The HIT Director, in collaboration with the HITAC, establishes policies and procedures for the NDHIN. Policies may only be revised by the Director in collaboration with HITAC. NDHIN shall notify all Participants of any changes to the policies and procedures at least thirty (30) days prior to the implementation of the change. If changes require modifications to the Participant’s system or may otherwise materially affect the Participant’s operations or obligations under the Participation Agreement, NDHIN shall notify the Participant at least ninety (90) days prior to implementation of the change. However, if the change is required in order for the NDHIN and/or Participants to comply with applicable laws or regulations, the NDHIN may implement the change within a shorter period of time as the NDHIN reasonably determines is appropriate under the circumstances; provided that the NDHIN shall provide the Participants with as much notice of any such change as reasonably possible.