SEIU Healthcare 1199NW

'26 Legislative Session & Our Wins

Fighting for our priorities and protecting our patients.

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Take Action NOW
on our priorities

Middle class and working families in Washington pay far more of their income than the wealthiest. Asking millionaires to pay their fair share means investment in essential public services, rebalancing our upside-down tax code and protecting working families from paying the price of budget cuts  to our schools, Medicaid, food assistance and more. 

2026 Legislative Priorities
#1

A budget & revenue Structure that delivers for washingtonians

As healthcare workers, we provide the care and see the costs of underfunding our communities.

This session our top priority is protecting the state investments that most impact our members, patients, and clients. That’s why we’re leading on new revenue.

Behavioral health, housing and homelessness services and supports for vulnerable populations are some of the most essential programs in our State today. And as workers, we are feeling our own economic security under strain with inadequate pay and benefits. From more housing units for low-and-no-income people to fully staffed and stable care teams to overdose prevention and response, we need more investment, not less.


Instead, our state faces a budget crisis that may lead to cuts. We can’t go back to cuts and austerity. In the Great Recession, our Legislature made devastating cuts to services for our patients, our clients, our communities at large and us as healthcare workers. We’ve only just recovered that funding in the past few years: investments in behavioral healthcare, housing and homelessness, healthcare and supports for vulnerable populations, economic security, childcare, and workforce development are now all back on the line.

And the biggest reason we’re here is because of our structural revenue gaps. We are asking state legislators to fully invest in our communities and to pass the revenue necessary to do so.

#2

strong unions, strong workers

Washington consistently ranks near the top of best places to do work and run a business, and that success is built on workers. Protections for workers and transparent accountability for employers helps ensure a stable economy and a fair playing field – not just workers and
employers, but also a fair playing field for law-abiding employers who are undercut by bad actors.
 
That’s why we’re advancing the fight for workers’ rights, including:
 
 ● Granting the Attorney General’s Office authority  (AG request legislation) greater flexibliity and rights to enforce workplace laws so worker protection can be taken up more easily by the state. 
 
 ● Ensuring solvency for our state’s essential Paid Family and Medical Leave program so that workers can take care of their and their family’s medical needs.  
 
 ● Protecting injured workers by ensuring that their doctors have the decision making needed for their treatment, not a rigid bureaucratic form, and ensuring injured workers can access their medical records so they can pursue their workers’ compensation claims.
#3

leading on a healthcare system that delivers care over profits

Everyone in Washington relies on our health system and our state is a major spender on healthcare dollars. We need a healthcare system that delivers quality, affordable care over profits, is transparent and accessible, and reflects the patient population. And we see firsthand that corporate health systems have too much power to dictate cost, quality, and coverage to us, our patients and our clients. In 2025, we’re taking on corporate healthcare by asking the legislature to:

● Require strong oversight for health system mergers and acquisitions especially private equity takeovers. To maintain levels of care and services in our communities, we need modern state oversight of corporate behavior.
 
● Take on excessive executive compensation at our hospitals. Our state needs revenue—not least of which to pay for healthcare costs—and too many hospitals are paying their executives millions of dollars while employees’ pay doesn’t keep up and care gets costlier. Tax policy can disincentivize overpayment to executives rather than healthcare that counts.

● Require accountability for administrators who make business decisions that impact patient care. Health care administrators whose decisions directly affect patient care should be required to obtain a license so they are under similar accountability measures as clinicians if their actions are the ones that impact patient care. This will ensure that those making patient-impacting decisions are appropriately qualified and legally accountable.
 
● Ensure that nursing care as defined in law means care from a person, not artificial intelligence. 

Policy Wins

Taking action and standing together in Washington & Montana, we’ve won transformational policies and investments that will help us put safe care, patients, and communities over profits. If we hadn’t used our collective voice to lift each other up and advocate before our elected leaders, these historic wins would not have been possible.

And we still have more to accomplish – see where we’ve made progress, below!

Jump to

Healthcare & ALL Workers

Behavioral Health

Workforce Development & Our Training Fund

Immigration

Housing

Climate Justice

Healthcare (& ALL) Workers

⭐ Unemployment Insurance & Healthcare for Striking Workers (Sen. Riccelli)

Sen. Marcus Riccelli, D-3

We know that going on strike is a last resort, and can force us into tenuous choices

like losing income to gain safety and respect in the workplace. These are the kind of choices that benefit the boss, and one of them is the threat of us losing out healthcare while on strike. Not anymore – we fought and won to make sure that any worker on strike who loses their employer healthcare can continue their coverage through a State health plan.

⭐ Montana Right to Work Fight Back

Bad employers – not workers and their unions – are what make poor workplaces, and Right to Work legislation weakens our rights to a union. In 2025 , we fought back (again) and won (again!!) to preserve the rights of workers to organize and collectively bargain in Montana. 

Mandatory OT Protections for Frontline Healthcare Workers (HB 2061/Rep. Bronoske)

Rep. Dan Bronoske, D-28th

ALL frontline hospital workers in Washington are now entitled to mandatory overtime protections. We know our patients cannot receive quality care when we are forced to work through dangerous exhaustion. Abusive mandatory overtime risks medical errors and healthcare worker burnout which are both costly and harmful to patients.

Before 2024, only *some* healthcare had a right to these protections. This year, we fought and won these protections for all frontline hospital workers.

Regulating Employers to Prevent Musculoskeletal Injuries (SB 5217/Sen. Dhingra)

Sen. Manka Dhingra, D-45th

Our union’s EVS and janitorial workers led the labor movement to fight for and win legislation to protect ALL workers’ bodies from repetitive stress injuries. Too often, employers don’t treat us or our bodies with respect and these repetitive stress injuries mean weeks or months off the job, even ending our careers 

altogether. These conditions

Rep. Dan Bronoske, D-28th

account for about a third of all time-loss workers’ compensation claims and workers who suffer these injuries are more likely to suffer opioid use and abuse,

bankruptcy and even divorce.

Now, L&I will be able to regulate industries that have the highest rates of musculoskeletal injuries — including healthcare — so that we are preventing injuries from ever happening, not just treating them after the fact.

After surviving a nine-hour Republican filibuster in the House and being denied a floor vote in the Senate in 2022, we came together with EVS workers to win in 2023.

Safe Staffing in our Hospitals (Sen. June Robinson & Rep. Marcus Riccelli)

Sen. June Robinson, D-38th

We have faced the crisis of hospital worker recruitment and retention for years, and we know the pandemic pushed our long-standing staffing problems to a breaking point.

Hospital executives repeatedly failed to prioritize recruitment and retention before this crisis, which is why we’ve fought in our contracts across our union for safe staffing.

Last year, our safe staffing legislation

Sen. Marcus Riccelli, D-3rd

passed the House with a strong bipartisan vote but failed to pass the Senate. This year, we are asking lawmakers to stand with healthcare workers and finish the job so we can do ours: keeping our patients safe.

  • Strengthen accountability to hospital staffing plans set by staffing committees.
  • Eliminate CEO veto power over those plans.
  • Expand staffing committees to include LPNs, CNAs, and other direct patient care staff in addition to RNs.
  • Ensure unions get to select our representatives on staffing committees.
  • Create uniform reporting forms, which will mean that patients and healthcare workers will easily understand how many staff should be present.
  • Require hospitals to report noncompliance to the Department of Health (DOH) and the Department of Labor & Industries (L&I) Allow DOH to issue corrective action plans that could require minimum staffing standards and fines.
  • Expand meal and rest break laws to include all frontline staff.
  • Close loopholes to make mandatory overtime laws fully enforceable.
  • Allow L&I to issue escalating penalties for missed breaks.
  • Funds the Washington State Institute for Public Policy to conduct a study of existing staffing plans.

Fair & Fully Funded State Contracts

We organized and negotiated state contracts that value our work, and improve our recruitment and retention. And we fought and won to get our DSHS/DOH/DCYF/UW HH contracts fully funded in the state budget.

⭐ RN PTSD Presumptive Coverage

Similar to fire fighters, nurses can now receive Washington’s workers compensation benefits following a PTSD diagnosis. Nurses on the frontline throughout the pandemic were repeatedly exposed to trauma while under-staffed and over-worked. And even before the pandemic, we know many of us and our coworkers have suffered from repeated workplace trauma and moral injury.

Our union won a presumptive standard that a nurse’s PTSD diagnosis is both caused by traumatic exposure on the job AND is a compensable occupational disease. This will help get treatment and workplace interventions for those who are impacted, and motivate employers to put better policies in place to prevent trauma in the first place.

Protecting the Harborview Bond – State authorization for flexible levy (HB 2348/Rep. Street) & won levy passage at King County Council

Rep. Chipalo Street, D-37th

Three years ago, we campaigned and won over 77% of King County voters to approve a $1.7 billion bond package for seismic upgrades, additional bed capacity and expansion of Harborview’s behavioral health and respite services. But because of high inflation, critical projects have been put at risk of delay, and we know our patients, our community, and those of us who work at Harborview cannot afford delays. That’s why we worked with the Legislature to grant King County the authority to use an existing tax to help cover the gap in capital and operating dollars.

Passed the King County Crisis Care Levy

With the number of mental health beds plummeting across our county, we partnered with our allies on King County Council, put the Crisis Care Centers Initiative on the ballot and won. Now, five crisis care centers, hundreds of residential treatment beds and investments in our community behavioral health workforce are coming online – providing our communities AND behavioral health workers the places and resources to succeed.

⭐ Kept DSHS Workers PSER’s Retirement

Those of us who care for those in our State psychiatric hospitals face many of the same risks as public safety workers, and deserve the same protections and benefits. Which is why we organized to remove dangerous language from the WA budget so we can keep our access to the PSER’s retirement system

Protecting ALL Workers from Pay Discrimination (HB 1905/Rep. Mena) 

Rep. Sharlett Mena, D-29th

Washington State has had equal pay protections on the books for several years, but to date it has focused on the gender pay gap. But we know that women of color face even more disproportionate pay inequity, as do many other protected classes.

In 2024, we modernized our laws to ensure that the racial pay gap is closed in order to address racism in our workplaces and the long pattern of wealth inequality for Black people and people of color. Now Washington can do better for every worker by modernizing our law to cover ALL protected classes—gender, race, age, sexual orientation, marital status, disability status, immigration status and more.

Automatic Voiding of Medical Debt when hospitals/providers send to credit agencies

Preserving Workers’ Rights in Compelled Medical Exams (HB 1068/Rep. Bronoske)

Workers now have a right to record any medical exams compelled by employers and third parties to receive workers compensation benefits. Previously, injured workers were fighting legal cases around their workplace injury while doctors who tilted toward employers were evaluating their injury with little transparency. Now workers can have witnesses and recordings to make sure that any medical evaluation is transparent and valid in their case.

⭐ Regulating Third Party Administrators – require Good Faith & Fair Dealing handling our workers comp claims

No More Mandatory Employer Union-Busting Meetings (SB 5632/Sen. Keiser)

It takes courage to fight for a better, more fair workplace by joining together with coworkers in a union. And we know the boss will do everything they can to keep us divided. One tactic they use to compel workers to attend coercive captive audience meetings while workers are organizing, where the boss threatens employees and tells them how they should vote.

Now, the Employee Free Choice Act ensures workers who refuse to join these meetings are protected from retaliation or termination, and employers have one less tool to keep us divided.

Protecting Right to Privacy for Union-Delegate-Member Communications

The right to privacy in our communications with union delegates and organizers is now Washington State law.

A bad judicial decision left communications and records between our union organizers, delegates and members open to subpoena and potentially weaponized by employers in court cases. This could have had a major chilling effect on the many conversations we need to have on grievances, workplace issues and more. Now, our communications – by law — are similar to attorney-client privilege.

“WA Cares” Long Term Care Insurance for All Washingtonians

⭐ Paid Family Medical Leave for All Washingtonians

⭐ First in the Country Public Option: Cascade Care + expansion to cover more Washingtonians 

Making it Easier to Organize a Public Sector Union (SB 6060/Sen. Nguyen)

We made more gains in making it easier to organize and form a union in our state — state workers now have the same ability as those in the private sector to sign an electronic card to organize their union, meaning a little more fairness for state workers who want to organize, especially in today’s hybrid and remote workplaces.

Behavioral Health

Behavioral Health Apprenticeships

Our behavioral health workforce is in dire need of not just more workers, but workers who reflect the clients and patients they serve. That’s why our union has been working with legislators to authorize and develop behavioral health apprenticeships, which have a proven track record of lowering barriers to entry for BIPOC student-workers.

In 2022, we won the addition of a Substance Use Disorder Professional apprenticeship pathway, which our Training Fund will develop and offer to workers. This adds to to the growing list of behavioral health apprenticeships our union and our Training Fund have fought to make available to workers, including Peer Support Specialist & Behavioral Health Tech apprenticeships.

⭐ 15% ATB BH Workforce & Rates

We won 15% across-the-board increases! These are ongoing rate increases, which means more stability for our wages and benefits and our clients. We also won similar increases to PSH and homelessness contracts for our coworkers on the housing side. In addition to core funding, there will be progress on the following.

Additional investments, including but not limited to:

⭐ 988

⭐ Trueblood

⭐ Assisted Outpatient Treatment

⭐ Blake decision

Priority bills that we lobbied on at Lobby Day also all passed and will help the system better support workers and serve clients:

⭐ 1515 — Addresses procurement accountability and network adequacy

⭐ 1260 — Helps ABD/HEN clients by ending repayment upon SSDI.

⭐ Procurement Accountability & Network Adequacy (HB 1515/Macri)

⭐ Ending forced repayment of clients’ ABD/HEN upon SSDI

Our Training Fund & Workforce Development

⭐ We won $2 million in matching dollars and to help our BH employers/publicly-funded employers join our Training Fund

⭐ $3 million in resources to continue and expand behavioral health apprenticeships

⭐ The State is required to work with our Training Fund/labor-management training partnerships on a 4-year plan to grow the nursing workforce pipeline

Immigration

⭐ Allow Paid Sick Leave for Immigration Court, self or family member

⭐ No Deportation by Bounty Hunters – Banning Bail Bonds agents from carrying out immigration arrests

⭐ Imposing Civil Penalties on employers who coerce workers based on immigration status to violate labor laws

Housing

⭐ Rent Stabilization – 7% limit on year-year rental increases

⭐ More kinds of housing at more affordable levels – regulating restricting housing practices like housing-type bans, design review, excessive permitting 

⭐ Include climate change planning in cities’ growth planning

Climate Justice

⭐ Eliminating our Carbon Pollution by making Polluters Pay (Climate Commitment Act)

⭐ Requiring Planning for Climate Change at Community Level, Loval Gov

⭐ Making it easier to Build Clean Energy Projects in WA

⭐ Replacing Dirty Diesel with Pollution-Free Electric School Buses

A win for our environment, our kids, and the SEIU 925 and PSE 1948 school bus drivers: we’ve committed our state to transitioning our polluting school bus fleet with clean electric buses.

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