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December 23, 2025

Capitol Rounds: 2025 Policy Wins and 2026 Priorities

The latest installment of ACEP’s Capitol Rounds webinar series (members only) highlights some of the biggest policy wins this year.

Watch our December 15 advocacy webinar, Capitol Rounds: All Through the House (and Senate).

At the state and national levels, ACEP is boldly confronting insurer bad behavior.

We pushed back hard against an Anthem penalty on facilities when clinicians are out-of-network , and continue to fight other insurer policies that downcode services, deny or delay reimbursement, or allow unqualified reviewers to evaluate physician claims.

ACEP state chapters are working to protect emergency physician autonomy and legislate the need for emergency physician-led care.  

South Carolina ACEP (SCCEP) helped write and pass a bill based on ACEP-developed model legislation requiring a physician onsite in emergency departments.

This bill uses ACEP-developed language, similar to laws passed in Virginia and Indiana. To date, 10 states have adopted similar policies through legislation or regulation.

A new law in Oregon ensures that patient care is managed by physicians, not corporations. This law (SB 951) passed with strong support from the Oregon chapter of ACEP and aligns with ACEP’s policy on corporate practice of medicine.  

Stay current with ACEP’s members-only State Advocacy Dashboard.

This resource is now updated for all 50 states and reflects the latest state policy, regulatory, and advocacy activity.

On the regulatory front, ACEP directly informed and supported the implementation of a new Emergency Care Access and Timeliness (ECAT) measure.  The ACEP-backed ECAT requires hospitals to better track and publicly report how long admitted patients are boarding in the ED.

ACEP members were instrumental - helping to write the measure and getting it finalized.

ACEP makes it possible for emergency physicians to move the system toward more transparency, accountability, and the highest quality care.

A look ahead

Looking forward, there are 46 physicians who have announced plans to run for the U.S. Congress. And there will be numerous opportunities to emphasize emergency physicians’ priorities, including boarding, noncompete agreements, and other workforce issues.

Your voice is the crucial ingredient in our shared success.

 Take action and get involved today:

  • Register for LAC! Registration is now open for the ACEP Leadership & Advocacy Conference (LAC), happening April 26–28, 2026, in Washington, DC.
  • Join the ACEP 911 Grassroots Network for updates and tools you can use to effectively engage your lawmakers, including the 911 Grassroots Network weekly newsletter.
  • Learn more about the urgent issues and contact your legislators directly through the Advocacy Action Center
  • Invite a Legislator to Your ED. Nothing is more impactful than visiting an ED in person. You can bring a legislator to work, and we will guide you every step of the way. Contact ACEP to Get Started
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