The largest nurses strike in New York City history has begun after negotiators for five major hospitals and the state nurses union failed to agree to a new contract by Monday’s deadline.
The New York State Nurses Association said nearly 15,000 nurses are now walking off their jobs at five privately-run hospitals, including Mount Sinai Hospital, Mount Sinai Morningside, Mount Sinai West and NewYork-Presbyterian in Manhattan, and Montefiore Einstein in the Bronx.
NYSNA said nurses at Mount Sinai started the strike at 6 a.m., while nurses at the remaining hospitals started picketing an hour later.
Gov. Kathy Hochul declared a state of emergency in anticipation of the strike amid worries it could jeopardize critical care for thousands of patients in the city.
Yuki Iwamura / AP 
Montefiore said it was preparing for the strike to last multiple weeks.
Montefiore Senior Vice President Joe Solmonese said, “NYSNA’s leaders continue to double down on their $3.6 billion in reckless demands, including nearly 40% wage increases, and their troubling proposals like demanding that a nurse not be terminated if found to be compromised by drugs or alcohol while on the job. We remain resolute in our commitment to providing safe and seamless care, regardless of how long the strike may last.”
A Mount Sinai spokesperson said, “Unfortunately, NYSNA decided to move forward with its strike while refusing to move on from its extreme economic demands, which we cannot agree to, but we are ready with 1,400 qualified and specialized nurses – and prepared to continue to provide safe patient care for as long as this strike lasts.”
A statement from NewYork-Presbyterian said, “While NYSNA has told nurses to walk away from the bedside, we remain focused on our patients and their care. This strike is designed to create disruption, but we have taken the necessary steps so our patients continue to receive the care they trust us to provide … We’re ready to keep negotiating a fair and reasonable contract that reflects our respect for our nurses and the critical role they play, and also recognizes the challenging realities of today’s healthcare environment…We have proposed significant wage increases that keep our nurses among the highest paid in the city, enhancements to their outstanding employer-funded benefits and new measures that reflect our shared commitment to safe staffing and workplace safety. However, good faith bargaining requires compromise from both sides.”
Mamdani joins picket line
New York City Mayor Zohran Mamdani joined picketers outside NewYork-Presbyterian in Washington Heights.
“In every one of our city’s darkest periods, nurses showed up to work. Their value is not negotiable and there worth is not up for debate,” Mamdani said. “They show up and all they are asking for in return is dignity, respect and the fair pay and treatment that they deserve. They should settle for nothing less.”
Mamdani released a similar statement the night before the strike on X.
“This city can and must ensure the continuity of care. FDNY, Emergency Management, the public health system and all of my senior leadership are working tirelessly to ensure nurses’ demands for dignity can be heard and care is still received,” the mayor said.
Mamdani urged both sides to meet at the bargaining table.
Michael M. Santiago / Getty Images 
“They must bargain in good faith and they must arrive at a deal that is satisfactory to all, that allows the nurses who work in this city to live in this city,” he said.
Hochul also said she wants a deal made as soon as possible.
Why are nurses on strike?
Both sides bargained throughout the weekend, but were unable to make a deal.
NYSNA has accused Montefiore, Mount Sinai and NewYork-Presbyterian of putting profits over safe patient care. The union said the wealthiest hospital systems in the city are refusing to compromise on issues like pay raises, safe staffing levels, full health care coverage, pensions and workplace protections against violence.
“Health care workers are being stretched to their limits, and as workplace violence in hospitals is on the rise, nurses are asking simply for the basics,” New York Attorney General Letitia James said at the news conference with Mamdani.
Cecilia Barreto, a registered nurse picketing outside Mount Sinai West, said striking was a last resort.
“I have been here to two years and I’ve made such great bonds with the nurses here, and I know that there are nurses who have battled cancer and depend on their health care. So we need to make sure that the health care we receive stays intact because their lives depend on it,” Barreto said.
“Instead of guaranteeing health care for nurses, these wealthy hospitals are pushing to cut health benefits for nurses who put their own health on the line to care for New Yorkers,” Nancy Hagans, president of NYSNA, said on Saturday.
Yuki Iwamura / AP 
An earlier statement from Montefiore called some of the demands “reckless and irresponsible.” All of the hospitals impacted called the strike “reckless” in a joint statement, accusing the nurses of abandoning patients.
“NYSNA leadership has chosen to abandon patients in their time of need, but Montefiore Medical Center, Mount Sinai, and NewYork-Presbyterian will not. Their decision to walk out on our patients can only be described as reckless,” the hospitals said.
Some hospitals in the area were able to reach a deal with NYSNA, including all of Northwell Health facilities in Nassau County, while others previously pulled back their strike notices.
What the strike means for patients
Gov. Hochul last week signed executive orders to ensure the state Department of Health has staff at the impacted hospitals for the duration of the New York City nurses strike, ensuring patient safety and continuity of care.
Montefiore said that emergency rooms will remain open.
Hospital officials said no one should delay treatment or put off appointments, but patients should be alert for any direct updates from their health care providers.
NYSNA also said patients should continue to seek care, with leaders at a news conference Sunday saying going to get care is not crossing a strike line.
The bottom line for patients is that the hospitals will remain open and care will continue during the strike.
Odalis Perez Munoz, whose daughter is at Morgan Stanley Children’s Hospital, said the strike is impacting her child’s care.
“We are in cardiology, and having new/unknown nurses causes chaos because they don’t understand the level of care we need and have been getting from our nurses out on strike,” she said.
Perez Munoz posted a picture of her daughter on Facebook with picket signs saying “My new heart beats because of my nurses,” and “I stand with my nurses!”
Odalis Perez Munoz via Facebook 
Nurses can’t pick up prescriptions at Montefiore Hospital
A video shows one nurse being denied access to the Montefiore Weiler Hospital while trying to pick up prescriptions.
The nurse said employees’ health insurance is through Montefiore, and they can only pick up medications from a Montefiore pharmacy.
“Additionally, many nurses live in The Bronx, and their families get their care from Montefiore. If their family goes to the ER or is admitted, they’re saying we can’t go visit them,” the nurse said in a statement.
The woman in the video tells the security guard she is contracted to receive medications only through this pharmacy.
The guard says they should’ve made arrangements to pick up the medication before, as they knew the strike was happening on Monday.
A Montefiore spokesperson said nurses who are on strike can request their prescriptions be delivered directly to their homes.
“NYSNA nurses are able to attend any medical appointments scheduled at the medical center during the strike, as well as visit any family members who are inpatients, as long as they can provide proper documentation,” a statement read.
