While Auxiliary Bishop of Cincinnati, Paul F. Leibold formally approved the design for the “Our Lady of America Medal” and directed the Archdiocese of Cincinnati to pay for the medals of Our Lady of America which he had ordered. He also approved the medal maker, Cyril Daleiden & Sons of Chicago and having the first leaflet explaining the devotion to Our Lady of America printed, also at the expense of the Archdiocese of Cincinnati
In addition, before dying Monsignor Leibold had two large plaques depicting Our Lady of America made, hanging one in the Cincinnati Catholic Chancery. The Archbishop also approved the printing of the private revelation messages of Sister Mary Ephrem. He served as Sister Mary Ephrem’s spiritual director for many years.
Other bishops have permitted have permitted public display of a statue of Our Lady of America for devotion. For instance, the late Bishop William G. Connare of Greensburg permitted a statue to be displayed at the Carmel of Assumption at Latrobe, Pennsylvania.
Also, a statue of Our Lady of America was carried in procession in the Basilica of the National Shrine of the Immaculate Conception in Washington, D. D. on several occasions by the Apostolatus Uniti and other groups.
On May 31, 2006, a statue of Our Lady of America was enthroned at the Shrine of the Most Blessed Sacrament of Our Lady of the Angels Monastery in Hanceville, Alabama by the Franciscan Friars of the Immaculate. The statue which was enthroned at Hanceville is the very same statue which Bishop Connare authorized for public devotion at Latrobe.”
On February 19, 2006 Bishop David L. Ricken enthroned Our Lady of America in St. Mary’s Cathedral.
(While an Our Lady of America statue has been processed into the Basilica Shrine of the Immaculate Conception, this did not fulfill Our Lady’s request to be processed by the Bishops in Solemn Procession.)
 Taken from Canonical Opinion Letter of Archbishop Raymond L. Burke, 2007