Contracts

CONTRACTS

With 275,000 members in one thousand institutions in three states and the District of Columbia, 1199SEIU has hundreds of contracts with employers in every sector of the healthcare industry from hospitals to clinics, pharmacies to home-care agencies and nursing homes, plus several human service agencies.

Here are the summaries of some of our largest contracts. These are only summaries, not the contracts themselves.
1199SEIU Members, please note: There are many differences, even small ones, among Collective Bargaining Agreements. Please consult your CBA, or your Delegate for the precise language.

The League Contract
The traditional core of 1199 is based in the hospital industry of New York City and Long Island where dozens of institutions form the League of Voluntary Hospitals and Homes for collective bargaining with our Union. The 1199SEIU/League contract is a master contract that covers tens of thousands of hospital workers. It is the “model contract” whose conditions—wages, benefits, and worker protections—we seek to match throughout our Union. Many hospitals and medical centers outside of the League have “me-too” contracts that are modeled on the League’s.

Because more than a dozen former SEIU healthcare Locals have merged with 1199 since 1998, they brought their own history, conditions and contracts. The strategic goal of 1199SEIU is to achieve one high standard for all healthcare workers.

2021 - 2024 LEAGUE CBA

LEAGUE MOA 2021 - 2024

LEAGUE RE-OPENER MOA 2023 - 2025

THE GREATER NEW YORK CONTRACT

This is the master contract for tens of thousands of nursing home workers in Long Island, New York City and its northern suburbs. As with the League contract for hospital workers, the Greater New York contract is the model for wages and benefits that we have achieved within the nursing-home industry.

HOME CARE CONTRACTS

Homecare workers fall into two categories—home attendants and home health aides. Home health aide contracts are negotiated with licensed homecare agencies, which in turn are subcontracted by Certified Home Health Agencies.

There are separate contracts with each licensed agency for the home health aides.

What is included here is the master contract for the home attendants and housekeepers, covering some 40,000 workers in New York City. Nearly all home attendant contracts are identical, but members should consult their own CBA.

The home attendant contract does not represent any contract for home health aides.

News Feed

  • While the billionaires try to plunder the social safety net, the Trump administration is working hard to convince working people their economic problems are caused by immigrants. Read More
  • 1199 members protest threats to allow ICE enforcement agents inside treatment and clinical areas. Read More
  • Republican members are joining the fight against Medicaid cuts, as the Union mobilizes to protect the rights of working people. Read More
  • Workers at 11 different primary care locations who work for Optum Health Care in the Hudson Valley, NY (formerly known as Crystal Run Healthcare) voted overwhelmingly to join 1199 on February 25. Read More
  • Members in New York’s Hudson Valley ratified a contract with Columbia Memorial Hospital in early February which will include a 22.25 percent across the-board raise for more than 750 union members over the four years of the contract. Read More
  • 1199 Licensed Creative Arts Therapists joined a coalition of their fellow practitioners, educators and advocates in Albany on March 10, to lobby New York State lawmakers on their patient’s behalf. Read More
  • The New Jersey nurses who formed a union with 1199 at Clara Maass Medical Center in Belleville voted to ratify their first contract in mid-February. They were the first group of RNs to successfully negotiate a contract in the Garden State in nearly a decade. Read More
  • 1199SEIU today announced their endorsements for the 2025 New York City elections, including Governor Andrew M. Cuomo for Mayor of New York, Manhattan Borough President Mark Levine for Comptroller, Public Advocate Jumaane Williams, as well as endorsements for District Attorneys, Borough Presidents, and City Council members. Read More
  • Experienced members at North Shore Medical Center in North Miami, retained their benefits and are now enjoying significant pay increases even though the facility transitioned to new ownership under Healthcare Systems of America (HSA), an affiliate of American Healthcare Systems. Read More
  • On March 7, 1199ers in Washington, D.C. lobbied at their city council for legislation that will help D.C. meet its growing need for homecare workers in the coming decades. Read More
  • JJ Velazquez describes the long and winding road from wrongful incarceration to the Oscars. Read More
  • 1199SEIU joined with other unions representing hundreds of thousands of workers across New York State in urging Governor Hochul and the New York State Legislature to quickly pass the New York for All Act and protect immigrant communities from the Trump Administration’s brutal deportation machine. Read More
  • As the home of Broadway and the setting for umpteen movies and television series, New York City employs tens of thousands of people in the performing arts and entertainment industries. When they reach the end of their careers and need some extra help with the activities of daily living, 1199 members are there to look after them. Read More
  • 1199ers from every region are speaking truth to power about the real world consequences of deep cuts to Medicaid. Read More
  • Working people are facing ever more drastic restrictions on their ability to access both abortion and gender-affirming care. Read More
  • 1199SEIU released the following statement about the lawsuit (Johnie Flanagan, Laura Chapman, et al. v Public Partnerships LLC/Case 6:25-cv-06225) filed yesterday in Western District Court of New York alleging Public Partnerships LLC (“PPL”) with violating wage laws: Read More
  • ​​​​​​​“While we fight for economic gains to meet our members’ material needs, we can also produce cultural programs to enrich their lives and deepen their understanding,” founding 1199 President Leon Davis, once said. Read More
  • The 3-year labor contract covering over 450 caregivers at Steuben County’s major hospital is set to expire April 30th as workers demand improved staffing levels and quality affordable health insurance Read More
  • Contract talks for nearly 4,000 unionized workers at 27 different nursing homes in Allegany, Cattaraugus, Erie, and Niagara Counties Began Late February As Some For-Profit Homes Engaged in Millions of Dollars In Related Party Transactions While Local Workers Lack Quality Health Insurance & Benefits Read More
  • Massachusetts resources for those who may be impacted by changes in immigrations status as well as opportunities for all of us to be informed in supporting our immigrant friends, family, and coworkers Read More