On September 24, 2019, Kaiser Permanente reached a tentative four-year contract agreement with the Coalition of Kaiser Permanente Unions, which had voted to strike. The unions agreed to withdraw the strike threat. The Coalition union members are voting on whether to ratify the contract. Voting is expected to be completed by the end of October. The Coalition of Kaiser Permanente Unions represents more than 85,000 unionized employees enrolled in 11 local unions across the United States. If ratified, the four-year contract will have an effective date of October 1, 2019. The contract will cover 67,000 employees . . .