Amendments to the foundation’s articles of association may only be proposed to the supervisory board of the public health institution(s) which took the initiative to create the foundation after two deliberations by the board of directors taken two months apart and by a majority of three quarters of the members present or represented. However, a single deliberation is sufficient when the amendment has been decided unanimously by the members present or represented. The amendment to the Articles of Association is approved in accordance with the procedures set out in article R. 6141-54.