaging in years-long contract disputes. NUHW Members Strike Kaiser Health System : Indybay Two thousand Kaiser NUHW healthcare workers went on an indefinite strike on August 15, 2022 for proper staffing and compensation to keep healthcare professionals on the jobs. If Kaiser cancels your appointment, and does not, at that time, provide you a replacement appointment within a reasonable timeframe, they must tell you specifically how to get care from an out-of-network provider at no additional cost to you. As a result of a lack of proper staffing, Members and patients at Kaisers have committed suicide. We saw what NUHW was doing for the employees they represented, Sue Tomol, a Fountain Valley nurse, told the Los Angeles Times. At last Fridays bargaining session, a tentative agreement was formalized for Appendix D of the contract, regarding incentive plan criteria and eligibility for performance bonuses. The strike comes after the defeat of the IUOE Local 39 whose strike was defeated by Kaiser management. Yesterday we presented 15 counter-proposals to union operational proposals, and had a productive dialogue on these important topics. Kaiser is also under investigation by the Hawaii Department of Commerce and Consumer Affairs after therapists filed a 57-page complaint in late 2021. Kaiser Permanente has shown movement from our original proposal and last proposed an increase to 17% IPC time for therapists from current contract language. The Alliance unions, including UNAC, essentially tied performance bonuses to helping Kaiser cut costs, which likely means having to cut staff in order to receive their full bonus payments, said Jody Forter, an addiction medicine clinician, who served on the bargaining committee. The new 4-year agreement will benefit Kaiser Permanente patients and drive collaborative efforts aimed at improving access to mental health care, while at the same time recognizing and better supporting mental health therapists in their important work. Voting begins to ratify new 4-year agreement. NUHW, however, made clear it is unwilling to move at all from its IPC demand, which is substantially higher and would result in less time for our therapists to provide patient care. Last year, the California-based company reported $8.1 billion in profits. As a member-led union, we would never agree at the bargaining table to tie our bonuses to staffing levels.. Lakewood Medical Center Dietary contract (Espaol), Los Alamitos Medical Center (English) KP-CNA Bargaining Update, Aug. 9 and 11, 2022. Meanwhile, we are pleased to hear that NUHWs Psych-Social unit in our Southern California region recently voted to ratify the tentative agreement achieved there and now have a new contract. Jointstatementby the National Union of Healthcare Workers and Kaiser Permanente on having reached a tentative agreement to end the mental health care strike in Northern California: Kaiser Permanente and the National Union of Healthcare Workers (NUHW) are pleased to jointly announce that in the early hours of Oct. 18, we reached a tentative agreement for a new contract, bringing the 10-week strike by mental health therapists in Northern California to a conclusion. Panorama City Medical Center: Panorama City, CA 91402 : Charged Party / Respondent Union National Union of Healthcare Workers (NUHW) Glendale, CA 91204 : Related Cases. CONTRACTS: NUHW VS. UNAC For all of UNAC's talk about being the big union that Kaiser is afraid of, the terms of our contracts are largely the same except where UNAC has secretly agreed to language that benefits Kaiser at the expense of UNAC's own members. Children's Hospital Oakland Hazel Hawkins Memorial Hospital Kaiser Healthcare Professionals (HPC) Kaiser Integrated Behavioral Health Services Kaiser Psych-Social Keck USC University Hospital Our next bargaining session is scheduled for Tuesday, April 5. Has Kaiser Permanente delayed or denied your mental health care?Have you or a loved one been forced to endure long waits for appointments? These workers deserve a fair wage, and patients deserve dependable, quality care. Workers at UCSF Childrens Hospital Oakland win contract one day before scheduled picket Sacramento Bee. You are love amarillo isd hiring schedule 2022; drainage crossword clue; Menu The new 4-year agreement will benefit Kaiser Permanente patients and drive collaborative efforts aimed at improving access to mental health care, while at the same time recognizing and better supporting mental health therapists in their important work. This new agreement allows Kaiser Permanente and the 1,900 employees represented by the NUHW Psych-Social Chapter to continue working collaboratively to provide high-quality health care that is affordable and accessible. At the Aug. 9 . Given our previous respective proposals were so close we are disappointed with this development. Of union members who voted, 1,561 voted to approve the agreement, which is retroactive to September 2021 and expires in September 2025, according to an Oct. 21 NUHW news release shared with Becker . Get help filing a complaint by calling the State of Hawaiis Department of Commerce and Consumer Affairs Hotline at (808) 586-2790 between 7:45 a.m.-4:30 p.m., Monday through Friday. World Socialist Website. The complaint alleges that Kaiser is committing multiple, severe violations of state and federal laws by forcing patients to wait months to receive basic mental health services. We appreciate our therapists confidence in this agreement, which addresses the concerns they expressed, while upholding Kaiser Permanentes commitment that any agreement must protect and enhance access to mental health for our members. With all health insurers, including Kaiser, soon to be required to provide follow-up mental health therapy appointments within 10 business days, Kaiser, which makes many patients wait two-to-three months between appointments, will soon be facing intense pressure to boost staffing. by Cal Winslow on August 18, 2022. (NUHW) Glendale, CA 91204 : Related Cases. August 10, 2022. The agency, which accredits Kaisers services in Hawaii, concluded that the lack of access to mental health care posed a potential patient safety risk and that Kaisers prior efforts to improve access have largely been ineffective. Currently, Kaiser is the only health plan in Hawaii under corrective action, and its understaffing crisis has only grown worse. We understand and respect the importance of IPC time. Lakewood Medical Center EVS contract (Espaol), Lakewood Medical Center Dietary contract (English) Kaiser Permanente and the National Union of Healthcare Workers representing the company's 2,000-plus mental health clinicians announced Tuesday that they have reached a tentative contract deal. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); In response to a whistleblower complaint filed by therapists, the National Committee for Quality Assurance has placed Kaiser under corrective action for deficiencies in providing accessible mental health care. . KP-NUHW Bargaining Update, August 5, 2022. No new proposals were presented by either party. Involved Party Employer Kaiser Permanente . In both states, Kaiser understaffs its mental health clinics, forcing patients to wait months for mental health therapy sessions in violation of state laws and clinical standards. 2023 Kaiser Foundation Health Plan, Inc. All rights reserved. We will continue to review and consider the unions package proposal, as well as a wage counter proposal the union presented. Additionally, six inpatient medical social workers and three nurses, who work at Kaisers hospital in Honolulu, also will be striking. Consequently, many patients wait months to receive basic diagnostic and treatment services, which can put their health and safety at risk. Tentative agreement reached with NUHW to end strike Voting begins to ratify new 4-year agreement. National union of Healthcare workers seek decertification of SEIU in a unit of 43, 000 service and employees. Begins to Ratify new 4-year agreement with NUHW to end strike Voting begins to Ratify new |. 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One Day before scheduled picket Sacramento Bee inpatient medical social workers and Nurses. Also will be striking in addition, Kaiser is also under investigation by the Hawaii of. Mayor of Los Angeles, Kaiser is also under investigation by the Hawaii Department Commerce... Strike by Kaiser mental health care Kaiser will return to contract talks with union Healthcare. And helping to bring negotiations to a close Karen Bass for Mayor of Angeles. Annual performance bonus of up to $ 5,000 service and technical employees Kaiser. Kp-Cna bargaining Update, Week of Oct. 3, 2022 a revised comprehensive package proposal as... Union is issuing press statements about staffing, the UFW and the National union of mental... August 9, and only to Healthcare workers care, and only to Healthcare workers and. Kaiser to address its recruitment and retention problem statenot engaging in years-long contract disputes talks with of. 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