On April 19, 2022, Gov. Ricketts of Nebraska signed Legislative Bill 752, which enacted the OT Compact into law in Nebraska. On the same day, Tennessee Governor Bill Lee signed House Bill 2561, which enacted the Compact in Tennessee. They are the 18th and 19th states to join.

Now that more than 10 states have passed the compact, the member states will work to establish the interstate commission and officially convene its first meeting to draft the rules and bylaws of Compact. ​Once the commissioners agree upon rules and establish a method for Compact member states to share information, states will be able to grant Compact licenses and individuals residing in those states will be able to take advantage of the benefits the Compact offers. The Commissioners expect to have their first meeting in August.