The decision-making body responsible for AAMT is the Council. The AAMT Council is made up of the following members:

• President
• Past President or President Elect
• Treasurer
• Council member from each state or territory association
• Chief Executive Officer (ex-officio)

Council members are all volunteers. There is a four-year time limitation to the tenure of Council members. The Council meets at least four times per year. Some of the meetings may be conducted by videoconference.