On March 11, Wyoming became the 13^th state to join the Occupational Therapy Compact when Gov. Mark Gordon signed into law House Bill 117.

On March 23, 2022, Utah became the 14^th state to join the Occupational Therapy Compact when Gov. Spencer Cox signed House Bill 154 into law.

Washington became the 15^th state to join when Gov. Jay Inslee signed Senate Bill 5518 on March 24, 2022

Now that more than ten 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.