Collective Bargaining in Health Care Organizations
Originally the NLRB excluded nonprofit employers from NLRA coverage. In the 1970s, however, the board asserted jurisdiction over nonprofits that had a “massive impact on interstate commerce” or those that met certain financial criteria, such as nursing homes with revenue over $100,000, visiting nurses associations, and similar facilities as applied to profit-making nursing homes (Drexel Homes, 1970).
In August 1974 Congress amended the LMRA to bring nonprofit health care institutions under the law's coverage (commonly referred to as the health care amendments). At that time Congress added Section 2(14), which defines health care institutions as including hospitals, nursing homes, and other health ...
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