CHA believes that patients, employees, hospitals/health systems and the public are best served when management and employees work directly with each other. If employees of an organization vote to be represented by a third party in a lawful election, it is the responsibility of management to work with the elected representative in accordance with applicable laws.

While federal law generally governs labor relations of private employers, state law may touch on some issues, such as property rights. For public employers, California state law takes precedence. Thus, it is important to keep abreast of developments on both state and federal levels to ensure compliance.