The Helsinki Commission contributes to the formulation of U.S. policy on the OSCE and takes part in its execution, including through Member and staff participation on U.S. Delegations to OSCE meetings and in certain OSCE bodies. The Commission convenes public hearings and briefings with expert witnesses on OSCE-related issues; issues public reports concerning implementation of OSCE commitments in participating States; and organizes official delegations to participating States and OSCE meetings to address and assess democratic, economic, security, and human rights developments firsthand.

Commissioners communicate with the President of the United States, the Secretary of State and other senior U.S. officials and issue public statements on matters of concern as needed.  Commissioners and staff meet officials and prominent visitors from other OSCE States in Washington, and travel to countries of concern to monitor and encourage implementation more directly, including through election observation. When warranted, Senate and House Commissioners act in their capacity as Members of Congress to introduce and seek passage of legislation.