Hepner J O
Washington University School of Medicine, St. Louis, MO.
Case Stud Health Adm. 1987;6:157-65.
On August 25, 1974 the Taft-Hartley Amendments (Public Law 93-360) took effect and mandated that voluntary not-for-profit hospitals enter into the process of collective bargaining. The belated entrance of these hospitals into the process stems from a change in the Taft-Hartley Act of 1947 where the law specifically exempted voluntary hospitals from the National Labor Relations Act (NLRA) of 1935. In deleting this exemption, Congress extended labor relations protection to employees of voluntary hospitals and all other healthcare institutions except those under government and public ownership. As far as most hospital chief executive officers were concerned, labor relations would never be the same again.
1974年8月25日，《塔夫脱-哈特利修正案》（公法93-360）生效，规定自愿非营利性医院要进入集体谈判程序。这些医院姗姗来迟地进入该程序，源于1947年《塔夫脱-哈特利法案》的一项变动，该法案明确将自愿医院排除在1935年的《国家劳动关系法》（NLRA）之外。国会取消了这项豁免，将劳动关系保护扩展至自愿医院及所有其他医疗保健机构的员工，但政府和公有制机构的员工除外。就大多数医院首席执行官而言，劳动关系从此将大不相同。
