Santa Cruz County


Santa Cruz County Docs Ratify Contract

March 15, 2017

After 13 bargaining sessions over last 6 months, the UAPD Bargaining Team reached a tentative agreement with Santa Cruz County on January 31, 2017. The new contract went into effect in March after being ratified by by the UAPD membership and approved by the Santa Cruz County Board of Supervisors.

The new agreement provides:

  • A new top salary step (4% increase from the previous step) effective the first full pay period after Board of Supervisor approval. 
  • Cost of Living Adjustment (COLA) for all classifications of 2.5%, 2.75% and 2.75%.
  • Equity adjustment for psychiatrists of 2%, 2%, and 1.75%.
  • A new board certification differential of 2.5% effective April 7, 2018. Read more …

Santa Cruz Bargaining Update

November 30, 2016

On October 28th, UAPD and Santa Cruz County met for the 6th session in this round of bargaining. With one more session scheduled before the expiration of the current contract on Nov 11th–and more importantly the difference in proposals–it is likely that negotiations will continue beyond the expiration of the current contract. While the protections and terms of the current contract remain in place because of applicable labor laws, our doctors will not see much-needed improvements to terms and conditions, including wages, until a new agreement is reached and ultimately ratified by a majority of UAPD members.

UAPD has provided the County with a comprehensive proposal which included non-economic priorities as well as specifics on economics that would protect the interest and welfare of the public by establishing conditions for the recruitment and retention of permanent doctors. In contrast, the County’s counter proposal would firmly set us on a course for seeing real wages decline.  

In future sessions, UAPD plans to present a careful analysis County’s initial offer and how it falls short of what is needed. Furthermore, we plan to engage in meaningful dialogue on all proposals made by either side. In order to be prepared to discuss one of management’s proposal to replace overtime compensation with administrative leave, I need to know from you the average amount of hours you work per week beyond your regularly scheduled hours whether or not you are approved or paid for the additional hours.

Please email Albert Muñpz at with an estimate for the additional hours you work. Please indicate whether you are part-time or full-time and how the additional hours are used. If you regularly work additional hours but do not request compensation, please indicate that as well.  

We are currently working on setting up a meeting to discuss the progress of negotiations as a group. Once arrangements are finalized a notice will be sent out.

Santa Cruz Bargaining Begins

August 5, 2016

The contract between the Union of American Physicians and Dentists (UAPD) and Santa Cruz County expires on November 11th.  Bargaining for the next contract began on Friday. Dr. Sanford and Dr. Yazgan will serve on the UAPD bargaining team, alongside labor representatives Albert Munoz and Sue Wilson.  During Friday’s session, the parties scheduled five future sessions and agreed to ground rules for negotiations.  Drs. Sanford and Yazgan provided an overview of the problem the County is having with the recruitment and retention of doctors. 

Our next bargaining date is scheduled for August 30th, and we will send an update afterward.

Santa Cruz County Prepares for Negotiations

July 11, 2016

UAPD has submitted a request for bargaining in Santa Cruz County and has begun the process of selecting a negotiating team.  This year’s bargaining will likely be contentious, as the doctors plan to push the County to do more to resolve its critical doctor shortage.

In the coming weeks, UAPD will also hold a meet and confer with management over their plan to create evening hours in the Emeline clinic.  While there is now a volunteer interested in filling evening hours, the union’s concern is what will happen if no volunteers exist.  There will also be a second Labor Management meeting about Avatar, the new EHR system on the mental-health side.  At the last meeting, doctors listed dozens of problems with the system, and will soon assess how much progress has been made on resolving them.

Santa Cruz Contract Improvements Go Into Effect

July 6, 2015

After several months of re-opener bargaining, the UAPD team signed a Tentative Agreement with Santa Cruz County that was approved by the County Board of Supervisors.  That means that all the improvements (see below) will now go into effect.  In addition to more than doubling call-pay, the Agreement creates a new defined contribution pension plan where the employer and employee can make contributions to offset the cuts caused by the PEPRA legislation of 2012.  For doctors who joined CalPERS after January 1, 2013, the newly created plan will move them closer to the retirement they would have had if the state legislature had not imposed a cap on their pensionable salary.

The Agreement is summarized below.
Read more …

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.

Santa Cruz Doctors Ratify New Contract

October 30, 2013

The tentative agreement reached by the UAPD Bargaining Team and Santa Cruz County on October 10, 2013 has been overwhelmingly approved by members.  The contract will go into effect as soon as it is approved by the Santa Cruz Board of Supervisors, who will consider it during their November 5th meeting.

The new agreement, which expires in November 2016, includes two cost of living increases totaling 5%.  The agreement also increases the differential paid to bilingual doctors, protects active health care and augments the scope of the labor management committee.   The agreement contains a smaller concession on retiree health care than what all other Santa Cruz County units agreed to in 2011.

UAPD Goes to Factfinding in Santa Cruz County

August 1, 2013

When a session with a mediator failed to result in an acceptable agreement with Santa Cruz County in July, UAPD filed a request for fact finding with the Public Employment Relations Board (PERB).   Since then, we’ve created a fact finding panel consisting of one UAPD appointee (former Executive Director Gary Robinson), one County appointee (Ann Goodrich, a consultant for Renne Sloan Holtzman Sakai, the law firm hired by the County to handle fact finding) and a neutral third-party arbitrator, Walter Kawecki.  The panel is scheduled to meet on October 10th and October 23rd. Read more …

More Coverage of Santa Cruz Contract Fight

July 11, 2013

UAPD continues its media campaign to encourage Santa Cruz County to take their doctor shortage seriously.  The Santa Cruz Weekly clearly conveyed the crux of the issue in an article this week, which starts by saying, “Dr. Joann Moschella has a clear message for her bosses in Santa Cruz County government: without better compensation, no one will want to work here.”

Read Santa Cruz Weekly article here.

Read Santa Cruz Sentinel article here.

Read more …

Santa Cruz Doctors Petition Supervisors

July 1, 2013

Clinic physicians and psychiatrists working for the Santa Cruz County Health Services Agency have delivered a message to the County Supervisors that begins: “The physicians of Santa Cruz County share a commitment to providing the highest quality health care to all county residents.  Our negotiations have lead us to believe that County leadership does not value the role of physicians in providing that care.”  The County has not done enough to recruit and retain doctors, despite having lost a significant portion of the unit in recent years.  Doctors are calling on the Supervisors to reconsider the latest bargaining proposal made by UAPD when the two sides meet in mediation on July 10th.

Download  Press Release Santa Cruz Petition (PDF)

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