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Some members received a memo from the employer saying that their institution is being integrated to Santé Québec. While we will continue to denounce this decision, which will further centralize health and social services, we wanted to reassure you about the process that is under way. We understand that this transition may raise questions, so we have created this FAQ, which we will update, to address your concerns.

1. What’s involved in integrating institutions to Santé Québec?

It involves bringing 30 health and social services institutions – 22 CISSS and CIUSSS and 8 other institutions – under the umbrella of Santé Québec, which will become the employer for most health and social services employees.

2. Which CISSS and CIUSSS are affected by the integration?

The CISSS and CIUSSS for Bas-St-Laurent, Saguenay—Lac-St-Jean, Capitale-Nationale, Mauricie-et-du-Centre du Québec, Estrie, Est-de-l'Île-de-Montréal, Montréal West Island, West Central Montréal, Centre-Sud-de-l'Île-de-Montréal, Nord-de-l'Île-de-Montréal, Outaouais, Abitibi-Témiscamingue, Côte-Nord, Gaspésie, Îles-de-la-Madeleine, Chaudière-Appalaches, Laval, Lanaudière, Laurentides, Montérégie-Centre, Montérégie-Est and Montérégie-Ouest.

3. Which other institutions are affected by the integration?

The other institutions affected are the CHU de Québec - Université Laval, IUCPQ - Université Laval, CH de l'Université de Montréal (CHUM), McGill University Health Centre (MUHC), CHU Sainte-Justine, Montreal Heart Institute and INPL Philippe-Pinel.

4. What happens to private institutions under agreement?

Private institutions under agreement, as well as institutions outside the health and social services system, will not be integrated to Santé Québec. These institutions’ employees are not affected by the changes resulting from the transition to Santé Québec. 

5. When will the integration to Santé Québec be official?

All institutions will become part of Santé Québec by December 1, 2024.

6. What impact will the integration of my institution to Santé Québec have on my position?

This transition won’t have an impact on your position or your job status.

7. Does the current collective agreement remain in force, or do we need to renegotiate it?

The local and national provisions of the 2023-2028 collective agreement remain in force until further notice. For details, please see questions 8 and 9.

8. Does the integration to Santé Québec change the bargaining units?

Bargaining units won’t change in the short term, but they will be merged on December 31, 2025, or at an earlier date determined by the government. 

9. What will happen once the bargaining units are merged?

From that date, the unions representing a job class have 110 days to submit a request for certification. If, and only if, more than one union submits a request for certification to represent a job class, a union allegiance vote will be triggered. At the end of this union allegiance period, new local provisions will have to be negotiated within 18 months.

10. Is system-wide seniority already in effect?

No, system-wide seniority will not be in effect before the end of the bargaining process for local provisions (or 18 months from the end of the union allegiance period, as indicated in question 9).