 As of 2016, all 50 American states have yearly proclamations, with Arkansas, Kansas, Kentucky, Louisiana, Missouri, New York, Rhode Island, and South Dakota adopting permanent proclamations.PAiL Awareness Campaign, Founder & International Ambassador, Terra-Lynn Coggan, founder of Pregnancy and Infant Loss Remembrance Day Canada, initiated her Pregnancy and Infant Loss Awareness & Remembrance Campaign in September 2003, following the stillbirth of her nephew Riley Joseph she began lobbying the provincial government for formalized observation of Pregnancy and Infant Loss Awareness and Remembrance.In September 2004, Ms. Coggan, subsequent to solicitation by American Pregnancy and Infant Remembrance Day Campaign director, joined the American movement and acquired the role as the Canadian Director for October 15 Pregnancy and Infant Loss Remembrance Day.