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The Reflexology Association of America is organized primarily as an affiliation of state associations. Each affiliated state is allowed two delegates to the Delegate Assembly. Their function is to represent their state's needs, ideas, skills and vision to the RAA Board of Directors, and to report back to their state members on the progress and decisions of the RAA Board. They serve on RAA committees to benefit the organization and their states.
Following the guidelines of other successful member associations, the national and state associations serve as the structural backbone and voice of reflexology in the United States. As affiliates, they work to provide a strong and unified presence for reflexology in this country. Currently, 11 states have been accepted as affiliates; their status is recognized below.