Both winner and runner-up of each league compete in the Copa Simón Bolívar, with the winner of such tournament gaining promotion to the 1st Division, and the runner-up playing a play-off match with the 11th placed team in the 1st Division.
In 2011, and for five seasons, the Copa Simón Bolívar was replaced by the Liga Nacional B, until 2016 when it was reinstated as Bolivia's second-tier football championship.
The tournament started in 1960, initially only champions from La Paz, Cochabamba, Oruro and Santa Cruz participated, in later years teams from other associations started joining the cup, and the tournament eventually had association runners-up participating as well.
Until 1976, due to the lack of a nationwide league, the cup determined the national champion and representative teams for the Copa Libertadores.
With the creation of the Liga de Fútbol Profesional Boliviano, the Bolivian Football Federation stopped organizing the tournament.