The West Virginia Music & Vending Association was originally incorporated in 1954 and was renamed to become the West Virginia Amusement & Limited Video Lottery Association in 2002. The organization was formed "to foster and promote good will, harmonious action, mutual respect and fair dealing among those persons, firms and corporations doing business as coin device operators engaged in coin-activated equipment, phonographs, amusement games, vending, and games of skill; and video lottery operators, who are licensed operators under the West Virginia Limited Video Lottery Act; to establish rules consistent with the laws of West Virginia and the United States; to exchange information which will aid and benefit the people engaged in this industry; to secure the cooperation and assistance of the media to the end that this industry be brought to the attention of the general public in its proper light, and, generally, to do those things which an association may do to improve its industry."

In 2001, the West Virginia Legislature passed a bill allowing for a limited number of video lottery machines in adult environments. It is referred to as the “Limited Video Lottery Act.” The measure outlawed pre-existing “gray” or “poker” machines and restricted the number of Limited Video Lottery terminals to no more than 9,000. The environments in which they are permitted are classified as adult-only based on the fact that they possess a Class A, Alcohol and Beverage Commission (ABCA) license and meet various other legal requirements.