A lawsuit filed on September 18 in U.S. District Court for the Eastern District of California accuses SEIU-United Healthcare Workers West, led by Dave Regan, of using ballot measures like Proposition 44 to extort small healthcare organizations across California. The plaintiffs, including several health clinics and associations, allege that the union spent $216 million in dues money pushing divisive ballot initiatives as a means to extract concessions such as new union members and favorable election procedures. SEIU-UHW denies these claims, calling them "categorically false."
Written locally by qwen2.5:14b on 2026-09-19,
using this article's own text rather than the other coverage of the
same event (that is the story summary below).
Dave Regan and SEIU-United Healthcare Workers West, the California union behind a proposed billionaire tax, facing allegations of mob-like “shakedown” tactics in an explosive lawsuit that claims the organization used a ballot measure in order to “extort” small heath care organizations.
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organization → propose → organizations
The 67-page civil lawsuit, filed Sept. 18 in the U.S. District Court for the Eastern District of California, accuses the union and its boss of “unlawful and extortionist practices” in spending millions in union dues on divisive ballot measures in order to extract concessions from community health centers and others across the state.
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lawsuit → file → state
The suit cites Prop. 44 as a primary example of the union’s alleged bad-faith tactics.
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suit → cite → tactics
The prop, pushed by the union after a similar legislative effort failed last year, would require clinics to spend 90% of their revenues on patient care, allowing the state to fine clinics that don’t comply.
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that → push → clinics
The lawsuit alleges the union offered to drop the measure “in exchange for an agreement on union election procedures at clinics, including demanding clinics provide SEIU-UHW with 25,000 new union members,” according to a press release.
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clinics → allege → release
The plaintiffs, who include several small clinics across the state, claim the behavior amounts to violations of the Racketeer Influenced and Corrupt Organizations Act, known as RICO — a “sustained racketeering scheme,” they said.
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they → include → RICO
The union’s tactics fit a pattern, according to critics, of using costly and controversial ballot measures as leverage to obtain “to obtain money, property, access rights, confidential information, and control over core business functions and labor-relations policies—interests that constitute “property” under federal and California law,” per the complaint.
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that → fit → complaint
“It’s inexcusable that Dave Regan and UHW have orchestrated a multi-year campaign of threats and bullying that would inflict crippling damage on health centers like ours and the patients we treat,” said Brandon Thornock, CEO of plaintiff Shasta Community Health Center, in a statement.
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Thornock → ’ → statement
Jo Cambell, CEO of Hill Country Community Clinic, called the union’s actions a “repulsive act of politics.”
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Cambell → call → politics
Prop 44 would have devastating effects for patients across our region,” she said.
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she → have → region
Other plaintiffs include California Primary Care Association, Mountain Valleys Health Centers, Centro de Salud de la Comunidad de San Ysidro, Inc., and McCloud Healthcare Clinic, Inc.
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plaintiffs → include → Inc.
The lawsuit alleges that SEIU-UHW has spent $216 million in money derived from union dues pushing dozens of ballot measures.
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UHW → allege → measures
The SEIU-UHW called the allegations “categorically false.”
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UHW → call → allegations
“This is the second time the [California Primary Care Association] has attempted to use legal filings to bully SEIU-UHW members into backing down from holding clinics and their CEOs accountable to the patients and communities they are supposed to serve,” a spokesperson said in a statement.
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spokesperson → attempt → statement
“CPCA’s first lawsuit attempting to keep Prop 44 off the ballot was dismissed, with the judge chastising the CPCA for attempting to prevent SEIU-UHW members from using the democratic process by filing ballot measures, saying: ‘Isn’t that what democracy allows them to do?
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them → attempt → what
You want to take that power away from the people — that is what you are asking me to do?'” the statement continued.
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statement → want → me
The union defended Prop. 44, saying it will “increase transparency, reduce wasteful executive spending, and ensure clinic healthcare dollars go where they belong: caring for Californians in need.”
That claim emerged as part of two a law firm’s investigation into Regan’s behavior, which was spurred by complaints lodged this year about intimidation and bullying by the labor leader.
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which → defend → leader
The firm’s report substantiated allegations that he threatened and intimidated women who served on the SEIU’s state council to strong-arm them into supporting the billionaire tax.
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who → substantiate → tax
Regan’s representatives denied those allegations, claiming they are motivated by political disagreements.
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they → deny → disagreements
“At the center is a trumped-up claim from 17 years ago that comes less than two months before the billionaire tax goes to the voters — a claim from someone whose firm is being paid handsomely to work against the billionaire tax,” SEIU-UHW officials previously said, referring to the allegation from Pugh.
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officials → trump → Pugh
The Aporia
