When You Can See Everyone’s Pay

Pay Transparency is reshaping healthcare in 2026 (and what laws apply state by state)

Imagine knowing exactly what you’ll earn before you apply for a job. No guessing and no wasting time on roles that can’t meet your financial needs.

Job searching is hard enough. Applying blindly shouldn’t be part of the process. Yet for decades, job seekers were expected to invest time and energy into applications without knowing whether the role would even be enough to pay their bills.

Now think about how your pay compares to your coworkers doing the same job. That visibility gives employees powerful leverage. When you know where you stand, you can advocate for a pay raise using real data, not assumptions. Having salary data turns asking for a raise into an informed, confident discussion.

From job seeking to getting a raise, pay transparency is solving a key piece of the hiring and career advancement puzzle. Full pay transparency is one of the most important hiring trend shifts in decades.

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Why pay data matters for healthcare employers

For healthcare employers, there’s more to pay transparency than being compliant with local law. Naturally, employers must carefully follow local pay transparency laws to avoid regulatory fines. But the benefits go well beyond compliance.

When healthcare employers are transparent about salary and benefits, they are more likely to attract top-level talent, especially if they have desirable compensation packages. Disclosing salary ranges upfront can also shorten and simplify compensation negotiations, resulting in a faster and more cost-efficient hiring process.

Pay transparency can also build trust among a healthcare system’s workforce by creating a more equitable workplace. When pathways to higher pay are clearly defined, pay transparency can also boost retention and performance as employees seek to improve their skills and qualify for those roles.

It’s important to note that pay transparency applies to all industries, not just healthcare, and that laws can vary between states. For example, while some states require all businesses to disclose salary information, others only require larger businesses to do so. Some require that employers list salary information in all job listings, while others are only required to provide that information upon request. Several states also specifically prohibit employers from asking about a job seeker’s pay history, or from punishing employees for talking about pay.

Here’s a breakdown of current and upcoming pay transparency laws in the U.S.

State Employers Affected Details
California All employers Pay scale must be included in job listings if a company has 15 or more employees. Smaller companies must disclose salary ranges to current employees and job applicants. Current employees must be given pay scale if requested.
Colorado All employers Compensation must be disclosed in all job postings.
Connecticut All employers Pay ranges must be disclosed if requested by a job applicant.
Delaware (goes into effect Sep. 26, 2027) With more than 25 employees Salary and benefits must be disclosed in all job postings.
District of Columbia All employers Salary range must be disclosed in job postings. Healthcare benefits must be disclosed before first interview.
Hawaii With 50 or more employees Pay scale must be included in job postings.
Illinois With 15 or more employees Wage scale and benefits descriptions must be included in job postings.
Maryland All employers Wage ranges must be included in job postings and made available to job seekers when requested.
Massachusetts With 25 or more employees Pay range must be disclosed in all job listings.
Minnesota With 30 or more employees Pay range and general benefits description must be included in all job postings.
Nevada All employers Salary information must be shared with job applicants.
New Jersey With 10 or more employees Salary range and benefits description must be included in all job listings. Jersey City has additional requirements.
New York With 4 or more employees Salary range must be disclosed in all job listings. Ithaca, New York City, and Westchester County have additional requirements.
Ohio Varies The cities of Cincinnati, Cleveland, Columbus, and Toledo have local pay transparency laws
Oregon All employers At time of hire, employers must provide payroll code, pay rate, and itemized deduction explanations.
Rhode Island All employers Pay ranges must be disclosed if requested by a job applicant.
Vermont With 5 or more employees Salary range must be disclosed in all job listings.
Washington With 15 or more employees Salary range must be disclosed in all job listings. Internal transfer and promotion pay rates must be disclosed if requested.

In addition, Alaska, Indiana, Iowa, Kentucky, Maine, Michigan, Missouri, Montana, South Dakota, Virginia, and West Virginia have introduced pay transparency bills that have not yet been passed into law.

Why pay transparency matters for job seekers

Pay transparency can greatly improve job seekers’ employment searches. Applicants don’t have to worry about wasting their time applying and interviewing for roles that don’t meet their salary needs. When multiple options transparently display salary and benefits information, it also makes it easier for qualified applicants to weigh their options and choose the one that best fits their needs, based on compensation and other factors.

This can significantly streamline the job search, helping job seekers find a role more quickly and giving them greater confidence that a role is truly right for them. Employees can enter a new role knowing they are being paid fairly for their work.

Pay transparency creates win-wins

StaffDNA® has always believed in pay transparency and its ability to create win-wins for both healthcare employers and job seekers. On our platform, we’ve always provided pay details so candidates can quickly compare opportunities — and so healthcare employers can ensure they’re offering fair and competitive compensation packages that will attract top talent.

For job seekers in particular, when you use the MyRate™ benefits calculator in the StaffDNA app, you can get an even deeper dive into pay transparency with an in-depth understanding of your full pay and benefits package, including hourly wages and take-home pay, as well as lodging stipends and travel allowances. By finding the right opportunities and benefits packages, you can continue your job search with confidence.

Jeff Stoner

Calvin Hoye

Healthcare organizations face some of the toughest workforce challenges: tight budgets, lean IT teams and limited tools for sourcing, hiring and onboarding staff. Add in manual scheduling, rising labor costs and high burnout, and the pressure grows. Rolling out complex systems can feel out of reach without dedicated tech support. Even simply evaluating new technology can overwhelm already stretched-thin teams.

These challenges make it clear that technology isn’t just helpful; it’s essential for healthcare organizations. Especially when they’re striving to do more with less. Not only are healthcare organizations falling short on implementing new technology, but they’re struggling to update outdated systems. A 2023 CHIME survey found that nearly 60% of hospitals use core IT systems, such as EHRs and workforce platforms, that are over a decade old. Outdated tools can’t integrate or scale, creating barriers to smarter staffing strategies. But the opportunity to modernize is real and urgent.

Tech in Patient Care Falls Short

In healthcare, technology has historically focused on clinical and patient care. Workforce management tools have taken a back seat to updating patient care systems. Yet many big tech companies have failed when it comes to customizing healthcare infrastructure and connecting patients with providers. Google Health shuttered after only three years, and Amazon’s Haven Health was intended to disrupt healthcare and health insurance but disbanded three years later.

Why the failures? It’s estimated that nearly 80% of patient data technology systems must use to create alignment is unstructured and trapped in data silos. Integration issues naturally form when there’s a lack of cohesive data that systems can share and use. Privacy considerations surrounding patient data are a challenge, as well. Across the healthcare continuum, federal and state healthcare data laws hinder how seamlessly technology can integrate with existing systems.

Why Smarter Staffing Is Now Essential

These data and integration challenges also hinder a healthcare organization’s ability to hire and deploy staff, an urgent healthcare priority. The U.S. will face a shortfall of over 3.2 million healthcare workers by 2026. At the same time, aging populations and rising chronic conditions are straining teams already stretched thin.

Smart workforce technology is becoming not just helpful, but essential. It allows organizations to move from reactive staffing to proactive workforce planning that can adapt to real-world care demands.

Global Inspiration: Japan’s AI-Driven Workforce Model

Healthcare staffing shortages aren’t just a U.S. problem. So, how are other countries addressing this issue? Countries like Japan are demonstrating what’s possible when technology is utilized not just to supplement staff, but to transform the entire workforce model. With one of the world’s oldest populations and a significant clinician shortage, Japan has adopted a proactive approach through its Healthcare AI and Robotics Center, where several institutions like Waseda University and Tokyo’s Cancer Institute Hospital are focusing on developing AI-powered hospitals.

Japan’s focus on integrating predictive analytics, robotics and data-driven scheduling across elder care and hospital systems is a response to its aging population and workforce shortages. From robotic assistants to AI-supported shift planning, Japan’s futuristic model proves that holistic tech integration, not piecemeal upgrades, creates sustainable staffing frameworks.

Rather than treating workforce tech as an IT patch for broken systems, Japan’s approach embeds these tools throughout care operations, supporting scheduling, monitoring, compliance and even direct caregiving tasks. U.S. health systems can draw critical lessons here: strategic investment in integrated platforms builds resilience, especially in a labor-constrained future.

The Power of Smart Workforce Technology

In the U.S., workforce management is becoming increasingly seen as more than a back-office function; it’s a strategic business operation directly impacting clinical outcomes and patient satisfaction. Smart technology tools are designed to improve care quality, staff satisfaction, scheduling, pay rates, compliance and much more.

For example, by using historical data, patient acuity, seasonal trends and other data points, organizations can predict their staff needs more accurately. The result is fewer gaps in scheduling, fewer overtime payouts and a flexible schedule for staff. AI-powered analytics can help healthcare leadership teams spot patterns in absenteeism, see productivity and forecast needs in multiple clinical areas in real-time. Workforce management tools can help plan scheduling proactively, rather than reactively. It’s a proven technology tool that can help drive efficiency and reduce costs.

Why So Many Are Still Behind

Despite the clear benefits, many healthcare organizations are slow to adopt smart tools that empower their workforce. Several things are holding them back from going all-in on technology:

Financial Pressures

Over half of U.S. hospitals are operating at or below break-even margins. For them, investing in new technology solutions is financially unfeasible. Scalable, subscription-based and even free workforce management tools are available, but most organizations are unaware of or lack the resources to source these products. Workforce management tools can deliver long-term return on investment for most organizations. Taking the time to understand where the value lies and which tools to invest in needs to happen.

Outdated Core Systems

Many facilities still depend on legacy technology infrastructure that lacks real-time capabilities. Many large players in the healthcare workforce management industry dominate hospital systems. Other smaller, real-time tools that offer innovative solutions to scheduling, workforce hiring, rate calculators and more are available at a fraction of the cost.

Competing Priorities and Strategic Blind Spots

Healthcare organizations and hospitals have many high-priority business objectives and regulatory demands. Digital transformation naturally falls down on the priority list, which causes them to miss improvements that can lead to long-term stability. With patient care and provider satisfaction at the top of the priority mountain, technology changes can be easily missed or shoved to the side when other business objectives are perceived to “move the needle” more.

Poor Change Management

Even the best technology efforts can fail without the right strategy for adoption and support from senior leadership. Resistance from staff, lack of training, or poor rollout communication can undermine success. Effective change management—clear leadership, role-based training and feedback loops—is essential.

Faster than the speed of technology

Change needs to come quickly to healthcare organizations in terms of managing their workforce efficiently. Smart technologies like predictive analytics, AI-assisted scheduling and mobile platforms will define this next era. These tools don’t just optimize operations but empower workers and elevate care quality.

Slow technology adoption continues to hold back the full potential of the healthcare ecosystem. Japan again offers a clear example: they had one of the slowest adoption rates of remote workers (19% of companies offered remote work) in 2019. Within just three weeks of the crisis, their remote work population doubled (49%), proving that technological transformation can happen fast when urgency strikes. The lesson is clear: healthcare organizations need to modernize faster for the sake of their workforce and the patients who rely on providers to deliver care.

 

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