The ACA has established 6 regional areas, with each represented by a Regional Representative and is a elected board position.
Directors at Large and Regional Representatives are accessible to the membership in general. Whenever possible, they offer assistance and guidance to the membership. Through them, the membership's concerns and opinions are presented to the Board. The two Directors at Large reside in different states from each other. Regional Representatives reside within and are elected by the membership within the Region they represent.