Cape Cod Healthcare Advanced Practice Providers Pursue NLRB Election for Union Representation

Cape Cod Healthcare APPs Seek Union Recognition

In a significant move for workplace representation and patient care, Advanced Practice Providers (APPs) at Cape Cod Healthcare (CCHC) have initiated the process of forming a union by filing for an election with the National Labor Relations Board (NLRB).

The APPs, which include Nurse Practitioners, Physician Assistants, and Certified Nurse Midwives, have expressed their desire to join the Massachusetts Nurses Association (MNA), a respected organization representing over 26,000 healthcare professionals across the state. This decision reflects a strong collective sentiment for enhanced advocacy regarding clinical decisions and workplace conditions.

On August 8, 2025, the APPs delivered a formal letter to CCHC President and CEO Michael Lauf, requesting voluntary recognition of their union. In their message, they emphasized the need for a collaborative approach in defining workplace priorities. They wrote, "We have a passion for our work at Cape Cod Healthcare and want a voice in building our practices for positive patient outcomes and long-term success for all patients and providers." They argue that a union would ensure their voices are heard and respected when it comes to matters directly affecting their working environment and patient care.

Despite their attempts for collaboration, the CEO did not respond to the request, prompting the APPs to file with the NLRB for an official election to establish their union representation. This legal step is crucial in solidifying their collective bargaining power, allowing them to negotiate working conditions and compensation more effectively.

The APPs also addressed concerns over increasing complexities in patient care and the growing need for adequate compensation for their work. They believe that their expertise and dedication deserve recognition from the CCHC administration, stating, "Recognizing us as a union would be a clear demonstration of your leadership and your faith in the expertise of your APPs."

The filing is a pivotal moment in labor relations for healthcare workers in Massachusetts, particularly as more healthcare professionals recognize the importance of union representation in advocating for their rights and the quality of patient care.

The Massachusetts Nurses Association not only supports the APPs at CCHC, but it also plays a significant role in enhancing clinical practice standards within healthcare settings across the Commonwealth. By fostering advocacy and collaboration, MNA aims to improve the overall healthcare environment for both providers and patients.

As the NLRB processes the election logistics, the APPs remain steadfast in their commitment to achieving their goals. Their collective efforts reflect a growing trend among healthcare professionals in seeking strengthened representation to navigate the complexities of modern patient care.

With the APPs at Cape Cod Healthcare leading the charge, there is hope for a future where healthcare providers can advocate effectively for their needs while ensuring that patient care is prioritized—and that both sides work collaboratively for better outcomes.

In conclusion, as this important election looms on the horizon, the Advanced Practice Providers at CCHC are positioned to make a significant impact in their workplace and the broader healthcare community, emphasizing the necessity of union representation in achieving equitable conditions and collaborative practices.