The Alliance was created as a result of efforts undertaken by the New York State Task Force to Increase Organ and Tissue Donation. The Task Force, established by the Commissioner of Health in 1997, developed and implemented many important policy initiatives such as: the New York State Organ and Tissue Donor Registry; the routine referral law; and special projects directed at increasing organ, tissue and eye donation in New York. The Task Force, under the direction of the Department of Health (DOH), developed a strategic plan in 2001 that included the creation of a separate 501c3 to provide a vehicle for attracting funding from other sources while at the same time continuing to act on the agenda created by the Task Force. The members of the Task Force provided working capital to create the Alliance and became the corporate member organizations of the Alliance. The corporate development occurred in 2002 with operations beginning in 2003.