was the first nurses union in the U.S. to win collective bargaining contracts for nurses when Shirley Carew Titus advocated for agreements with the East Bay Hospital Conference for minimum salaries, time-and-a-half pay for overtime, shift differentials for night and weekend work, a 40-hour work week, paid holidays, vacations, and sick leave, and employer-paid health insurance. According to CNA/NNU, in 2004 CNA formed a national affiliate, the National Nurses Organizing Committee (NNOC), which was joined by nurses associations from multiple states over the next several years. In April 2008, the CNA/NNOC clashed with SEIU over an agreement between SEIU and Catholic Healthcare Partners of Ohio. CNA/NNOC labeled the election a "sham." SEIU and Catholic Healthcare Partners cancelled the election for 8,000 workers in 9 Ohio hospitals on whether to have SEIU representation. NNOC contends that the agreement fits SEIU's pattern of forging controversial agreements with employers that sacrifice public protections and workplace standards in exchange for more members. The conflict continued until March, 2009, when CNA/NNOC and SEIU announced that the unions would cooperate to organize hospital employees, with nurses joining the nurses union and other hospital staff joining the SEIU. National Nurses United established On February 18, 2009, CNA/NNOC announced that it is joining with two other nurses unions, the Massachusetts Nurses Association and the United American Nurses, to create a 150,000-member union. The organization is called National Nurses United and is affiliated with the AFL–CIO. Deborah Burger, co-president of CNA/NNOC said that the new group is intended to give registered nurses a national voice and more organizing strength. On January 3, 2013, the CNA joined forces with the National Union of Healthcare Workers (NUHW) to form a new union, NUHW-CNA. Part of the motivation regarding the affiliation was the 2013 election for 43.000 Kaiser service and tech workers represented at the time by CNA rival, SEIU UHW. Despite CNA support, SEIU UHW won the election and the partnership between CNA and NUHW eventually ended. See also List of nursing organizations National health insurance Single-payer health care Universal health care References External links National Nurses United AFL–CIO Trade unions in California 1903 establishments in California Healthcare reform advocacy groups in the United States State wide trade unions in the United States Trade unions established in 1903 Medical and health organizations based in California