Interannual variability of the NAM is most likely explained by the El Nino Southern Oscillation (ENSO) and the North Pacific Oscillation (NPO). Specific combinations of these cycles induce predictable dynamic responses which affect the distribution of summer moisture across the western United States. A cold north Pacific and El Nino conditions favor a trough over the western United States which directs moisture into the Great Plains and Midwest, such as in 1993. A warm north Pacific and La Nina conditions favor a ridge over the Plains which causes dry conditions in the Great Plains and a wet and early monsoon in Arizona, such as in 1988. An evolving correlation time series of moisture convergence with an ENSO-NPO index shows these dynamic responses are dominant in early summer before the onset of significant tropical Pacific activity. The spatial patterns in correlation in the western United States clearly show moisture in Arizona and the Great Plains has a maximum summer response to Pacific sea surface temperatures. Years are composited according to phases of ENSO and NPO to determine statistically significant interannual differences in meteorological variables.