Kaiser Strike Hits North Bay: What You Need to Know About the Employee Walkout (2026)

North Bay Kaiser Permanente workers are set to join tens of thousands of colleagues in a system-wide strike on January 26, just three months after their last strike. More than 120 Kaiser Permanente medical workers in Santa Rosa are expected to walk off the job indefinitely as part of a sweeping strike involving Kaiser workers across California and Hawaii. This labor dispute stems from a disagreement between Kaiser and the United Nurses Association of California/Union of Health Care Professionals (UNAC/UHCP), affecting approximately 31,000 workers at nearly 20 hospitals and 200 clinics in the two states. In Northern California, the union represents 2,800 workers, including registered nurses, physician assistants, nurse anesthetists, and acupuncturists. Negotiations between the union and Kaiser have been at a standstill since late last year, with the union accusing Kaiser of prioritizing financial holdings and executive pay over staffing shortages and fair pay. Kaiser officials, however, claim they are proposing a significant boost to already generous employee compensation.

The union's contract with Kaiser expired on September 30, and they carried out a 5-day strike in October. Brian Mason, the union's chief negotiator in Northern California, emphasizes the severity of the breakdown in negotiations, citing safe and adequate staffing levels as key issues. He highlights Kaiser's practice of double and triple-booking patients, delaying care, and the high turnover among certified registered nurse anesthetists. The union also accuses Kaiser of wanting to eliminate workers' retirement plans and reduce pensions and healthcare benefits as punishment for recent unionization. The union represents certified nurse midwives, certified registered nurse anesthetists, and physician assistants.

A Kaiser official assures that plans are in place to ensure uninterrupted safe and high-quality care during the strike. Lionel Sims, senior vice president of human resources for Kaiser Permanente Northern California, expresses hope that employees will choose not to strike, emphasizing the importance of resolving differences at the bargaining table. The United Nurses Associations of California/Union of Health Care Professionals (UNAC/UHCP) is part of the Alliance of Health Care Unions, a federation of 21 local unions representing over 60,000 Kaiser employees.

Sims acknowledges the challenge of balancing fair compensation and quality care during a time of instability for hospitals and the healthcare industry. He highlights the rising healthcare costs and the risk of millions of Americans losing access to health coverage. Kaiser's proposal includes a 21.5% wage increase over four years, with a significant portion frontloaded in the first two years, resulting in a total increase of about 30% when step increases and local adjustments are considered. This proposal represents a substantial investment of nearly $2 billion in additional payroll costs while maintaining affordability for members and customers.

However, negotiations have been stagnant since December 14, when Kaiser paused national bargaining following an incident involving a UNAC/UHCP representative. Kaiser accused the union of threatening to release damaging information if they did not agree to labor demands. Greg Holmes, Kaiser's chief human resources officer, described the union's actions as compromising the bargaining process and undermining good faith negotiations. The union has released a report documenting Kaiser's financial reserves and investments, even as patients suffer from delayed care due to chronic understaffing. The report accuses Kaiser of generating massive profits and hoarding reserves while patient premiums increase annually, and it highlights bloated executive pay.

The union's president, Charmaine S. Morales, a registered nurse, emphasizes that the strike is authorized to win staffing that protects patients, workload standards to prevent moral injury, and the respect and dignity that Kaiser has denied for too long. The union's stance reflects their commitment to addressing staffing shortages and ensuring fair pay, while Kaiser's response remains focused on maintaining operations and managing financial investments.

Kaiser Strike Hits North Bay: What You Need to Know About the Employee Walkout (2026)
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