1. 1. Applicability.

   This Supplement only applies to covered health care facility employees under Part 4 of Division 2 of the Labor Code (commencing with Labor Code section 1182.14). This order incorporates the definitions of terms in Labor Code section 1182.14(b).

2. 2. Minimum Wages.

   1. (A) For any covered health care facility employer with 10,000 or more full-time equivalent employees, that is part of an integrated health care delivery system or health care system with 10,000 or more full-time equivalent employees, that is a dialysis clinic as defined in subdivision (b) of Section 1204 of the Health and Safety Code or that is a person that owns, controls, or operates a dialysis clinic, or that is owned, affiliated, or operated by a county with a population of more than 5 million as of January 1, 2023, the minimum wage for all covered health care employees shall be as follows:

      1. (1) From October 16, 2024 to June 30, 2025, inclusive, twenty-three dollars ($23) per hour.
      2. (2) From July 1, 2025 to June 30, 2026, inclusive, twenty-four dollars ($24) per hour.

      3. (3) From July 1, 2026 and until adjusted for inflation, twenty-five dollars ($25) per hour.

         For information regarding lists of health care facilities with 10,000 or more full-time equivalent employees, visit: https://hcai.ca.gov/wp-content/uploads/2024/04/SB-525-Fact-Sheet-HCAI-Hospital-Lists-04_23_24.pdf

   2. (B) For any hospital that is a hospital with a high governmental payor mix, an independent hospital with an elevated governmental payor mix, a rural independent covered health care facility, or a health care facility that is owned, affiliated, or operated by a county with a population of less than 250,000 as of January 1, 2023, the minimum wage for all covered health care employees shall be as follows:

      1. (1) From October 16, 2024 to June 30, 2025, inclusive, eighteen dollars ($18) per hour; from July 1, 2025 to June 30, 2026, inclusive, eighteen dollars and sixty-three cents ($18.63); from July 1, 2026 to June 30, 2027, inclusive, nineteen dollars and twenty-eight cents ($19.28); from July 1, 2027 to June 30, 2028, inclusive, nineteen dollars and ninety-five cents ($19.95); from July 1, 2028 to June 30, 2029, inclusive, twenty dollars and sixty-five cents ($20.65); from July 1, 2029 to June 30, 2030, inclusive, twenty-one dollars and thirty-seven cents ($21.37); from July 1, 2030 to June 30, 2031, inclusive, twenty-two dollars and twelve cents ($22.12); from July 1, 2031 to June 30, 2032, inclusive, twenty-two dollars and eighty-nine cents ($22.89); and from July 1, 2032 to June 30, 2033, inclusive, twenty-three dollars and sixty-nine cents ($23.69).

      2. (2) From July 1, 2033 and until adjusted for inflation, twenty-five dollars ($25) per hour.

         1. (a) A clinic as defined in subdivision (h) of Section 1206 of the Health and Safety Code, that is not operated by or affiliated with a clinic described in subdivision (b) of Section 1206 of the Health and Safety Code.
         2. (b) A community clinic licensed under subdivision (a) of Section 1204 of the Health and Safety Code, and any associated intermittent clinic exempt from licensure under subdivision (h) of Section 1206 of the Health and Safety Code.
         3. (c) A rural health clinic, as defined in paragraph (1) of subdivision (l) of Section 1396d of Title 42 of the United States Code, that is not license-exempt.

         4. (d) An urgent care clinic that is owned by or affiliated with a facility defined in clause (a) or (b).

            (2)(a) From October 16, 2024 to June 30, 2026, inclusive, twenty-one dollars ($21) per hour.

         5. (b) From July 1, 2026 to June 30, 2027, inclusive, twenty-two dollars ($22) per hour.
         6. (c) From July 1, 2027 and until adjusted for inflation, twenty-five dollars ($25) per hour.

         For information regarding lists of health care facilities with a high governmental payor mix, independent hospitals with an elevated governmental payor mix, or rural independent covered health care facilities, visit: https://hcai.ca.gov/wp-content/uploads/2024/04/SB-525-Fact-Sheet-HCAI-Hospital-Lists-04_23_24.pdf

         (C)(1) For any health care facility specified in clauses (a) to (d), inclusive, the minimum wage for all covered health care employees shall be as set forth in subparagraph (2).

   3. (D) For all other covered health care facility employers pursuant to Labor Code section 1184.14, the minimum wage for all covered health care employees shall be as follows:

      1. (1) From October 16, 2024 to June 30, 2026, inclusive, twenty-one dollars ($21) per hour.
      2. (2) From July 1, 2026 to June 30, 2028, inclusive, twenty-three dollars ($23) per hour.
      3. (3) From July 1, 2028 and until adjusted for inflation, twenty-five dollars ($25) per hour.

   4. (E) Exceptions or Delayed Implementation.

      1. (1) The State. The health care minimum wage does not apply to any facility owned, controlled, or operated by the state or any state agency, including every state office, officer, department, division, board, and commission under the executive branch, California State University or California State Community College. Health care districts and the University of California are covered by the law.
      2. (2) Counties. A covered health care facility that is county owned, affiliated, or operated shall not be required to comply with Section 2(A)-(B) before January 1, 2025, but shall comply with the appropriate schedule in Sections 2(A)-(B) commencing on January 1, 2025.
      3. (3) Waivers: certain clinics. A covered health care facility that is a clinic under subsection (C)(1) of this section may apply for -- and the Department of Industrial Relations shall grant -- a waiver to postpone implementation of the applicable minimum wage if the clinic meets specific requirements.

   Except as provided in (E) of this section and pursuant to definitions, coverage requirements, conditions, and exceptions provided in Labor Code section 1182.14, covered health care facility employers shall pay to each employee wages not less than the following, on each effective date, per hour for all hours worked.

3. 3. Amended Provisions.

   This Supplement only establishes a special minimum wage amount applicable to covered health care employees separate from the amount stated in Section 2 of the general minimum wage order and Section 4(A) of IWC Orders 4 and 5. This supplement makes no other changes to any other sections of the minimum wage amounts in other industry and occupation orders.

   This Supplement to the Wage Orders shall be in effect as of October 16, 2024.

(MW-Supplement for Health Care Facility Employees, effective 10-16-2024)

Summary of Actions.

TAKE NOTICE that the Governor of California signed legislation passed by the California Legislature, raising the minimum wage payable by certain Health Care Facility employers (SB 525, Ch. 890, Statutes 2023; SB 828, Ch. 12, Stats. 2024; and SB 159, Stats. 2024). Pursuant to its authority under Labor Code section 1182.13 and to conform the minimum wage order with these enactments, the Department of Industrial Relations publishes this Supplement to the General Minimum Wage Order for Health Care Facility employees.

This Supplement must be made available to employees in accordance with the IWC's wage orders. Copies of the full text of the amended wage orders may be obtained by downloading online at https://www.dir.ca.gov/iwc/WageOrderIndustries.htm or by contacting your local Division of Labor Standards Enforcement office. Additional information regarding the health care minimum wage, including the types of health care facilities covered, may be found here: https://www.dir.ca.gov/dlse/Health-Care-Worker-Minimum-Wage-FAQ.htm.

Note: Authority cited: Sections 1182.13 and 1182.14, Labor Code. Reference: Sections 1182.12, 1182.14 and 1182.16, Labor Code.

History

1. Change without regulatory effect adopting prefacing paragraphs and adopting paragraphs 1, 2.(B) - final paragraph and 3 submitted to OAL pursuant to section 100, title 1, California Code of Regulations. Changes adopting paragraphs 2.(A), 2.(B)(1)-(2), 2.(C)-(E) and Note submitted to OAL for filing and printing only pursuant to Labor Code section 1183.14(f)(2)(C) filed 7-17-2025; operative 10-16-2024 (Register 2025, No. 29).