In 1948, a group of nurses came together from the original Nurses Alumnae Association to organize the Virgin Islands Nurses Association. The group explored membership in the National Association of Colored Graduate Nurses which later merged with the American Nurses Association.The first Nurse Practice Act was passed in 1954 and cleared the way for qualified nurses to become members of ANA. With the assistance of ANA, VINA drafted a constitution and bylaws. In 1973, the Association was certified as the bargaining representative for Registered Nurses employed in the hospitals and Department of Health. With the adoption of the federal model for the ANA structure and the designation of State to all of its constituents, VISNA became Virgin Island STATE Nurses Association.