On May 13, 2022, South Carolina became the 20^th state to join the Occupational Therapy Compact when Governor Henry McMaster signed House Bill 3599 into law. With the enactment of this bill, 40 percent of US states are now Compact members. 

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.