Initiative campaign to require healthcare union members to approve of union political spending files signatures

The California Hospital Association is sponsoring a citizen-initiated state statute that would require healthcare labor unions to inform members annually how member dues are being spent on political activities, specifically spending on state and local ballot measures, and require a majority of members to approve such expenditures. The campaign submitted more than 900,000 signatures for verification on April 29.

The initiative would apply to all healthcare unions in the state with more than 50,000 members. This would include unions such as SEIU Local 2015, California Nurses Association, and SEIU-UHW.

The campaign sponsoring the initiative, Californians for Health Care Workers' Right to Vote, reported $11 million in contributions through April 9, all of which were received from the California Hospitals Committee on Issues, which is sponsored by the California Association of Hospitals and Health Systems.

During this election cycle, the SEIU-UHW submitted signatures for three initiatives for the November ballot:

- A combined law and constitutional amendment to levy a one-time 5% wealth tax on the state’s billionaires.
- A law to establish a compensation limit for CEOs, executives, administrators, and managers of healthcare corporations.
- A law to prohibit healthcare clinics, specifically federally-qualified health centers and related organizations, from spending less than 90% of their annual revenue on mission-related purposes.




https://news.ballotpedia.org/2026/04/30/campaign-behind-a-california-initiative-to-require-healthcare-union-members-to-approve-of-union-political-spending-files-signatures/https://news.ballotpedia.org/2026/04/30/campaign-behind-a-california-initiative-to-require-healthcare-union-members-to-approve-of-union-political-spending-files-signatures/