The healthcare industry has seen recent wins, losses, and expenses. In Pennsylvania, nurses at Penn Highlands DuBois turned down the Pennsylvania Association of Staff Nurses and Allied Professionals, while nurses for Shasta Regional in California voted 241-27 to join the California Nurses Association. In Riverside County California, the Board of Supervisors approved up to $7 million to hire replacement nurses, minus the $1.5 million already spent during the nurses strike there.