A resolution for making more distinctive district lines was proposed and passed at the Fall Leadership meeting of the New York State Academy of Nutrition and Dietetics in Binghamton, NY on Saturday, September 15, 2018. Previously, the district borders cut through counties, making it difficult to discern which part of the county belonged to which district. The resolution has addressed in the following changes:
| District | Counties |
| Western New York Dietetic Association | Niagara, Erie, Chautauqua, Cattaraugus |
| Genesee Dietetic Association | Orleans, Monroe, Wayne, Genesee, Livingston, Ontario, Seneca, Wyoming, Yates, Allegany, Steuben |
| Central New York Dietetic Association | St. Lawrence, Jefferson, Oswego, Onondaga, Cayuga |
| Southern Tier Academy of Nutrition and Dietetics | Schuyler, Chemung, Tompkins, Cortland, Chenango, Tioga, Broome |
| Mohawk Regional Dietetic Association | Lewis, Herkimer, Hamilton, Oneida, Madison, Otsego, Delaware |
| Hudson Valley Dietetic Association | Franklin, Clinton, Essex, Warren, Fulton, Saratoga, Washington, Montgomery, Schenectady, Rensselaer, Schoharie, Albany, Greene, Columbia |
| Mid-Hudson Academy of Nutrition and Dietetics | Sullivan, Ulster, Dutchess, Orange, Putnam |
| Westchester-Rockland Dietetic Association | Westchester, Rockland |
| Greater New York Dietetic Association | Bronx, New York, Queens, Kings, Richmond |
| Long Island Academy of Nutrition and Dietetics | Nassau, Suffolk |