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January 9, 2026

Alliance bargaining: An update on local bargaining

While national bargaining with the Alliance of Health Care Unions remains paused, local bargaining continues. Tentative agreements have been reached with more than half of the Alliance’s 53 local bargaining units. The following chart shows the status of each local table and will be updated regularly to reflect the latest progress.

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Closed tables

HNHP (Hawaii Nurses and Healthcare Professionals)
Home Health Nurses Hawaii
Home Health Nurses — Call-In (Accretion) Hawaii
Registered Nurses and Nurse Practitioners Hawaii
Respiratory Therapists Hawaii
ILWU (International Longshore and Warehouse Union)
Local 28 Security Guards Northwest
IUOE (International Union of Operating Engineers)
Local 1 Operating Engineers Colorado
Local 99 Operating Engineers Mid-Atlantic States
Local 501 Operating Engineers Southern California
OFNHP (Oregon Federation of Nurses & Health Professionals) and
ONA (Oregon Nurses Association)
Hygienists Northwest
Lab Professionals Northwest
Professionals Northwest
Registered Nurses — OFNHP Northwest
Registered Nurses — ONA Northwest
Technical Employees Northwest
Teamsters
Local 166 Technical Southern California
United Steelworkers
Local 7600 Health Care Workers Southern California
UFCW (United Food and Commercial Workers)
Local 1996 Professionals Georgia
Local 1996 Technical and Clerical Georgia
Local 27 Physical Therapists, Occupational Therapists, and Speech Therapists — Baltimore Mid-Atlantic States
Local 27 Professionals Mid-Atlantic States
Local 400 Physical Therapists, Occupational Therapists, and Speech Therapists — Washington, D.C. Mid-Atlantic States
Local 400 Professionals Mid-Atlantic States
Clinical Lab Scientists Southern California
Kern County Admin Southern California
Kern County Main Southern California
Pharmacy Non-Professionals Southern California
UNAC/UHCP
(United Nurses Associations of California/Union of Health Care Professionals)
Pharmacists Hawaii
Rehab Therapists Hawaii
*This table was originally included in our count but is not active at this time.
UNITE HERE!
Local 5 Laboratory (Accretion)* Hawaii

 

Open tables in progress

HNHP (Hawaii Nurses and Healthcare Professionals)
Medical Technicians Hawaii
KPNAA (Kaiser Permanente Nurse Anesthetists Association)
Certified Registered Nurse Anesthetists Southern California
UFCW (United Food and Commercial Workers)
Mental Health Workers Colorado
Professionals Colorado
Local 3000 Optometrists Washington
Local 3000 Pharmacists Washington
Local 3000 Pharmacy Technicians Washington
Local 3000 Professional and Technical Washington
UNITE HERE!
Local 5 Health Care Workers Hawaii
Local 5 Clerks and Technicians (Accretion) Hawaii

 

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Paused tables

UNAC/UHCP
(United Nurses Associations of California/Union of Health Care Professionals)
Certified Registered Nurse Anesthetists Hawaii
Acupuncturists (United Therapists of Northern California)  Northern California
Certified Nurse Midwives Northern California 
Certified Registered Nurse Anesthetists Northern California 
Physician Assistants Northern California 
Physical Therapists, Occupational Therapists, Speech Language Pathologists (UTNC) Northern California 
Child Life Specialists Southern California
Certified Nurse Midwives and Wound, Ostomy, and Continence Nurses (Kaiser Permanente Certified Specialty Professionals) Southern California
Dietitians, Audiologists, and Speech Language Pathologists (DASH) Southern California
Optometrists (Kaiser Permanente Association of Southern California Optometrists) Southern California
Pharmacists (United Pharmacists of Southern California) Southern California
Registered Nurses Southern California
Specialty Care Nurses (Specialty Care Nurses of Southern California) Southern California
Physical Therapists, Occupational Therapists, Recreation Therapists (United Therapists of Southern California) Southern California

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