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. 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. Related Cases data is not . We understand and respect the importance of IPC time. That's the kind of accountability we need. Kaiser mental health clinicians in California and Hawaii are both represented by the National Union of Healthcare Workers. We are committed to also reaching an agreement in Northern California that benefits our therapists and our patients. The letter, which was signed by six other U.S. senators, stated: More than ever, health systems with the kind of market penetration Kaiser has in Hawaii should be working to ensure patients receive the timely, medically-necessary mental health services essential for protecting the wellbeing of our communities. 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. 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 put forth ideas and demonstrated movement to address, We are grateful to have trusted resources available for our members, and, NUHW psych-social employees ratify agreement, Share NUHW Psych-Social Employees Ratify Agreement on Pinterest, Share NUHW Psych-Social Employees Ratify Agreement on Linkedin, Share NUHW Psych-Social Employees Ratify Agreement on Twitter, Share NUHW Psych-Social Employees Ratify Agreement on Facebook, Print NUHW Psych-Social Employees Ratify Agreement, Email NUHW Psych-Social Employees Ratify Agreement. 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. (NUHW) Glendale, CA 91204 : Related Cases. 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 Hawai'i and (2) boost staffing so Kaiser can provide timely appointments to mental health patients. Kaiser Healthcare Professionals (HPC) 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. Consequently, Kaiser is violating a state law requiring it to maintain sufficient out-of-network coverage when in-house coverage is unavailable. At the Aug. 9 . Picketing began early Monday morning in Fresno, Sacramento and San Jose - temperatures there were predicted to reach triple digits by the afternoon. KP-NUHW Bargaining Update, April 1, 2022 April 5, 2022 This message is being sent on behalf of Debora Catsavas, Senior Vice President, Human Resources, KFHP/H; and Darin Tankersley, PhD, Chief of Medical Center Administration and Operations, TPMG. KP-NUHW Bargaining Update, August 5, 2022. NUHW members vote to endorse Karen Bass for LA Mayor Over the last several contracts, our union has had to strike to advocate for a fair contract. 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. In December 2021, Kaiser responded to NUHWs complaint with Hawaiis Department of Commerce and Consumer Affairs by stating that it planned to add 44 mental health clinicians over the next four years. Bargaining with California Nurses Association on Tuesday, August 9, and Thursday, Aug. 11, was constructive and professional. 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. Children's Hospital Oakland Hazel Hawkins Memorial Hospital Kaiser Healthcare Professionals (HPC) Kaiser Integrated Behavioral Health Services Kaiser Psych-Social Keck USC University Hospital September 6, 2022, 4:37 PM Sara Nevis/snevis@sacbee.com Kaiser Permanente reached out to striking mental health clinicians to request bargaining sessions on Thursday and Friday, saying the. That strike is still ongoing. The complaint, utilizing Kaisers own records, found that: Kaiser didnt refute any of the allegations in its formal response to the complaint. It also contributes to making Kaiser Permanente a best place for our members and patients to receive health care and a best place to work in health care. Show your support for Striking Therapists. They are 48 full-time, part-time and per diem licensed mental health clinicians including psychologists, licensed clinical social workers, and licensed mental health counselors. We remain committed to concluding these negotiations and reaching an agreement that is good for our therapists and for our members and patients. Our next bargaining session is scheduled for Tuesday, April 5. Kaiser mental health strike in Northern California enters fourth week. Our proposal provides therapists more IPC time. 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. San Francisco Nursing Center (Spanish), The Sequoias (English) The bargaining process, pace and. As a member-led union, we would never agree at the bargaining table to tie our bonuses to staffing levels.. Behavioral Health Manager 1 -Adult Team (09/ 2021 - Current) Accelerate Treatment Program (ATP) (09/2022-current) A brief therapy program treating mild-moderate symptoms. Learn more. Assembly Bill 2724, sponsored by Asm.Joaquin Arambula (D-Fresno) and known by its critics as the "Kaiser sweetheart deal," authorizes the Department of Health Care Services (DHCS) to enter into one or more comprehensive risk contracts with an Alternate Health Care Service Plan (AHCSP), specifically defined as Kaiser Permanente, to serve as a primary Medi-Cal managed care plan for . ONA 2018-2021 Contract. Kaiser will return to contract talks with union of 2,000-plus mental health workers in California. 2018 Local Bargaining Tentative Agreements . Striking Kaiser mental health workers in Northern California, August 17, 2022. 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 . In Kaisers formal response to the state agency, the HMO did not deny or refute any of the complaints allegations. Kaiser Permanente Therapists Ratify New Contract | Kaiser Pe. 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. Secondly, there are many private-practice therapists in Hawaii whom Kaiser could hire, especially on Oahu. Unfortunately, the union responded that it is not willing to negotiate the percentage and will not settle a contract unless it gets its way. Tentative agreement reached with NUHW to end strike Voting begins to ratify new 4-year agreement. 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. NUHW and Kaiser Permanente wish to thank Sacramento Mayor Darrell Steinberg for mediating and helping to bring negotiations to a close. The contract will boost wages 14.5 percent over four years with bigger boosts for certified nursing assistants. This level of care requires retaining the current skilled workforce and recruiting new talent into the statenot engaging in years-long contract disputes. If Kaiser fails to do this, it is violating state law. Thirdly, many tried-and-tested tools are available to Kaiser to address its recruitment and retention problem. 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. The discussion, which was cordial, focused on detailed review of a revised comprehensive package proposal the union presented. Last year, the California-based company reported $8.1 billion in profits. In addition, Kaiser Permanente counter-proposed language changes that once agreed to by NUHW would . Kindred Hospital Bay Area Thousands of Northern California Kaiser Permanente mental health clinicians, members of the National Union of Healthcare Workers (NUHW), are on strike. 2023 Kaiser Foundation Health Plan, Inc. All rights reserved. . Title 20,000 Northern California nurses and mental health staff conduct second 24-hour sympathy strike for Kaiser Permanente engineers Author.January 26, 2015 1113 AM CBS Sacramento. 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. Some 2,000 Kaiser Permanente mental health care employees in Northern California are returning to work after voting almost unanimously to ratify a new contract on Thursday, ending a grueling 10-week standoff over staffing shortages, wages and patient care. KP-CNA Bargaining Update, Week of Oct. 3, 2022. Kaiser, whose mental health clinics are severely understaffed, also agreed to recognize the classification of licensed professional clinical counselor, which should enable it to broaden the pool of potential job candidates. North Bend Trail Running Festival The Pacific Northwest's Trail Running Festival KP-NUHW Bargaining Update, August 5, 2022. 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. Follow us on Facebook, Twitter, and Instagram. 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. Read more. Due to severe understaffing, patients were waiting months for initial therapy sessions to treat conditions such as depression, PTSD, anxiety, panic attack and eating disorders. Im so proud of all of my colleagues and the contract weve won, said Felicia Hashimoto, an occupational therapist. While Kaiser has acknowledged that its mental health services are understaffed, it has refused to take steps in bargaining to address the issue. Cheryl Kaiser Foundation Hospitals Health Plan, Inc. Legal Department 393 East Walnut Street, 2nd Floor Pasadena, CA 91188 (626)405-6196 : . Unlike SEIU, NUHW is a union that is accountable to healthcare workers, and only to healthcare workers. New 4-year agreement with NUHW will enable greater collaboration aimed at improving access to mental health care. 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 New 4-year agreement with NUHW will enable greater collaboration aimed at improving access to mental health care. They were helping people get the things they were owed.Read more. The lack of accessible mental health care at Kaiser is so severe that The Hawaii Employer-Union Health Benefits Trust Fund the states largest purchaser of health insurance is allowing members to switch from Kaiser right away if they are not receiving timely access to mental health care. Voting begins to ratify new 4-year agreement. 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. 12:10 p.m. Kaiser Permanente and the National Union of Healthcare Workers reached a tentative agreement for a new four-year contract early Tuesday morning, ending the 10-week strike by mental health therapists in Northern California. These workers deserve a fair wage, and patients deserve dependable, quality care. CNA and NUHW will now jointly seek decertification of SEIU in a unit of 43, 000 service and technical employees at Kaiser. Panorama City Medical Center: Panorama City, CA 91402 : Charged Party / Respondent Union National Union of Healthcare Workers (NUHW) Glendale, CA 91204 : Related Cases. Mental health therapists at Kaiser Permanente in Hawaii are five months into what is now the longest strike by mental health workers in U.S. history. 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. NUHW: Forging ahead in 2023 More USC & WEST ANAHEIM workers join NUHW Hawai'i residents can leave Kaiser over mental health concerns 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. 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. After co-sponsoring a mayoral debate on March 26, NUHW members voted decisively to endorse Congresswoman Karen Bass for mayor of Los Angeles. The contract was signed less than four months before SB 221, NUHWs landmark behavioral health timely access law, is scheduled to take effect. October 5, 2022. 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. March 2022 PULSE - National Union of Healthcare Workers March 2022 PULSE Pulse March 30, 2022 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 Women's History Month. NUHW members also retain an annual performance bonus of up to $5,000. Starting in 2023, MLK Day will be a scheduled, paid holiday across the organization. At the conclusion of bargaining on Tuesday, October 4, we now have 26 tentative agreements between Kaiser Permanente and the California Nurses Association (CNA). The Sequoias (Spanish), 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, Keck USC Sodexo Dietary contract (English), Keck USC Sodexo Dietarycontract (Spanish), Lakewood Medical Center EVS contract (English), Lakewood Medical Center EVS contract (Espaol), Lakewood Medical Center Dietary contract (English), Lakewood Medical Center Dietary contract (Espaol). Read more. The majority of our therapists are coming to work. New 4-year agreement with NUHW will enable greater collaboration aimed at improving access to mental health care. Los Alamitos Medical Center (Spanish), San Francisco Nursing Center (English) Read more. You can fill out a complaint form on cca.hawaii.gov. Kaiser which is one of the largest HMOs in the nation with 12.6 million members reported $8.1 billion in profits during 2021. 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. Voters passed Proposition 31, allowing the law banning these addictive, A statement of support from Kaiser Permanente chair and CEO Greg A. Adams. 850 RNs and professionals at Fountain Valley Regional Hospital vote to join NUHW Kaiser Permanente . 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. Unfortunately, Kaiser has done the exact opposite with its mental health therapist workforce. They were supporting them. Kindred Hospital Westminster, Lakewood Medical Center EVS contract (English) We will continue to keep you informed. Kaiser will undergo a follow-up investigation within six months to determine whether it has corrected its violations. NUHW Kaiser mental healthcare workers went on strike during 2022 MLK day because of the refusal of Kaiser to make the day a holiday which had been promised by management and against systemic racism in staffing and care. NUHW offers virtual trainings and events to provide member leaders with the tools and information they need to protect and enforce their rights in the workplace. 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 We let the union's bargaining team know we are taking into consideration the extensive information they provided at Kaiser, rather than improving its recruitment and retention of mental health clinicians, is proposing steps that would exacerbate the crisis for therapists and their patients. Read more. Kaiser will return to contract talks with union of 2,000-plus mental health workers in California. Kaiser Permanente has shown movement from our original proposal and last proposed an increase to 17% IPC time for therapists from current contract language. Kaiser Permanente gave two counter proposals on Model of Care, and on grievance and arbitrability which we expect to reach tentative agreement on. 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. CPMC workers get Sutter to nearly double proposed raises in new contract KP-NUHW Bargaining Update, April 5, 2022. January 17, 2022 Kaiser Permanente statement on NUHW MLK Day strike. Union openly admits its demands will reduce access to mental health care. August 10, 2022. 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. 07/06/2022 : Dismissal Letter: NLRB - GC: 04/19/2022 : Initial Letter to Charging Party* NLRB - GC: . 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 . 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. Given our previous respective proposals were so close we are disappointed with this development. 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. See this PDF for information from EUTF on how to change your insurer. In total, NUHW provided three revised proposals: Model of Care, performance bonuses, and wages. 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. There are multiple problems with Kaisers position. 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. Yesterday Kaiser Permanente's negotiating team met again at the bargaining table with NUHW. 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. 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. The strike comes after the defeat of the IUOE Local 39 whose strike was defeated by Kaiser management. 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. . Kaiser Permanente of Southern California believes when we collaborate and support each other, our work improves the quality of health and life in our communities. Significant progress has been made during all the bargaining sessions with CNA. 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. The only way Kaiser can follow the law is to improve working conditions so that it can hire more staff and keep the staff that it has., 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. 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. You can fill out a complaint form on cca.hawaii.gov. Kaiser has plenty of resources to ensure that its members receive timely and appropriate mental health care. 2023 Kaiser Foundation Health Plan, Inc. All rights reserved. NUHW is advocating for: 1) Increasing staffing so patients can be seen at appropriate intervals and improving working conditions so clinicians will 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 Consequently, many patients wait months to receive basic diagnostic and treatment services, which can put their health and safety at risk. Legal Mental health workers at Kaiser approve contract after 10-week strike Psychologists, therapists, social workers and chemical dependency counselors at Kaiser who are part of the National. The agreement between Kaiser Permanente and the NUHW in Southern California ensures high quality mental health care and competitive wages and benefits. 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. This contract is a good step forward, and we are already taking our next steps to make sure that Kaiser complies with the law weve passed, Forter said. The nearly 2,000 therapists will participate in a two-day ratification vote starting Tuesday evening. hospital santa rosa 2022pitocin para inducir el parto September 24, 2022 . Kaiser currently staffs approximately 1 mental clinician for every 5,500 patients in Hawaii. The bonus is superior to the bonuses agreed to recently by UNAC and the Alliance of Kaiser Unions that are contingent on those unions helping Kaiser achieve cost costing from their bargaining units. NUHW leadership encourages 'no' vote September 27, 2022 NUHW leadership encourages 'no' vote The majority of our therapists are coming to work. News of the Month 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. Kaiser Psych-Social, Keck USC Sodexo Dietary contract (English) Strike Fund NUHW San Rafael and Petaluma needs your support for Strike Fund NUHW San Rafael & Petaluma Therapists . 06/23/2022 : Dismissal Letter: NLRB - GC: 04/20/2022 : Initial Letter to Employer in C Case* . Senator Mazie Hirono wrote a letter to Kaiser Permanente CEO Greg Adams calling on him to settle a fair contract to end the strike and improve mental health care. NUHW and Kaiser Permanente wish to thank Sacramento Mayor Darrell Steinberg for mediating and helping to bring negotiations to a close. Has Kaiser Permanente delayed or denied your mental health care?Have you or a loved one been forced to endure long waits for appointments? SAN FRANCISCO (AP) A union says Kaiser Permanente nurses in California have approved a new contract that boosts pay and improves patient care.
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