BISMARCK, N.D. -- North Dakota has seen a vote that hasn't taken place in the state for quite some time: a union-approved contract in health care.

This week, nurses at St. Alexius Health Bismarck Medical Center ratified a labor agreement with the hospital's parent company. It comes after these workers became the only unionized nurses in the state. They're represented by the Minnesota Nurses Association, which works in multiple states.

Association member Angie Grosz, who works at the hospital, said it's the culmination of several years of standing in solidarity with her fellow nurses to create some history.

"It's the first hospital in North Dakota with a nurse's union," she said, "and now the first hospital working under a contract."

North Dakota is not viewed as a union-rich state, and nurses have said that's underscored by having an out-of-state labor group supporting them. MNA has said the deal was struck after more than 20 negotiating sessions that centered on staffing, workplace-violence protections, and a defined wage scale. It's believed to be the first such contract in the state in more than 40 years.

The Minnesota Nurses Association said it hopes these changes will help retain more registered nurses in Bismarck. Not only will this benefit staff members, Grosz said, but also the people they care for.

"This has really created a great opportunity to for nurses to have a stronger say in their workplace and in the care that they can provide to their patients," she said.

In a statement released after the deal was first reached, the hospital's parent company, Catholic Health Initiatives, said it was happy to finalize an agreement. It added that it appreciated working with the nurses to continue to provide top-quality care to the community.

According to the Bureau of Labor Statistics, North Dakota has the second-fewest number of unionized workers in the country, at just under 18,000.

The agreement announcement from MNA is online at mnnurses.org, and the company statement is at chistalexiushealth.org.


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Workers at a hospital on the Oregon coast are citing a victory in contract negotiations with their employer.

More than 100 members of SEIU Local 49 at Samaritan North Lincoln Hospital in Lincoln City will receive raises averaging 10% over the first year of their new contract. Brittany King, a CT special imaging technologist at the hospital, said many workers have been struggling to afford living in the community, and this raise makes the hospital's wages competitive with the local job market.

"There are a lot of members," she said, "that told me specifically that, 'I think this is a wage that I can live with, that means I don't have to leave Samaritan.'"

King said workers have dealt with a number of tragedies in recent years, including the pandemic and 2020 wildfires. Their new contract also expands education funding.

Rachel Eggleton, a certified nursing assistant at the hospital, said workers rallied over Memorial Day weekend when contract negotiations stalled and the community members showed their support.

"Once they saw us out in the rain rallying," she said, "they realized, 'OK, maybe there's something wrong. Maybe we need to help out our health-care workers, because they've been there through thick and thin for the entire pandemic, regardless of whatever's happening.' We still provided the care that they needed."

Eggleton said this support has been key.

"Getting everybody involved and getting the community involved," she said, "it will always bring us better things."

A new Minnesota law, which goes into effect Sunday, removes requirements restricting Social Security recipients from receiving full jobless benefits as well.

Bill sponsors noted Minnesota was the last state to have the offset requirement. It reduced by 50% unemployment aid for laid-off workers who, within the first year, either received or started to apply for Social Security.

Kate Schaefers, volunteer state president of AARP Minnesota, said it had a profound effect on older workers as the pandemic began to take shape. She pointed to testimony from a Rochester man who had worked part-time in retail and lost his job but had no unemployment benefits to supplement his income.

"He told us that he cut back on expenses, including his medication, because he couldn't afford them living just off of his Social Security check," Schaefers recounted.

Schaefers pointed out they are disappointed the changes are not retroactive, leaving out many residents devastated by the crisis. But she noted supporters secured a compromise with the Senate by starting the repeal date this year, as opposed to waiting longer to appease concerns about the unemployment fund's balance.

Schaefers said looking ahead, the repeal will be beneficial to the growing number of older adults who cannot afford to solely rely on their pension in the face of rising consumer costs.

"This is a key part of their retirement ... continued work," Schaefers explained. "This is going to benefit them if they get laid off; that they can access those unemployment benefits."

The group estimated 16% of Minnesotans 62 and older receiving Social Security are still in the labor force. It added the benefits are modest, averaging nearly $1,600 a month in Minnesota.

The so-called "great resignation" isn't playing out for all workers. A new survey covering North Dakota and Minnesota shows people on the lower end of the income scale face obstacles in jumping to other job opportunities.

The Minneapolis Federal Reserve Bank, along with Community Action agencies in both states, heard from more than 200 individuals, mainly working in social services, education and health care. Most expressed a desire to move up the career ladder, but said they lack the resources to learn new skills, or that expenses such as child care get in the way.

Erick Garcia Luna, regional outreach director at the Minneapolis Fed, said it becomes more pronounced for people earning very little in their current job.

"If a family is making minimum wage," he said, "they're going to have a harder time taking the time, for example, to get trained for another job."

Nearly 60% of respondents making between $10,000 and $25,000 dollars a year said it's either "somewhat or very difficult" to make an occupational change. Community Action Partnership of North Dakota said the survey also revealed these individuals are finding it harder to meet basic needs amid rising inflation, but also can't afford to pursue a better-paying job.

Ashley Littlewolf, workforce development case manager lead at the Southeastern North Dakota Community Action Agency, said she sees a lot of overlap with these barriers.

"They're feeding each other, the barriers are increasing each other," she said. "That need for new skills, and then finding the day care - and also, the jobs not paying enough."

While some employers are offering better pay, Littlewolf said the findings should prompt more action to boost starting wages. She said expanding the hiring pool can help, too.

"Taking a chance on someone who may not have that experience," she said, "but offering on-site training, offering the opportunity for them to enter that career path without the experience or education."