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An Act to amend the National Labor Relations Act to extend its coverage and protection to employees of nonprofit hospitals, and for other purposes.

Public Law 93-360 · S. 3203 · 93rd Congress · began in the Senate

Signed by Richard Nixon (R) on Jul 26, 1974 · Health

Sponsor: Sen. Harrison Williams (D-NJ)

Cosponsors (9): Sen. Alan Cranston,

Passage votesYeaNay

  • HouseRecorded vote: 205 yea, 193 nay205–193
  • SenateRecorded vote: 64 yea, 29 nay64–29
Data notes

The final version of the law, as each chamber passed it. A chamber that passed it by voice vote or unanimous consent has no count. “Method not stated” means the record does not say how the chamber voted. Where the record has a member-by-member vote, the “Who voted for it” section shows who voted yea.

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Summary

The Congressional Research Service’s plain-language summary of what the law does.

Extends the coverage of the National Labor Relations Act to employees of nonprofit hospitals. Defines the term "health care institution" for purposes of this Act. Sets forth collective bargaining, notice, mediation, and agreement procedures to govern employees of a health care institution.

Provides that if a labor dispute between a health care institution and its employees, in the judgement of the Director of the Federal Mediation and Conciliation Service, threatens to substantially interrupt the delivery of health care, the Director shall create a board to investigate and report respecting such labor dispute. Sets forth the criteria for board membership and the procedures to be followed in settlement of the dispute.

Provides that an employee of a health care institution who is a member of and adheres to tenents or teachings of a bona fide religion, body, or sect which has historically held conscientious objections to joining or financially supporting labor organizations shall not be required to join or financially support any labor organization as a condition of employment. Provides for periodic payments by such employees to a nonreligious, charitable fund.

Who voted for it

Every senator of the 93rd Congress on the ideology compass. Highlighted: the 66 who voted yea on final passage. Faded: everyone else, including those who voted nay, did not vote, or had not yet taken office.

66 yea29 nay6 present or did not vote

Dimension 2
Economic left–right
More liberalMore conservative

Democrats who voted yea(48)

  • Sen. James AbourezkD-SD
  • Sen. Harold HughesD-IA
  • Sen. Mike MansfieldD-MT
  • Sen. William ProxmireD-WI
  • Sen. Gaylord NelsonD-WI
  • Sen. Dick ClarkD-IA
  • Sen. Lee MetcalfD-MT
  • Sen. Howard MetzenbaumD-OH
  • Sen. William HathawayD-ME
  • Sen. Philip HartD-MI
  • Sen. Ted KennedyD-MA
  • Sen. Rupert HartkeD-IN
  • Sen. Joseph BidenD-DE
  • Sen. Floyd HaskellD-CO
  • Sen. Walter MondaleD-MN
  • Sen. Thomas EagletonD-MO
  • Sen. Quentin BurdickD-ND
  • Sen. Birch BayhD-IN
  • Sen. Stuart SymingtonD-MO
  • Sen. Adlai StevensonD-IL
  • Sen. Edmund MuskieD-ME
  • Sen. Dee HuddlestonD-KY
  • Sen. Alan CranstonD-CA
  • Sen. Harrison WilliamsD-NJ
  • Sen. Frank MossD-UT
  • Sen. Abraham RibicoffD-CT
  • Sen. Hubert HumphreyD-MN
  • Sen. Claiborne PellD-RI
  • Sen. Mike GravelD-AK
  • Sen. Warren MagnusonD-WA
  • Sen. Lawton ChilesD-FL
  • Sen. Robert ByrdD-WV
  • Sen. Joseph MontoyaD-NM
  • Sen. John TunneyD-CA
  • Sen. John PastoreD-RI
  • Sen. Jennings RandolphD-WV
  • Sen. Thomas McIntyreD-NH
  • Sen. Daniel InouyeD-HI
  • Sen. Fritz HollingsD-SC
  • Sen. Scoop JacksonD-WA
  • Sen. Russell LongD-LA
  • Sen. Lloyd BentsenD-TX
  • Sen. Gale McGeeD-WY
  • Sen. Samuel NunnD-GA
  • Sen. Herman TalmadgeD-GA
  • Sen. John SparkmanD-AL
  • Sen. James AllenD-AL
  • Sen. James EastlandD-MS

Republicans who voted yea(18)

  • Sen. Clifford CaseR-NJ
  • Sen. Richard SchweikerR-PA
  • Sen. Edward BrookeR-MA
  • Sen. Jacob JavitsR-NY
  • Sen. Mark HatfieldR-OR
  • Sen. Robert StaffordR-VT
  • Sen. James PearsonR-KS
  • Sen. Charles PercyR-IL
  • Sen. Lowell WeickerR-CT
  • Sen. Robert PackwoodR-OR
  • Sen. George AikenR-VT
  • Sen. Ted StevensR-AK
  • Sen. Marlow CookR-KY
  • Sen. John BeallR-MD
  • Sen. Hugh ScottR-PA
  • Sen. Pete DomeniciR-NM
  • Sen. Hiram FongR-HI
  • Sen. Robert TaftR-OH
Data notes

The Senate’s recorded vote on the final version of the law (roll call 874 in Voteview), matched to the vote the record cites and checked against its totals. Positions are each member’s DW-NOMINATE score for that Congress, as on the Ideology page; left to right is more liberal to more conservative. Paired and announced yea votes count as yea. Lists follow the compass, most liberal first. A name links to a profile only for members of the current Congress. A law passed by voice vote or unanimous consent has no member list, and neither does a vote Voteview has not yet recorded.

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Committees

The committees the bill was sent to, and what each did with it.

Data notes

A committee links to its page only where it exists in the current Congress; older and renamed committees are named without a link.

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Timeline

From introduction to signing, newest first: the committees, the floor and the president. 19 actions.

  1. Jul 26, 1974Became lawBecame law · Signed by President.
  2. PresidentPresident · Public law 93-360.
  3. Jul 15, 1974PresidentPresident · Measure presented to President.
  4. Jul 11, 1974Resolving differencesResolving differences · House agreed to conference report, roll call #374(205-193).House roll call 374
  5. Resolving differencesResolving differences · Conference report agreed to in House: House agreed to conference report, roll call #374(205-193).House roll call 374
  6. Jul 10, 1974Resolving differencesResolving differences · Senate agreed to conference report, roll call #292 (64-29).Senate roll call 292
  7. Resolving differencesResolving differences · Conference report agreed to in Senate: Senate agreed to conference report, roll call #292 (64-29).Senate roll call 292
  8. Jul 8, 1974Resolving differencesResolving differences · Conference report filed in Senate, S. Rept. 93-988.
  9. Resolving differencesResolving differences · Conference report filed: Conference report filed in Senate, S. Rept. 93-988.
  10. Jul 3, 1974Resolving differencesResolving differences · Conference report filed in House, H. Rept. 93-1175.
  11. Resolving differencesResolving differences · Conference report filed: Conference report filed in House, H. Rept. 93-1175.
  12. Jun 13, 1974Resolving differencesResolving differences · Conference scheduled in Senate.
  13. May 30, 1974Resolving differencesResolving differences · Conference scheduled in House.
  14. FloorFloor · Measure passed House, amended, in lieu of H.R. 13678.
  15. May 8, 1974CommitteeCommittee · Referred to House Education and Workforce Committee
  16. May 7, 1974FloorFloor · Measure passed Senate, amended, roll call #185 (63-25).Senate roll call 185
  17. Apr 2, 1974CommitteeCommittee · Reported by Senate Health, Education, Labor, and Pensions Committee
  18. Mar 20, 1974CommitteeCommittee · Referred to Senate Health, Education, Labor, and Pensions Committee
  19. IntroducedIntroduced · Introduced in the Senate
Data notes

Shows the introduction, each committee and subcommittee step the source dates (referral, hearings, markup, report, discharge), and the floor, conference, presidential and became-law steps. Calendar placements, messages between the chambers, amendments and committee report numbers are not shown for laws before the 108th Congress. Two entries the source lists twice are shown once.

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Official record

The bill’s full text and every action, including introduction and committee steps, are on Congress.gov. Data through Oct 7, 2026.