Several Episcopal dioceses and many individual parishes in both Canada and the United States voted to transfer their allegiance to Anglican provinces in South America and Africa.

The first was the 2002 decision of the Diocese of New Westminster in Canada to authorize a rite of blessing for same-sex unions; the second was the General Convention's ratification of the election of Gene Robinson, an openly gay non-celibate man,[24][25] as Bishop of New Hampshire the following year.

[31] A final statement issued by the conference stated that: "we believe the time is now ripe for the formation of a province in North America for the federation currently known as Common Cause Partnership to be recognised by the Primates' Council" of the Anglican Communion.

[38] At this meeting, a number of major steps were taken to officially establish the new denomination, including the election of Robert Duncan, bishop of the Anglican Diocese of Pittsburgh, as archbishop.

[46] On April 29, 2012, Archbishop Henri Isingoma expressed his official approval for the temporary admission of the AMiA at the Anglican Church of Congo until its future was clarified.

On August 14, 2014, it was announced the reopening of conversations between ACNA and AMiA "to discuss broken relationships, and to find ways that produce a faithful witness to Christ that has been undermined in the past".

The meeting in which these conversations were started was attended by representatives of both ACNA and AMiA, including Archbishop Foley Beach and Bishop Philip Jones, who replaced Chuck Murphy in December 2013.

The most recent agreement signed by the ACNA and the Church of Nigeria related to three of the four dioceses that resulted from the Convocation of Anglicans in North America activity in the United States.

I have notified the Archbishop of my resignation from all the committees to which I had been assigned to signify that it is no longer possible to have "business as usual" in the College of Bishops due to the refusal of those who are in favor of women priests to at least adopt a moratorium on this divisive practice, for the sake of unity.

[68] In 2013, the College of Bishops approved on a trial basis Texts for Common Prayer, a collection of liturgies made specifically for the Anglican Church in North America.

[41] The College of Bishops released a statement on ordiantion, sharing that the teaching of the ACNA is that the ordination of women to the priesthood "is a recent innovation to Apostolic Tradition and Catholic Order.

The ACNA opposes abortion and euthanasia, proclaiming "all members and clergy are called to promote and respect the sanctity of every human life from conception to natural death".

Dioceses are self-governing bodies that operate according to their own diocesan canon law (as long as this is consistent with the provincial constitution), and they are able to leave the province at any time if they so choose.

[87][88] The primate of the ACNA, Archbishop Foley Beach, and church staff identified the departure of two dioceses from the Convocation of Anglicans in North America as the primary cause of the decline in membership and attendance.

[citation needed][contradictory] The office of the Archbishop of Canterbury has said it would possibly take years for the ACNA to gain official recognition from the rest of the Anglican Communion.

[98] Archbishop Robert Duncan was present at the Global South Fourth Encounter that took place in Singapore, in April 2010, where he presided at the Eucharist and met primates and representatives from 20 Anglican provinces.

On the final day of its 2009 synod, the Anglican Diocese of Sydney passed a resolution welcoming the creation of the ACNA and expressing a desire to be in full communion.

[106] The resolution also called for the diocese's standing committee to seek a general synod motion affirming the Anglican Church of Australia to be in full communion with the ACNA.

[108][109] Published in December 2011, the archbishops' follow up report recommended "an open-ended engagement with ACNA on the part of the Church of England and the Communion" but also stated that a definitive outcome would be unclear for sometime.

[112] Welby announced on January 16, 2014, that Tory Baucum, Rector of Truro Church in Fairfax, Virginia, a parish of the ACNA, had been elected unanimously to serve as one of the Six Preachers of Canterbury Cathedral.

[114] In October 2014, Welby stated that Tory Baucum had been ordained before ACNA's inception and because of that his Anglican orders were valid, so he was eligible to be elected to that office.

[116] On October 9, 2014, following the ceremony of investiture of Foley Beach as archbishop and primate of ACNA, an official statement, which recognized Beach as "a fellow Primate of the Anglican Communion", was signed by the seven Anglican archbishops present: Mouneer Anis of Jerusalem and the Middle East, Eliud Wabukala of Kenya, Nicholas Okoh of Nigeria, Stanley Ntagali of Uganda, Onesphore Rwaje of Rwanda, Stephen Than Myint Oo of Myanmar, and Héctor "Tito" Zavala of the Southern Cone of America.

[13][120] The Archbishops of Canterbury and York, Justin Welby and John Sentamu, recognized ACNA's religious orders under the Overseas and Other Clergy (Ministry and Ordination) Measure 1967 (No.

[136] The ACNA endorsed a concordat with the Episcopal Missionary Church, a Continuing Anglican denomination, in January 2020, which was signed by Archbishop Foley Beach and EMC Presiding Bishop William Millsaps on 14 September 2020.

[141][142] These actions received response from the Archbishop of Canterbury, Justin Welby, who released a statement that said people are able to be members of the Anglican Communion "regardless of sexual orientation" and without mention of celibacy.

[147] At the invitation of Patriarch Kirill, Archbishop Beach led a nine-member ACNA delegation to Moscow, Russia, to participate in formal ecumenical meetings with the Russian Orthodox Church.

[151] Pope Tawadros II met Archbishop Foley Beach and Bishop Charlie Masters, of ACNA, during his meeting with several Global South representatives, in Cairo, in November 2015.

[161] Archbishop Duncan and Bishop Ray Sutton were also invited to the weekly private audience by Pope Benedict XVI, which took place in Rome, on November 28, 2012, whom they meet and greet afterwards on behalf of the ACNA and the Fellowship of Confessing Anglicans.

[154] Archbishop Foley Beach and Bishop Charlie Masters, of ACNA, met the Grand Imam of Al-Azhar, Ahmed el-Tayeb, when he welcomed a delegation of several Global South representatives during their visit to Egypt in November 2015.

Ahmed el-Tayeb expressed the "importance of the partnership and collegiality between religious leaders for the common good of humanity" and his solidarity with the Anglican realignment.