Arizona

• Arizona Health Information Network (AZHIN): AZHIN's mission is to "provide an infrastructure for knowledge-based information to support health care practice and training in Arizona and to introduce, encourage, and support widespread use of electronic information management tools by Arizona's health care practitioners." Through membership in AZHIN, participating institutions have access to a variety of online journals, databases, and books.

California

• Califa: Califa's mission is "to provide cost effective delivery of services, programs, and products through a membership network of California libraries." Califa is a voluntary library agency created in 2003 after funding for the Library of California ceased.
• California Digital Library (CDL): The California Digital Library is the eleventh library of the University of California and focuses on electronic resources for the entire UC system. "The CDL also maintains its own distinctive programs emphasizing the development and management of digital collections, innovation in scholarly publishing, and the long-term preservation of digital information."
• Statewide California Electronic Library Consortium (SCELC): Established in 1986, SCELC originally focused on providing group licensing to electronic databases for private educational institutions in Southern California. SCELC now includes large and small members from the entire state and is collaborating with the Regional Medical Library to provide consortial licensing to hospital and healthcare libraries in the Pacific Southwest Region.

Hawaii

• Medical Libraries Consortium of Hawaii: This is the newest consortium in the Pacific Southwest Region. This consortium focuses specifically on group licensing of health sciences electronic journals and databases.

Nevada

• The Bibliographic Center for Research (BCR) is a "nonprofit, multistate library cooperative that has served the library community since 1935, providing cost-effective library and information services." Nevada is one of eleven states whose agreements between BCR and the state library allow any library located in those states to use BCR services as a member institution. BCR members also include individual libraries from other states, including 45 from California, 15 from Hawaii, and 1 from Guam.

Pacific Islands

• Pacific Resources for Education and Learning (PREL): The Pacific Islands have had the good fortune of benefiting from license negotiations made by PREL, an Affiliate Member of the NN/LM located in Honolulu. PREL serves the same Pacific Island jurisdictions as are served by this RML. PREL recently joined the Medical Libraries Consortium of Hawaii.