The history of Maine PASA, how it started and grew, is illustrated in this report as a timeline of activities, challenges, and outcomes. Over the grant period of 2001-2005, the project went from an idea to address the workforce shortages by building a worker organization to a nationally recognized incorporated non-profit 510 (c)(3) worker association with statewide membership of over 600. This germination and growth is illustrated in this report. This is one of two reports about Maine PASA produced following the completion of Maine's Real Choices Systems Change grant, awarded by the federal Centers for Medicare & Medicaid Services. The second report, <i>Our Stories Project</i>, is an oral history of the workers and their work.