Description: On July 10, 2025, our office received from the California Department of Human Resources (CalHR) a proposed successor memorandum of understanding (MOU) between the state and Bargaining Unit 16. Unit 16 consists of physicians, psychiatrists, dentists, podiatrists, and other medical professionals who work in institutionalized settings, such as prisons and hospitals. Unit 16’s current members are represented by the Union of American Physicians and Dentists (UAPD). The current MOU between the state and UAPD expired on July 1, 2025. If the proposed successor MOU is not ratified, the provisions of the expired MOU generally would remain in effect as is required by the Ralph C. Dills Act (Dills Act). This analysis of the proposed agreement fulfills our statutory requirement under Section 19829.5 of the Government Code.