Amendments to the Bylaws or to the Principles of Professional Conduct, except such as are obligatory by law, shall be made only at an annual meeting of the House of Delegates after having been submitted in writing at a previous annual meeting and having been published in the official publication of the Medical Society of the State of New York at least once and at least one month before the annual meeting at which action shall be taken.

The affirmative vote of two thirds of the House of Delegates present and voting shall be necessary for adoption of any amendment.

Amendments made necessary by law shall be made either by the Council or House of Delegates whenever such necessity exists.