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News Release

OHSU APPs Secure Historic Agreement, Leaving Legacy APPs Further Behind (Photo) - 12/05/25

Wage and retirement disparities grow as Legacy refuses to bargain with its own APP workforce.  

Portland, OR – More than 700 OHSU advanced practice providers (APPs) have overwhelmingly voted to ratify a historic first contract—while nearly 140 Legacy APPs remain on the picket line.  

 

OHSU APPs joined ONA in February 2024 to secure a real voice in their workplace, forming the largest bargaining unit of APPs in the country. The newly ratified agreement follows nearly two years of negotiations and delivers major wins, including workload protections and market-setting wages and benefits that will strengthen recruitment, retention, and the high-quality care OHSU patients and communities rely on.  

 

“We are excited by the overwhelming support our OHSU APP team showed for this contract, and we’re proud of the work we have done,” said Kelly Batte, a nurse practitioner at OHSU. “This contract is a big win for our members, for our patients, and for the entire state of Oregon which relies on our care. Our hope is that it sets a new standard for APPs right here in Oregon and across the country, including at Legacy, where our colleagues remain on the picket line.”  

 

Nearly 140 Legacy APPs have been on strike since December 2, citing in part, uncompetitive wages and benefits that undermine recruitment and retention. The new OHSU agreement further widens the gap in compensation and benefits between the two systems, intensifying the pressure on Legacy management to offer a competitive contract. With the new deal in place, Legacy APPs now fall 10-12% behind in wages compared to APPs who do the same work at OHSU, and another 8–9% behind in retirement benefits.  

 

“Congratulations to our counterparts at OHSU! They deserve every part of that contract and I know it will serve them and their patients well,” said Leigh Warsing, a physician associate (PA) at Legacy. “But the concerns about losing providers to OHSU are now even greater. Legacy needs to step up to the table and offer us a competitive contract, so we don’t lose more of our colleagues to OHSU.”  

 

For more than 18 months, Legacy APPs have bargained in good faith. When they issued a strike notice on November 21, Legacy cut off negotiations. Now, on day three of an open-ended strike that began December 2, APPs continue to show up, ready to return to the bargaining table and meet with a federal mediator at any time. Legacy management still refuses to come to the table.  

 

APPs include nurse practitioners, physician associates, clinical nurse specialists, and certified nurse midwives.

Attached Media Files: Advanced Practice Providers from OHSU hold an informational picket and rally at the OHSU Waterfront Campus on Sept. 24, 2025. Photo Courtesy of Kevin Mealy, ONA., OHSU APPs Picket 2.jpg, OHSU APPs Picket 3.jpg,

OHSU APPs Secure Historic Agreement, Leaving Legacy APPs Further Behind (Photo) - 12/05/25

Wage and retirement disparities grow as Legacy refuses to bargain with its own APP workforce.  

Portland, OR – More than 700 OHSU advanced practice providers (APPs) have overwhelmingly voted to ratify a historic first contract—while nearly 140 Legacy APPs remain on the picket line.  

 

OHSU APPs joined ONA in February 2024 to secure a real voice in their workplace, forming the largest bargaining unit of APPs in the country. The newly ratified agreement follows nearly two years of negotiations and delivers major wins, including workload protections and market-setting wages and benefits that will strengthen recruitment, retention, and the high-quality care OHSU patients and communities rely on.  

 

“We are excited by the overwhelming support our OHSU APP team showed for this contract, and we’re proud of the work we have done,” said Kelly Batte, a nurse practitioner at OHSU. “This contract is a big win for our members, for our patients, and for the entire state of Oregon which relies on our care. Our hope is that it sets a new standard for APPs right here in Oregon and across the country, including at Legacy, where our colleagues remain on the picket line.”  

 

Nearly 140 Legacy APPs have been on strike since December 2, citing in part, uncompetitive wages and benefits that undermine recruitment and retention. The new OHSU agreement further widens the gap in compensation and benefits between the two systems, intensifying the pressure on Legacy management to offer a competitive contract. With the new deal in place, Legacy APPs now fall 10-12% behind in wages compared to APPs who do the same work at OHSU, and another 8–9% behind in retirement benefits.  

 

“Congratulations to our counterparts at OHSU! They deserve every part of that contract and I know it will serve them and their patients well,” said Leigh Warsing, a physician associate (PA) at Legacy. “But the concerns about losing providers to OHSU are now even greater. Legacy needs to step up to the table and offer us a competitive contract, so we don’t lose more of our colleagues to OHSU.”  

 

For more than 18 months, Legacy APPs have bargained in good faith. When they issued a strike notice on November 21, Legacy cut off negotiations. Now, on day three of an open-ended strike that began December 2, APPs continue to show up, ready to return to the bargaining table and meet with a federal mediator at any time. Legacy management still refuses to come to the table.  

 

APPs include nurse practitioners, physician associates, clinical nurse specialists, and certified nurse midwives.

Attached Media Files: Advanced Practice Providers from OHSU hold an informational picket and rally at the OHSU Waterfront Campus on Sept. 24, 2025. Photo Courtesy of Kevin Mealy, ONA., OHSU APPs Picket 2.jpg, OHSU APPs Picket 3.jpg,