Counties & Non-Profit Clinics


Register Now for “Malpractice and MICRA Reform: What Every Doctor Must Know”

February 21, 2014

Free CME/CE for UAPD Members.  Space Limited.
Four (4) Complimentary CME or CE Credits  Available for Physicians, Podiatrists, and Dentists.

Register online here.

Saturday, April 26, 2014
9:00 am – 1:30 pm
Manhattan Beach Marriott, 1400 Parkview Ave, Manhattan Beach, CA 90266
Box Lunch Provided

MICRA opponents want to eliminate the $250,000 cap on non-economic damages and require random drug tests for doctors.   Learn how to protect yourself and your patients from harm.   Hear from experts in the field, including:

  • Erin Muellenberg, J.D., Counsel in Health Care Practice Group, Arent Fox
  • David J. Weiss, Esq., Principal at the Law Offices of David J. Weiss
  • Bruce Fagel, M.D., J.D., Principal at Bruce G. Fagel and Associates
  • Richard Thorp, M.D., President of the California Medical Association

For complete information, download the flyer for the course.

Los Angeles Physicians Ratfiy New Contract

February 13, 2014

UAPD members in Los Angeles County Bargaining Unit 324 (Physicians) have voted overwhelmingly in favor of approving the Tentative Agreement reached in January, with 96% of the votes in favor of ratification.  In total, salary and benefits will increase by as much as 15% over the next 18 months.

The terms of the new agreement will go into effect pending approval by the Los Angeles County Board of Supervisors.  Once the County reaches a Tentative Agreement with BU 325 (Psychiatrists and Dentists), the County Supervisors will review and vote on both agreements.  Because the first pay increase under this agreement is retroactive to December 1, 2013, physicians will not lose money while waiting for Supervisor approval.  UAPD will update members once the Supervisors have acted.

UAPD Demands That Santa Clara County Cease and Desist

February 13, 2014

On February 12th, UAPD represented physicians were ordered to provide night, weekend, and holiday coverage at EPS, BAP, and Custody Services without prior notice to the Union.  UAPD immediately sent the following communication from our attorney to County counsel asking for immediate rescission of those work directives:

UAPD formally demand[s] the County rescind a unilateral change last night of mandating psychiatrists take night shift work starting this Saturday. Last night’s directive was issued without prior notice and bargaining with UAPD and therefore under MMBA needs to be rescinded and the matter negotiated with UAPD first… The County has known of its problem with night shifts and Emcare for many months, and has not dealt seriously with a UAPD proposal many weeks ago for a night premium which would encourage doctors to take these shifts (because it would be closer to the rate prevailing in the Bay Area), and thus any emergency here is of the County’s own creation.

The County’s directive is creating an unsafe situation creating risks for all patients and staff in the area.  Accordingly it seems to me the doctors legally might be entitled to refuse to take such unsafe assignments, though obviously no one wants to escalate the dispute here to that level. The County’s representatives should contact Patricia Hernandez at UAPD directly for the purpose of negotiations.”


Santa Clara County Bargaining Update

February 12, 2014

Yesterday, UAPD met with the County to continue negotiations over a successor Memorandum of Understanding (MOU).  In typical form, the County has shown little interest in quickly reaching an agreement with the Union.  So far, the County has proposed a one year contract with a dismal 0.5% increase in exchange for “structural changes” of decreasing the employee paid employer’s contribution toward PERS. Meanwhile, the County has agreed to two year terms for all other unions with a 2% wage increase in the first year and a 3% wage increase in the second year.

UAPD has made several proposals,  such as a realignment of P49 to P55 salary scale; Sabbatical Leave; Additional Pay for Additional Work; and 100% Annual Leave cash-out.  The County has rejected all of them!  While UAPD holds the line on these proposals, we are preparing wage and market adjustment proposals which will be presented to the County in the next meeting.  Please be sure to forward any salary comparisons within the County limits of Santa Clara for your specialty to

While our members continue to overextend themselves in maintaining the highest quality patient care amidst the challenges and frustrations of EHR and increased workloads, the County’s responses merely emphasizes its interest in maintaining bureaucratic delays instead of working with UAPD to find fair and equitable solutions to ongoing issues that affect our members.

Read more about: Santa Clara County

Less than Full-Time FTEs in Santa Clara

February 12, 2014

Some good news on an on-going issue.  Those physicians who currently work above their 50% FTE on a regular basis will have their Annual Leave hours adjusted to their average hours worked in 2013.  Payroll has been instructed to calculate and restore Annual Leave hours within the next several weeks.  Also, Dr. Ho will begin the paperwork to change half-time FTEs to the following scale based on your average hours in 2013:

FTE and Average Hours Worked Per Pay Period

50%        40 hrs/pp
60%        48 hrs/pp
67%        53.6 hrs/pp
70%        56 hrs/pp
75%        60 hrs/pp
80%        64 hrs/pp
87.5%     70 hrs/pp
90%        72 hrs/pp

Please contact Patricia Hernandez at if you would like to know your average hours worked in 2013.

Santa Cruz County Health Premium Issue Resolved

January 31, 2014

In Santa Cruz County, CalPERS implemented the plan cost increases for 2014 before Santa Cruz County was allowed to increase the amount it pays towards doctors’ health plans, as agreed to in UAPD negotiations.   CalPERS is requiring the County to undergo a fairly lengthy process  to increase its contribution amount, which will take until March or later to complete.

In keeping with the spirit of their agreement with UAPD, the County has agreed to reimburse doctors for the difference between what they are now paying for healthcare and what they would be paying if the increase in the County’s contribution had occurred alongside the rate increase.  The amount owed will be calculated for each doctor once the CalPERS process finishes and the County contribution increase goes into effect.  UAPD appreciates the County’s swift response and fair resolution to this problem.

To see what you will be paying for your healthcare once the contribution increase goes into effect, see this chart.

BU 324 Reaches Tentative Agreement with Significant Increases

January 31, 2014

The UAPD Bargaining Team is pleased to announce that on Wednesday, January 22nd, a Tentative Agreement (TA) was reached with Los Angeles County regarding the Physicians Employee Unit (BU 324).  The terms of the TA will go into effect pending ratification by UAPD members in BU 324 and approval by the Los Angeles County Board of Supervisors.

Ratification ballots, which have been mailed to UAPD members in BU 324, are due back to the Los Angeles office by Tuesday, February 11, 2014.

The UAPD Bargaining Team recommends ratification of this TA, which makes significant improvements to the current Memorandum of Understanding (MOU).  In total, salary and benefits will increase by as much as 15% over the next 18 months.  More details have been emailed and mailed to UAPD members in the unit.

Sacramento County Doctors Vote on New Agreement

December 19, 2013

Following six months of extensive negotiations, in November the UAPD Bargaining Team reached a tentative agreement with Sacramento County for a new five year agreement.  The UAPD Bargaining Team unanimously recommended ratification of this agreement, which has gone to members for a vote.  Under the terms of the agreement, salaries will increase between 10% and 16% over five years, depending on the Consumer Price Index for the area.  In addition to making solid salary gains, this contract also increases professional reimbursement to $1200 annually and improves the language that covers time off for continuing medical education/continuing education.  The County agreed to quarterly meetings of a Medical Advisory Committee to continue to address issues of concern to members.  The contract also implements aspects of AB 340, the Pension Reform Act that was passed in 2012.

Reed’s Pension Initiative Undermines Concept of Vesting

November 27, 2013

On November 12, 2013 San Jose Mayor Chuck Reed and four other California mayors filed initial paperwork for a dangerous initiative called the “The Pension Reform Act of 2014.” If the initiative qualifies for the ballot and if it is passed by California voters, it would amend the state constitution to do away with the “vested rights doctrine” that currently protects the pensions of millions of public sector workers, including UAPD members.  If passed, the new initiative would give public employers the ability to change the pension formulas for current employees, not just future hires.   Though they would still owe current employees a retirement benefit based on what they’ve earned to date, moving forward public employers would be able to “modify, freeze, or terminate” those benefits.   In other words, the initiative is the most serious attack on pensions to date.  Reed and his supporters are trying to collect 800,000 signatures by June to place the initiative on the November 2014 ballot.

UAPD is part of a coalition that is gearing up to fight Reed’s pension-killing initiative.  We are already raising funds and preparing a strategy to get the word out to California voters.  But it’s not too early to start talking to your friends and family about why they should oppose this initiative, first by refusing to sign the petition, and, if it comes to the ballot, by voting no on the measure.
Read more …

UAPD Doctor Appointed to Measure A Oversight Committee

November 20, 2013

The Alameda County Board of Supervisors has appointed  Dr. Milton Lorig, a UAPD Board Member and longtime employee of the Alameda Health System, to the Measure A Oversight Committee.  Adopted by Alameda County voters in 2004, Measure A authorized the County of Alameda to raise its sales tax by one-half cent in order to fund additional medical services for low income, uninsured, and indigent County residents. As part of the Oversight Committee, Dr. Lorig will help monitor use of Measure A funds, which are approximately $100 million annually.  Congratulations Dr. Lorig!

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