CEMR has two governing bodies – the Policy Committee and the Executive Bureau.
The Policy Committee meets generally twice per year; it is for most purposes the main governing organ. It is based on national representation, ranging from two places for states of less than 5 million, to 6 places for states of more than 60 million population.
The Executive Bureau is a smaller body; it takes decisions between Policy Committee meetings. It also meets normally twice a year.
CEMR's President, and other members of its Presidency (see below) are elected by the Policy Committee for a three year term. It has nine vice presidents.