1. The Commission reviews and evaluates its procedures and accreditation criteria every five years, or sooner if legal, regulatory or other circumstances require.

2. Before final adoption, proposed changes to accreditation processes or criteria for centers or programs are published as a study document in the ACPE newsletter and on the ACPE website with request for comment.

3. When legal, regulatory or other circumstances require, the Commission, with Board of Directors’ approval, may enact changes without prior notice. Such changes are published in the ACPE newsletter and on the ACPE website.

4. Any Commission actions subsequent to the request for comment (See #2 above.) are published in the ACPE newsletter and on the ACPE website.