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Know Your Contract

Current Collective Bargaining Agreement

The Housestaff Association Collective Bargaining Agreement is the contract between HSA and Cook County Health. It establishes many of the rights, benefits, protections, and working conditions that apply to interns, residents, and fellows in the bargaining unit.

Below you can view or download the current full Collective Bargaining Agreement and the current contract extension agreement.

Full Collective Bargaining Agreement

Review the complete HSA Collective Bargaining Agreement, including provisions related to compensation, benefits, scheduling, leave, educational support, grievances, discipline, and more.

Quick Contract Highlights

The current agreement includes important protections and benefits for HSA-represented residents and fellows, including:

Commonly Used Sections:

Salary & Stipends — pp. 3, 6, 8–11
Hours & Scheduling — pp. 28–31
Educational Stipend — p. 42
Leave — pp. 31–36
Discipline & Remediation — pp. 43–45
Grievance Procedure — pp. 45–48
Disability Insurance — p. 40

Wage increases through the current extension period.
A $2,500 lump-sum payment for eligible housestaff working in December 2025
A $240 per-paycheck meal stipend
Health, dental, vision, and disability benefits
Educational stipend and reimbursement protections
Limits and protections related to work hours and scheduling
Due process and representation in disciplinary or remediation-related matters
A formal grievance process to enforce the contract
Paid leave and holiday protections

Not Sure What Applies to Your Situation?

The contract can be lengthy, and not every workplace issue is straightforward. Reach out to HSA if you have questions about scheduling, compensation, leave, reimbursements, benefits, discipline, patient care, safety, or another workplace concern.

Email HSA: admin@hsacc.org

Grievance Support: grievances@hsacc.org

Need Help With a Workplace Issue?

If you believe the contract may have been violated, or you are unsure where to start, contact HSA before responding to management or signing documents related to a workplace concern. Contact HSA / Request Support