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Emergency Medicine Action Fund

Fact Sheet

What is the Emergency Medicine Action Fund?
In January 2011, the ACEP Board of Directors voted to create the Emergency Medicine Action Fund to generate additional financial support for our existing advocacy efforts in Washington DC. Along with ACEP, these organizations will help guide the direction of the Action Fund to address the federal regulatory issues that matter to you.

Why should you get involved?
The EMAF provides a unified and influential voice to define how emergency physicians practice. As we prepare to move into the second half of the Trump Administration and the beginning of the 116th Congress, we anticipate an active year at the U.S. Department of Health and Human Services and with the Centers for Medicare and Medicaid Services. Depending on the outcome of the upcoming midterm Congressional election, we could also see renewed efforts to change the laws governing access to emergency care, and reactive efforts by the Administration to preserve its current strategy. 

How is the EMAF different than current emergency medicine advocacy efforts?
In addition to expanding the efforts of the ACEP staff in Washington, DC, the Action Fund allows us to engage some of the most prominent and influential law firms and consultants, including Holland & Knight. These firms are known and respected for their regulatory expertise, comprehensive understanding of complex reimbursement issues, and their ability to research and identify effective means of communicating the value of emergency medicine to important stakeholders. They have been critical players in health policy for more than 20 years, and these relationships will be vital in our commitment to influence necessary change in the years ahead.

How does the EM Action Fund differ from NEMPAC?
The National Emergency Medicine Political Action Committee, NEMPAC, gives contributions to candidates who actively support emergency medicine and the needs of emergency physicians. NEMPAC has been an effective tool alongside our legislative advocacy efforts; however, NEMPAC funds can only be used to support candidates. The Action Fund will greatly expand our efforts to impact federal regulatory issues in ways that NEMPAC cannot.

How will the EM Action Fund use your contribution?
The majority of the spending (75 to 80 percent) is for new initiatives, such as:

  • Retaining renowned consulting and law firm Holland & Knight
  • Hiring additional staff to focus on regulatory issues
  • Commissioning studies, like quantifying the value of emergency medicine, to support our position with regulators
  • Coordinating high-level meetings with regulatory agencies
  • Developing additional public relations campaigns to fight efforts to erode the prudent layperson standard and coverage of emergency care by payers

The remaining spending would augment the ongoing advocacy activities undertaken by the staff in ACEP’s Washington, DC office. 

Which regulatory agencies and EM organizations will the EMAF work with?

  • Department of Health and Human Services
  • Centers for Disease Control and Prevention (CDC)
  • Centers for Medicare and Medicaid Services (CMS)
  • Food and Drug Administration (FDA)
  • National Quality Forum
  • Department of Justice
  • American Hospital Association
  • Federation of American Hospitals
  • American Public Health Association
  • and more

Who will set the EM Action Fund agenda and make the spending decisions?
An 18-member Board of Governors will set the agenda for the Action Fund and determine how funds are spent, in collaboration with ACEP staff, committees, members and other emergency medicine organizations. Ten of these Board seats are allocated for the largest donors to the fund. All Board of Governors decisions are final unless the full ACEP Board of Directors votes by a two-thirds margin to override a Board of Governors decision.

What are the EM Action Fund contribution levels?
Participants in the Action Fund may contribute at one of two levels:


  • Groups, eligible organizations and coalitions - $75,000

  • Emergency medicine organizations - $20,000


Contributors of $75,000 or more are automatically eligible for one of the 10 seats on the Board of Governors. Small to mid-sized emergency physician groups within chapters, regions, or existing business affiliations can combine resources to become a coalition that would qualify for one of the seats. The coalition members would then appoint its representative for the Board of Governors.

Terms are for one year and reappointment to the Board of Governors requires an annual contribution. The size and composition of the Board could change over time based on contributor response and participation.

How can you ensure you have a voice if you or your group does not contribute at the $75,000 level?
The Emergency Medicine Action Fund offers contributors, large or small, the opportunity to help shape emergency medicine's regulatory agenda. Like ACEP's committees, there is no restriction on who may propose an issue for consideration. And as the Board of Governors begins to develop its priorities, it will seek input from a variety of sources. Because the federal reform process is expected to play out over several years, contributors to the Emergency Medicine Action Fund will have many opportunities to voice their views.

How can you make a payment? Is there an installment plan?
Those interested in contributing at any level can find contribution instructions (including an online option) here. Installments can be set up but the total contribution pledged must be paid in full within 12 months. 

What else do you need to know?
All contributors to the Action Fund will receive regular activity reports, be eligible to participate in meetings with executive branch staff, U.S. Representatives and Senators, and have access to an EM Action Fund website. For further information, please contact Laura Wooster, ACEP’s Associate Executive Director for Public Affairs, at 800-320-0610, ext. 3016.


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