The American Province Council consists of five members and they serve for a term of five years. They hold leadership responsibility for the administration of the province.
In June 2024, the province held elections for congregational leadership. Sister Barbara Rohe will continue to serve as Provincial Superior. The rest of the leadership team members are Sr. Mary Agnes Cashman, Councilor; Sr. Margaret Stallmeyer, Councilor, Treasurer; Sr. Lynn Stenken, Councilor, Vicar; and Sr. Leslie Keener, Councilor, Secretary.