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HomeHealthcareAttorneys Basic, HCA Settle Over Nurse Coaching Compensation Provisions

Attorneys Basic, HCA Settle Over Nurse Coaching Compensation Provisions

California Lawyer Basic Rob Bonta has introduced a settlement with HCA Healthcare Inc. and Well being Belief Workforce Options LLC (collectively, HCA), resolving allegations that HCA unlawfully required entry-level nurse workers to repay the price of a compulsory coaching program if they didn’t stay employed with the corporate for 2 years.

One of many nation’s largest hospital programs, for-profit HCA has a number of hospitals in California.

As we speak’s settlement is the results of a years-long investigation by attorneys common in California, Colorado and Nevada, working in partnership with the Biden Administration’s Shopper Monetary Safety Bureau. The states’ investigation discovered that HCA violated California employment and client safety legal guidelines in addition to the federal client monetary safety legal guidelines through the use of coaching reimbursement settlement provisions (TRAPs) in nurses’ employment contracts. These TRAPs are a type of employer-driven debt, or debt obligations incurred by people by employment preparations.

Right here is how the California legal professional common’ s workplace described HCA’s nursing coaching program and the settlement: As a situation of employment at an HCA hospital, HCA typically requires that entry-level nurse workers full the Specialty Coaching Apprenticeship for Registered Nurses (StaRN) Residency Program. The corporate has marketed StaRN as an avenue for entry-level RNs to get the schooling and coaching they should land their first nursing jobs in an acute-care hospital setting, though StaRN doesn’t present nurses with schooling or coaching essential for licensure as an RN.

Till the spring of 2023, HCA required that RNs employed by the StaRN program at services in a number of states, together with California, signal a TRAP settlement of their new-hire paperwork. The TRAPs presupposed to require nurses to repay a prorated portion of the StaRN “worth” if they didn’t work for HCA for 2 years. If a nurse left HCA earlier than the tip of the two-year interval, then the TRAP mortgage was usually despatched to debt assortment.

HCA imposed TRAPs on nurses who labored at their 5 hospitals in California: Good Samaritan Hospital in San Jose; Regional Medical Middle in San Jose; Los Robles Regional Medical Middle in Thousand Oaks; Riverside Neighborhood Hospital in Riverside; and West Hills Hospital & Medical Middle in West Hills (now not beneath HCA possession).

Underneath California’s settlement, HCA will:
• Pay roughly $83,000 to offer full restitution to California nurses who made funds on their TRAP debt to HCA.
• Be prohibited from imposing TRAPs on nurse workers and trying to gather on the roughly $288,000 in excellent TRAP debt incurred by California nurses who signed TRAPs with HCA.
• Pay $1,162,900 in penalties to California.
• 
HCA pays a complete of $2,900,000 in penalties beneath settlements filed in California, Colorado, and Nevada at this time.

“All too typically, employer-driven debt forces staff to stay in jobs that they might in any other case depart. That’s not simply fallacious; it’s unlawful beneath state and federal regulation. Employees should have the ability to pursue higher pay and higher working situations — not be trapped by debt that their employer makes them take out,” stated Lawyer Basic Bonta in a press release. “I’m grateful to my fellow attorneys common in Colorado and Nevada for his or her partnership. With at this time’s settlement, we’re taking a stand for staff in our states by holding HCA Healthcare accountable — guaranteeing that every one affected nurses are made entire financially, that the corporate pays a penalty for its wrongdoing, and that the corporate is topic to robust injunctive phrases to discourage future misconduct.”

Nursing unions applauded the settlement. “California Nurses Affiliation and our nationwide union, Nationwide Nurses United, wish to thank Lawyer Basic Bonta for his management in addressing this rising pattern of employers, resembling HCA, utilizing debt reimbursement contracts to lock nurses and different staff into jobs,” stated Sandy Reding, R.N., president of the California Nurses Affiliation, in a press release. “HCA, the most important for-profit hospital system within the nation, has a shameful observe file of utilizing predatory stay-or-pay contracts, or Coaching Compensation Settlement Provisions (TRAPS), which handcuff nurses to our employers by the specter of critical monetary penalties or spoil. No nurses and no different staff must be locked right into a job beneath the load of debt to their employer.”

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