1.  Eligibility for membership in compact.  Any state that has enacted prescription monitoring program legislation through statute or regulation is eligible to become a member state of this compact.  

2.  Effective upon enactment by at least 6 states.  The compact becomes effective and binding upon legislative enactment of the compact into law by no fewer than 6 states. Thereafter it becomes effective and binding on a state upon enactment of the compact into law by that state. The governors of nonmember states or their designees must be invited to participate in the activities of the interstate commission on a nonvoting basis prior to adoption of the compact by all states.  

3.  Amendments.  The interstate commission may propose amendments to the compact for enactment by the member states. An amendment may not become effective and binding upon the interstate commission and the member states until it is enacted into law by unanimous consent of the member states.