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An article from


75,000 KAISER PERMANENTE WORKERS BEGIN STRIKE AS NEGOTIATIONS CONTINUE

Kaiser Permanente workers began the largest strike in the industry’s history on
Wednesday morning after contract negotiations failed to produce a new agreement.

Published Oct. 4, 2023
By
Susanna Vogel Associate Editor
 * 
 * 
 * 
 * 
 * 


Caroline Lucas, executive director of the Coalition of Kaiser Permanente Unions,
speaks at a Coalition of Kaiser Permanente Unions conference in Los Angeles in
August 2023. Permission granted by Coalition of Kaiser Permanente Unions
Listen to the article 5 min
This audio is auto-generated. Please let us know if you have feedback.

The largest healthcare walkout in recent U.S. history started Wednesday morning
as 75,000 Kaiser Permanente workers began a three-day strike.

The strike represents the first time in over 25 years Kaiser’s labor relations
have fractured to the point of a work stoppage, and comes after six months of
negotiations failed to produce a mutually acceptable contract. 

The coalition gave Kaiser notice it would strike weeks earlier, on Sept. 22,
before the contract officially expired this past weekend. Bargaining has
continued past the labor agreement’s expiration. As recently as this morning,
Hilary Costa, communications manager for Kaiser, told Healthcare Dive that the
parties had worked “through the night” in an effort to reach consensus.

“There has been a lot of progress, with agreements reached on several specific
proposals late Tuesday,” Costa said.

Kaiser Permanente workers plan to return to work on Oct. 7 if an agreement is
not reached before then, according to the coalition.




However, the coalition warned a “longer, stronger” strike may come in November
and include Washington State union members if a deal between the coalition and
Kaiser Permanente is not reached after the strike.


WHO IS STRIKING

The employees striking are members of eight unions comprising 40% of Kaiser
Permanente’s total staff, according to the coalition. They work at “hundreds of
Kaiser Permanente hospitals” in California, Colorado, Washington, Oregon,
Virginia and Washington, D.C.

The workers include nursing staff, dietary staff, receptionists, optometrists
and pharmacists. The largest union involved in the strike is SEIU-UHW, which
represents Kaiser workers in Northern and Southern California and will have
59,200 members on the picket line, according to Renée Saldaña, press secretary
for SEIU-UHW.

A separate Kaiser strike, held by UFCW Local 555, which represents Kaiser
workers in Oregon, began on Oct. 1 and is set to last for 21 days. UFCW opted
out of national bargaining with Kaiser and the coalition last month.


THE ISSUES IN CONTENTION

Kaiser, one of the nation’s largest not-for-profit health providers, has been
renowned for its novel labor strategy since the late 1990s, when executives
disavowed hard-on labor tactics in favor of a collaborative approach, experts
told Healthcare Dive. In past bargaining cycles, parties have typically agreed
to contracts months ahead of terms’ expirations, union members told Healthcare
Dive.

However during current negotiations, union members and Kaiser executives have
clashed over proposals for staffing and wage increases, according to statements
from both parties.




The union coalition is demanding higher pay — an issue that the unions say the
parties remain “far apart” on. The coalition wants an across-the-board 6.5%
raise in the first two years of the new contract and a 5.75% raise in the next
two years.

As of Oct. 1, Kaiser Permanente re-offered location-dependent wage increases,
with a maximum of 4% for each of the four years of the new contract. In a Sept.
30 statement, Kaiser Permanente said it is a leader in pay.

“We lead total compensation in every market where we operate, and our proposals
in bargaining would ensure we keep that position,” Costa said.

The coalition rejected that offer, writing in an online update on Oct. 2, “We
did not agree to their proposal. We have told Kaiser that we are not changing
our wage proposal and that only a unified, respectful wage increase across the
coalition will result in an agreement.”

The parties have made progress in negotiating some issues, including protections
from outsourcing, shift differentials and 60-day notice before remote staff are
required to return to in-person work, according to a spokesperson for SEIU-UHW.


KAISER’S CONTINGENCY PLAN

Kaiser confirmed on Tuesday it has “robust contingency plans in place to ensure
members continue to receive safe, high-quality care should a strike occur.” 

The hospital system plans to use contract workers to backfill some positions
this week, according to Costa. However, Kaiser said it may need to reschedule
non-emergency and elective services in some locations. It is also encouraging
members to use pharmacy mail order services for prescriptions during the
strike. 

Patients who need care urgently should not be dissuaded from seeking it, Costa
added.




“Our hospitals and emergency departments will remain open. Our facilities will
continue to be staffed by our physicians, trained and experienced managers, and
staff, and in some cases we will augment with contingent workers,” according to
Costa.


RECOMMENDED READING

 * Kaiser unions issue unfair labor practice strike notice as bargaining further
   breaks down By Susanna Vogel • Sept. 22, 2023
 * Inside Kaiser Permanente’s labor relations breakdown By Susanna Vogel • Sept.
   29, 2023

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From Bone Health Technologies
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Editors' picks
 * bpperry via Getty Images
   
   
   FEDS BROKERED RECORD $5B IN HEALTHCARE FRAUD CASES LAST YEAR
   
   Cases ranged from improper psychiatric treatment to providing false Medicare
   claims and illegal kickback schemes.
   
   By Rebecca Pifer • July 6, 2022
 * Katarzyna Bialasiewicz via Getty Images
   Deep Dive // Overturning of Roe v. Wade
   
   
   NO ‘SLAM DUNK FIX’ IN HIPAA PRIVACY LAW TO PROTECT ABORTION PATIENTS
   
   In an increasingly murky legal environment, providers should focus on
   minimizing and protecting the data they collect, experts said.
   
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