According to Salvatore Vitale, a Commission meeting was held in early 2000 to restore the rule requiring both parents to be of Italian descent in order to become a made man.[16] The Commission is still reported to exist, though its current membership is composed of only the bosses of the Five Families and the Chicago Outfit.

Instead of a meeting of bosses, underbosses or captains meet secretly to discuss business and govern.[56]

In October 2017, Domenico Violi of the Luppino crime family in Hamilton, Ontario, Canada was heard to have been named underboss of the Buffalo crime family on wiretaps; this revealed the activity of The Commission as Violi's promotion was so unusual, being the first Canadian to hold the second-highest position in the American Mafia, that Buffalo crime family boss Joseph Todaro Jr. stated he consulted with The Commission for permission to promote him as Buffalo's new underboss.[57]