The Brief

From Los Angeles to Sacramento, teachers unions, many fueled by the “We Can’t Wait” campaign organized by the California Teachers Association and a slew of contract renewals, are rallying for higher pay, better benefits, smaller class sizes and other classroom improvements. Some are threatening to strike.

In the West Contra Costa Unified School District, the call for improved pay and benefits, and classroom improvements, resulted in a six-day strike by the district’s 1,450 teachers that ended earlier this month. The teachers won an 8% pay raise over two years and will no longer have to pay healthcare premiums.

The strike is emboldening other teachers unions that are at an impasse with their districts over contract negotiations.

“We are leading a historic wave of resistance to demand safe staffing, affordable healthcare and student-centered budgets, and local chapters are organizing to strike if needed,” said David Goldberg, president of the California Teachers Association. “Richmond showed us exactly what is possible: When we stand up for what schools educators and students deserve, we can transform public education.”

There are at least 14 school districts around the state that are at an impasse with teachers unions over contract negotiations. They are: Los Angeles Unified, San Francisco Unified, Oakland Unified, Berkeley Unified, Madera Unified, Evergreen School District, Little Lake City, Upper Lake Unified, Duarte Unified, Newport-Mesa Unified, Oak Grove Union, Apple Valley Unified, Twin Rivers Unified and Natomas Unified.

CTA campaign ratchets up the pressure

Most of these districts’ unions are part of the CTA’s “We Can’t Wait” campaign, which has spent the past few years aligning contracts to end on the same date in order to add pressure on districts in areas where multiple unions would be negotiating and could potentially strike at once.

The campaign has also shared demands for smaller class sizes and caseloads for special education educators, and more counselors, nurses and mental health professionals in schools, as well as competitive wages and benefits to retain and recruit teachers.

“It is our belief that we’ve been siloed,” said Brittoni Ward, president of Twin Rivers United Educators in Sacramento County. “Unified districts all over the state have been dragging themselves year after year through contract bargaining that gets us nowhere. We don’t make any progress, and we all essentially are fighting for the same things. So why not unify on our common goals and make change happen.”

School districts are largely pushing back on union demands, saying that with declining enrollment and rising costs, there isn’t enough money to pay teachers more. Teachers disagree, pointing to expensive outside contracts, high administrative salaries and ample reserves in some districts.

Now, teachers in several districts, including San Francisco Unified, Natomas Unified, Twin Rivers Unified, Madera Unified and Upper Lake Unified, have indicated — by vote or informal survey — that a majority are ready to strike.

Will L.A. teachers strike again?

United Teachers Los Angeles plans a strike vote in January and has already begun polling teachers to determine if there is interest. A strike in the Los Angeles Unified School District would affect 516,000 students.

There is precedent. UTLA took to the picket lines twice in recent years — in 2019, when they went on strike for six days for higher wages, and in 2023, when they walked out in support of school staff in another union.

“I will say that, like in previous years, we have gone on strike, and we’re certainly ready to go on strike,” said Julie Van Winkle, UTLA vice president. “And we feel like we need to be ready in case the district keeps ignoring our demands and making counterproposals that are inadequate. But, we’re also very open to a settlement.”

Los Angeles Unified teachers and the district are negotiating a three-year contract that would have started at the beginning of this school year. Teachers want a complete overhaul of their salary schedule, beginning with an $80,000 starting salary for new teachers, instead of the current $65,000, Van Winkle said.

They also want more arts and physical education teachers, lower class sizes in 11th and 12th grades, free child care centers in closed schools, additional resources for special education, and more psychiatric social workers, attendance counselors and pupil services staff.

Los Angeles Unified district leaders have increased their offers to UTLA multiple times in ongoing negotiations, most recently offering a 4.5% raise and 1% bonus, according to a district spokesperson. The district estimates that UTLA’s demands throughout the 2027-28 school year total more than $4 billion above the district’s current expenditures.

“We deeply value the educators and professionals who serve our students,” the spokesperson said. “We also have a responsibility to maintain long-term financial health so that every generation of Los Angeles students — today and in the future — receives the high-quality, equitable education they deserve.”

District wants to cut benefits

Teachers in the Little Lake City School District in southeastern L.A. County have yet to call a strike vote, but Maria Pilios, president of their teachers union, is preparing them for the possibility.

The 205-member union isn’t asking for a wage increase; instead, they want smaller class sizes and fully staffed special education classrooms. But the district is negotiating to reduce the amount it pays for its healthcare premiums. It currently pays 100%.

The district intends to start taking the contributions from teachers’ paychecks in January while negotiations resume, Pilios said.

Teachers and staff, many of whom grew up in the community, feel betrayed, Pilios said. She said teachers have gone without raises in the past to ensure they could retain full health benefits.

“This has changed the relationship between the staff and the district,” Pilios said.

The district’s decision means a $12,000 annual pay cut for teacher Mabel Manzur. The eighth-grade math teacher was diagnosed with cancer for the second time recently and was in the middle of treatments when she learned about the insurance change.

Manzur had to make a difficult decision: keep the doctors and treatment she had or move to a cheaper policy and start over with another doctor and possibly new treatments. She worried that her cancer history would make it difficult for her to be accepted into a new plan.

Still negotiating last year’s contract

Madera Unified teachers are tired of waiting for a contract for the 2024-25 school year, so more than 90% have indicated they are ready to strike if an agreement can’t be reached, according to David Holder, president of the Madera Unified Teachers Association.

The union wants a retroactive 8% raise on base salary, but the district is offering 4%.

According to the district, teachers have received a total compensation increase of nearly 38% over the last decade.

“A new teacher coming to Madera, on average, is making about $9,000 less in their first year than the surrounding districts, Holder said. “And so, Madera Unified is almost like a training district where we have young educators — a lot of probationary interns coming in here, finishing their credentials, getting some experience, and then they leave.”

Holder said there are still 30 to 40 open teaching positions in the district being filled by substitute teachers.

Madera Unified had 284 teachers resign from the district since the 2021-22 school year, a 93.5% retention rate, according to a statement from the district.

The union won’t bring forth proposals for this year or next until last year’s contract is completed, Holder said. The union and district started state mediation over the contract last week.

Sacramento could have two districts on strike

Two Sacramento County teachers unions are at an impasse with their districts, meaning potential strikes could affect 60,000 of the county’s students. Both districts are part of the “We Can’t Wait” campaign.

Teachers unions for both Twin Rivers Unified and Natomas Unified are seeking increased pay, a reduction in healthcare costs, smaller class sizes and more special education staff, among other things.

Twin Rivers teachers and district administrators have a long way to go before they reach an agreement. The teachers want a 12% increase in salary over two years. The district has offered 2.5% the first year and no guarantee for the next year, said Ward of Twin Rivers United Educators.

The district’s proposal would mean teachers at the top of the salary schedule would earn $152,000 annually, according to a letter from the district sent to staff in November. Beginning teachers would start at almost $77,000.

Twin Rivers Unified leaders said that the district’s salaries are among the highest in the state and that class sizes remain low.

The teachers union is also asking that the district pay more of the insurance premiums. Twin Rivers currently pays the full premium for a basic plan, but asks teachers to pay for higher-cost health plans, according to the letter.

A family of two on the Kaiser family plan pays about $1,600 a month for insurance, and others with more family members pay more, Ward said.

The district and union began their negotiations in February and are now working with a state mediator. The parties might end up having the contract negotiations move to a state fact-finding panel because of the district’s reluctance to bargain, Ward said.

Twin Rivers United Educators' executive board has already authorized a strike vote, and 80% of its membership signed a petition indicating they are ready to strike if necessary. A strike could happen as soon as March, Ward said.

The union has been at odds with the school district before, getting as far as the fact-finding stage, but it has never gone on strike.

“This time we are mobilized, and we’re ready,” Ward said. “Our membership is ready. And they see what’s going on in Richmond. They’re seeing things happening around the state, and they’re like, if that’s what it takes, we’re ready. We’re here for it.”

EdSource data journalist Daniel Willis contributed to this report.

President Trump disparaged Hollywood director Rob Reiner, who died along with his wife over the weekend in what officials are investigating as a homicide. Their 32-year-old son, Nick, has been arrested.

Reiner, 78, was a prominent supporter of the Democratic Party and a vocal Trump critic.
"A very sad thing happened last night in Hollywood," Trump said in a post on Truth Social Monday morning. "Rob Reiner, a tortured and struggling, but once very talented movie director and comedy star, has passed away, together with his wife, Michele, reportedly due to the anger he caused others through his massive, unyielding, and incurable affliction with a mind crippling disease known as TRUMP DERANGEMENT SYNDROME, sometimes referred to as TDS."

Trump went on to say that Reiner had a "raging obsession" with him, "with his obvious paranoia reaching new heights as the Trump Administration surpassed all goals and expectations of greatness, and with the Golden Age of America upon us, perhaps like never before."

His post concluded with, "May Rob and Michele rest in peace!"

Tributes for Reiner have been pouring in, including from former President Barack Obama, who said that "beneath all of the stories he produced was a deep belief in the goodness of people — and a lifelong commitment to putting that belief into action."

The Los Angeles Fire Department said it responded to a medical aid request at around 3:40 p.m. local time Sunday and discovered the bodies inside the couple's home.

Reiner's son Nick had a history of addiction, which inspired the 2016 movie Being Charlie, which Nick Reiner worked on with his dad.

Republican Rep. Marjorie Taylor Greene of Georgia, who has had a public falling out with Trump, criticized the president's comments.

Referencing Nick Reiner's history in a post on X, Greene called the incident "a family tragedy, not about politics or political enemies."

Copyright 2025 NPR

Demonstrators, including healthcare workers, marched to Adventist Health White Memorial in Boyle Heights on Sunday, calling on hospital administrators to uphold the privacy rights of immigrant detainees and protect staff who advocate for patients.

It was the last of three stops in a rally organized by the People’s Care Collective, a network of healthcare workers and organizers that, according to a press release, is calling attention to “the health harms caused by immigration raids, ICE detention, the Los Angeles County jail system, and complicit local hospitals.”

The collective wants the L.A. County Board of Supervisors and all Los Angeles area hospitals to adopt a “Model Policy for Immigration Enforcement in the Healthcare Settings,” developed by medical providers and immigrant rights legal advocates.

The rally follows reporting by LAist that administrators at White Memorial allowed agents to influence medical care and restricted doctors from contacting detained patients’ families.

Adventist Health later released a six-point statement outlining policies to protect patients and support staff.

Still, doctors and advocates say that is not enough.

Sunday's demonstration

Protesters began in front of the Japanese American National Museum, stopping at the Metropolitan Detention Center and Men’s Central Jail as they made their way to the hospital.

“I’ve seen firsthand for several months many individuals who are coming in critical condition due to delays in care. Not because the care wasn’t available, but because they were afraid,” said a member of the People’s Care Collective, who spoke to the crowd in front of the detention center and declined to be identified for safety reasons. He works as an emergency doctor and professor in L.A.

“I’ve seen people with cancer that went untreated and spread because they were afraid to come in,” he said.

“People tell us, ‘We need to stay in our own lane. We need to focus on our health work. We need to stay in the clinics, in the hospital.’ But we know this is our lane. Health justice is our collective responsibility,” he continued.

Healthcare workers march to White Memorial in Boyle Heights. One protester’s white coat reads, “Another world is possible.”

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Alma Lucia

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Boyle Heights Beat

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At least 75 people participated in the demonstration.

They held signs and banners that read, “Health justice has no walls” and “Our hospitals are not your holding cells.” Demonstrators chanted “Out of the clinics and into the streets!” as they neared White Memorial. Several drivers honked in support, some with their fists up in the air as they drove by. Members of social justice group Centro CSO, Union del Barrio, and other community groups were there in support.

Healthcare workers were dressed in white coats. One read, “Seize the hospital to serve the people” on the back. Others came in brown, green and blue scrubs. Medical students and trainees were among the crowd.

Dr. Abhinaya Narayanan, a family physician in Los Angeles, read a statement written by White Memorial healthcare workers.

Recently, according to the statement, “the hospital had to admit that doctors have the right to ask ICE to leave the room to speak privately to patients, but that is not enough.”

“We demand that White Memorial put into place additional protections for patient privacy, allow doctors and patients to have free and not controlled contact with patients’ families, and for medical providers and social workers [to] be able to assist patients and families with connection to support and legal representation,” hospital staff said in the statement read by Narayanan.

“The government is forcibly disappearing individuals and it’s our responsibility as healthcare workers to reappear them as part of our healing,” Narayanan continued.

Gabriel Quiroz with Centro CSO spoke at the rally in front of White Memorial, where he said he and his younger sister were born.

“I can only imagine how terrified raza is to enter this hospital,” Quiroz said. “I think of the elders of our neighborhood here in Boyle Heights who are missing medical appointments due to the fear of migra being in the hospital and the hospital administration doing nothing to keep them safe.”

As part of efforts to call attention to the issue, Quiroz said a petition launched by Centro CSO has garnered hundreds of signatures. It calls for White Memorial to uphold HIPAA, the federal law that safeguards patient privacy, and to bar U.S. Immigration and Customs Enforcement from making medical decisions for patients.

“We will not let fear stop us from organizing and fighting back,” Quiroz said.

Despite spending hundreds of millions of dollars to fill vacant medical and mental health positions at prisons and state hospitals, California has little to show for it, according to a new report from the state auditor.

Job vacancy rates have increased since 2019 at the three facilities examined in the audit, as has the state’s reliance on pricey temporary workers. Atascadero State Hospital, Porterville Developmental Center and Salinas Valley State Prison had health-related vacancy rates topping 30% during fiscal year 2023-24. At Salinas Valley State Prison more than 50% of health positions were unfilled.

Workers contend that the high vacancy rate leads to more on-the-job assaults, mandatory overtime and staff turnover.

“A high vacancy rate is a self-fulfilling prophecy,” said Dr. Stuart Bussey, president of the Union of American Physicians and Dentists, which represents about 1,300 state psychiatrists.

The vacancy rates persisted despite targeted bonuses and wage increases that prison health workers received in contracts and under court order during the Newsom administration. Those included $42,000 bonuses for prison psychiatrists in a 2023 contract and more recently $20,000 bonuses the state had to dole out to mental health workers through a long-running prisoner rights lawsuit.

At face value, some state health workers are comparatively well-compensated. All of the 55 prison employees who earned more than $500,000 in income last year were doctors, dentists, psychiatrists or medical executives, according to state controller data.

A board-certified psychiatrist at Atascadero State Hospital — some of the highest paid state employees — can earn more than $397,000 in base pay. They also retire with pensions through the California Public Employees’ Retirement System. In comparison, the mean wage for a psychiatrist in California is $328,560, according to the U.S. Bureau of Labor Statistics.

But in certain places, local hospitals are offering even more. In Monterey County, $90,000 hiring bonuses are common at private hospitals struggling to fill their own vacancies, staff told state auditors.

Despite the pay, vacancy rates were highest among psychiatrists at Atascadero State Hospital and second highest at Porterville Developmental Center and Salinas Valley State Prison, auditors found.

All three of the audited facilities house individuals who are either incarcerated or institutionalized because they were deemed by the courts to be dangerous or unfit to stand trial. Federal and state law as well as court rulings require the state to provide adequate medical and mental health care. As a result, most of the facilities are required to have vacancy rates less than 10%.

Over the past 30 years, California has consistently failed to meet that standard.

None of the state departments overseeing the facilities have taken necessary steps to ensure adequate staffing, auditors wrote.

The audit found:

• The facilities had a “significant number of vacant positions” that were not filled by temporary workers or staff overtime.
• Neither the Department of State Hospitals nor the Department of Developmental Services, which houses some people with developmental disabilities in Porterville, had procedures to adequately evaluate or budget for staffing needs annually.
• The state hospitals and developmental services departments as well as the Department of Corrections and Rehabilitation have no process to determine whether facilities are meeting staffing minimums during each shift.

In a letter to lawmakers, California State Auditor Grant Parks wrote that the state should conduct a statewide recruitment campaign to hire health care workers “because of the decades-long difficulties the facilities have had in filling vacant health care positions and a current and projected health care professional shortage.”

In response to the audit, the developmental services and state hospitals departments partially agreed with the findings in detailed comments.

The Department of State Hospitals, however, wrote that the vacancy rates covered during the audit period were significantly affected by the COVID-19 pandemic and that salary savings were overstated. “Our hospitals regularly meet or exceed mandated staffing minimums and have self-reported rare occurrences where they have not due to extraordinary circumstances,” department spokesperson Ralph Montano said, in an email to CalMatters. The department has agreed to implement many of the recommendations made in the report, Montano added.

In a statement, the corrections department said it was “committed to providing adequate health care for the incarcerated population, while ensuring fiscal responsibility.”

Workers claim state wastes money to fill vacancies

Coby Pizzotti, a lobbyist for the California Association of Psychiatric Technicians, which represents about 6,000 mental health clinicians, said the audit confirmed what many of the state worker unions had suspected: The state has continually refused to meaningfully improve wages, benefits and working conditions for employees, while spending money on temporary workers. This, the unions contend, makes the vacancy problem worse.

“Effectively, it’s a shadow state employee workforce. They’re just not called civil servants,” Pizzotti said.

The departments saved $592 million in payroll over six years by carrying the vacancies, the auditors wrote. But, auditors criticized the state departments for their inability to specifically track how they later spent that money. The departments counter that, generally, the money can be used to offset other costs or it can be given back to the state.

But they have also poured money into temporary positions to meet court-mandated minimums. During the six-year audit period, the state spent $239 million on contract workers to fill staff vacancies. The departments were authorized to spend more than $1 billion on temporary workers during that time period, though they used only a fraction of the money, according to the audit.

Contract workers, while making up less than 10% of the health care workforce, are paid so much that they cost more per hour than state workers even after accounting for benefits, auditors also found.

State workers’ unions say that’s more evidence toward their argument that these arrangements don’t save the state money.

“Contracting out is not a great way to do business. It’s expensive,” said Doug Chiappetta, executive director of the psychiatrists union.

Instead, state health worker unions want the state to increase salaries and benefits, to make permanent positions more attractive to candidates rather than spending it on highly paid contract workers.

The psychiatric technicians union, psychiatrists union and the state nurses union said that contract workers get paid two to three times more per hour than state employees, according to job advertisements from contracting agencies they have collected. Those companies are also able to offer generous benefits and scheduling flexibility that state jobs don’t have.

“It’s been a slap to our faces to see how the state doesn’t care for our nurses,” said Vanessa Seastrong, chair of Bargaining Unit 17 for SEIU Local 1000, which represents about 5,100 registered nurses. “You’re standing next to a nurse that is doing less work than you and getting paid more than you. How does that bring up morale?”

Bigger problems for recruitment

Even relying on temporary contract workers, the state has in many cases still failed to maintain staffing minimums for health care positions.

Vacancy rates increased significantly between 2019 and 2024. Salinas Valley State Prison saw vacancies jump 62% during the audit period, and more than half of mental health and medical positions were unfilled during fiscal year 2023-24.

Atascadero State Hospital’s vacancy rate rose 39% over the audit period for a total vacancy rate of about 30%. During the last three years of the audit period, Atascadero also lost 90% of its staff to attrition.

Porterville Developmental Center’s vacancy rate increased by just 6% over the audit period, but more than a third of its positions remained unfilled in the final year of the audit.

In interviews with auditors, administrators at the facilities said that the COVID-19 pandemic caused higher staff turnover as well as an increased reliance on contract workers to fill gaps.

All three facilities, which are located along the Central Coast or in the Central Valley, face additional barriers to recruitment.

These areas suffer from health care professional shortages. The area along the coast where Atascadero State Hospital and Salinas Valley State Prison are located faces a medium shortage of behavioral health workers, while Porterville Developmental Center is in an area with a severe shortage, according to the Department of Health Care Access and Information.

“Places like the Central Valley have substantially fewer mental health professionals per population than compared to the rest of the state,” said Janet Coffman, a professor at UCSF’s Institute for Health Policy Studies who studies workforce issues. “Particularly for Porterville, that’s a big part of the issue.”

At the same time, demand for mental health services has increased in the general population, Coffman said.

Combined, that makes it more difficult for the state to compete with the private sector, which is also struggling to hire health care workers.

Other barriers are difficult to address with money alone. The patient population can make the work dangerous. Staff are frequently verbally or physically assaulted. Unsafe conditions make it harder to recruit new workers and sometimes cause long-time workers to retire early.

“There were 2,700 assaults on staff last year. It’s not a matter of if, it’s when,” Pizzoti said.

The audit recommended that the state conduct a market analysis of all health care positions to determine whether payment was competitive, streamline the hiring process, and conduct a statewide recruitment campaign.

Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.

This article was originally published on CalMatters and was republished under the Creative Commons Attribution-NonCommercial-NoDerivatives license.