The HOD took several bold steps toward re-shaping ANA with an eye toward making it stronger and more responsive to address issues important to nurses, and by streamlining the way it conducts its work. One major measure replaces the HOD with a smaller Membership Assembly as ANA’s governing and voting body. The Assembly will elect, advise and direct the ANA Board of Directors on emerging environmental trends, as well as determine policy and positions of the association. The Assembly will meet annually.