It has 34 congregations, 32 in 12 American states, which are Arkansas, California, Colorado, Illinois, Louisiana, Michigan, Missouri, Mississippi, North Dakota, Nebraska, Oklahoma, Texas and Wisconsin, and 2 congregations in the Canadian province of British Columbia.

The origin of the Diocese of Mid-America goes back to 1990, when the Reformed Episcopal Church at its General Council decided to create the Special Jurisdiction of North America (SJNA) to cover parishes located west of the Mississippi River.

Their first Missionary Bishop elected was Royal U. Grote Jr, who moved to Houston, Texas, in July 1991.

[4] In 1996, the merger of the Special Jurisdiction of North America with the Synod of Chicago, the oldest of the Reformed Episcopal Church, led to the creation of the Diocese of Mid-America.

On 2 December 2012, the Church of the Holy Communion, in Dallas, was declared a Pro-Cathedral by Royal U. Grote, Jr.[5] The Diocese of Western Canada and Alaska, created in 1996, had two parishes in British Columbia, led by the Rt.