In April 2008, the NAC/NNOC entered into conflict with SEIU due to an agreement between SEIU and Catholic Healthcare Partners of Ohio. CNA/NNOC called the election “false.” SEIU and Catholic Healthcare Partners canceled the choice for 8,000 employees at 9 Ohio hospitals if they were to have a SEIU representation. The NNOC asserts that the agreement is consistent with the SEIU model of establishing controversial agreements with employers who sacrifice public protection and workplace standards in exchange for more members.  The conflict continued until March 2009, when CNA/NNOC and SEIU announced that unions would work together to organize hospital staff, with nurses who joined the nurses` union and joined SEIU by other hospital staff.  Randy Howell, a nurse and member of UC San Francisco`s negotiating team, said she saw the contract as a huge achievement for both the safety of nurses and the safety of the patients who supervise them. CNA was the first nurses` union in the United States to win collective agreements for nurses when Shirley Carew Titus advocated agreements with the Eastern Hospital Conference for the minimum wage, one-and-a-half hours` wages for overtime, differences in night and weekend work, a 40-hour week, paid leave, leave and sick leave, and employer-paid health insurance. Under the new contract, newly recruited nurses will receive the same retirement benefits as current UC nurses until April 2020. At this stage, both sides have the opportunity to reopen the issue to further negotiations. In 1994, the NAC launched an aggressive challenge to hospital restructuring by focusing on reducing standards of care, conducting educational workshops for nurses across the state, and setting up a national “patient watch” program to help patients who have been harmed by precarious hospital practices.
Although the applicant was made, the NAC raised a question as to whether Le suffered a sufficient violation to argue that it can assert some or all of its rights. See Lujan v. Defenders of Wildlife, 504 U.S. 555, 560, 112 P.C. 2130 (1992). In particular, some or all of Le`s assertions are based on the assertion that she will not be able to advance or seek other better-paid positions unless CNA allows her to nominate other charities and, furthermore, NAC refuses to allow her to nominate other charities. However, it is not certain that any employment or promotion that Le intends or aspires to is subject to a collective agreement with NAC that would limit Le to dues against which it would object. After an oral intervention, Le presented a statement on the issue of reputation. If cNA considers that the declaration is insufficient, it may proceed with its removal limited to the issue of reputation and make a new application to dismiss some or all of its claims as incomprehensible. Under roseAnn DeMoro`s leadership, the NAC drew attention to its sponsorship of legislative and regulatory reforms, including the first NAC-sponsored nurse-patient reports in California.  The Proportionality Act, which requires hospitals to maintain a minimum number of nurses in all hospital units at all times to ensure patient safety, was signed in 1999 by then-California Governor Gray Davis.
The key figures were implemented in 2004. When, in late 2004, California Governor Arnold Schwarzenegger sought to bring back important parts of the law at the request of the California hospital industry, CNA ran a successful one-year campaign to challenge Schwarzengger and protect the law.