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American political dynamics around healthcare and other issues could be changed by a U.S. Supreme Court decision Wednesday that significantly weakens public-sector labor unions. In a ruling with major ramifications for healthcare organizations, a bitterly split high court ruled that public-sector unions cannot collect mandatory service fees from members for representing them in contract negotiations. (Meyer, 6/27)

The 5-4 vote, along conservative-liberal lines, on Wednesday overruled a 1977 precedent that had fueled the growth of public-sector unionization even as representation has withered in private industry. More than one-third of public employees are unionized, compared with just 6.5% of those in the private sector, according to a January report from the Bureau of Labor Statistics. The impact of the ruling is likely to stretch far beyond the workplace, sapping resources from unions such as the American Federation of State, County and Municipal Employees and the National Education Association that have provided funds, resources and activists largely in support of Democratic candidates. (Bravin, 6/27)

The court’s decision is the latest evidence that moves to weaken unions are exacting a major toll. Beyond the dropout campaigns aimed at members, conservatives are bringing lawsuits to retroactively recover fees collected by unions from nonmembers. (Scheiber, 6/27)

California’s public employee unions, for decades some of the state’s towering political giants, knew this day was coming. Now, after a majority of justices on the U.S. Supreme Court struck down the legality of the fees charged to nonmember workers — sometimes totaling hundreds of dollars a year — union leaders are relying on plans they’ve been carefully crafting for more than five years. “No one is trying to pretend that it’s not a hit,” said Alma Hernandez, the executive director of the Service Employees International Union’s California state council. “But I think that the work that our locals have done across the state will help us maintain a majority of our members in the union.” (Myers, 6/27)

In effectively knocking down a California law aimed at regulating anti-abortion crisis pregnancy centers, the U.S. Supreme Court delivered a blow to abortion-rights supporters who saw the law as a crucial step toward beating back the national movement against the procedure. Democratic-led California became the first state in 2016 to require the centers to provide information about access to birth control and abortion, and it came as Republican-led states ramped up their efforts to thwart abortion rights. (Ronayne, 6/27)