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HEALTH CARE PLAYERS

Tuesday, September 8, 2009 11:44 AM

Updated at 2:50 p.m. on Sept. 8.

American College of Emergency Physicians
This society of 25,000 members focuses on issues related to emergency health care.

What They Want

Since 2005, ACEP has pushed in vain for passage of the Access to Emergency Medical Services Act, and now it wants to see the measures from that bill included in health care legislation.

The group's priority is to reduce overcrowding in emergency departments, a problem it says is mostly caused by "boarding", the practice of keeping patients who have already been admitted to a hospital in the emergency department for prolonged periods of time. Those patients often wait 24 to 72 hours to move from the ER to the hospital, ACEP reports.

hc_lobbyists_sig.jpg

"That slows down life-saving medicine for everybody," said Angela Gardner, president-elect of ACEP and a medical professor at the University of Texas Medical Branch in Galveston.

Though it is commonly thought that overcrowding in ERs is caused by people who go in with non-emergency conditions, those individuals only account for 12 percent of patients, while "boarded" patients account for 30 percent, Gardner said, citing reports by the federal Centers for Disease Control and Prevention.

To reduce crowding, ACEP wants a federal commission to investigate emergency department practices and develop nationwide policies.  ACEP would also like to see the establishment of a working group under the Department of Health and Human Services made up of emergency medicine experts to address the same issues of crowding and boarding.

The group also wants a 10 percent increase in Medicare funding for subspecialists, like orthopedic surgeons and cardiologists, who are required to provide emergency care regardless of the patient's ability to pay.

Deal Breakers
ACEP is waiting to see the details of final legislation before fully supporting or rejecting a plan, Gardner said, but the group has yet to see any measures it can't support.

How Much They've Spent

In the first half of 2009, ACEP spent about $1.4 million on all lobbying activities, more than double the $562,449 the group spent in the first half of 2008, according to lobbying disclosure forms.

ACEP's political action committee, the National Emergency Medicine PAC, has contributed $369,500 to federal candidates and committees during the 2010 election cycle, according to Federal Election Commission records. Recipients have included the Blue Dog PAC; the Democratic House and Senate campaign committees; the National Republican Senatorial Committee; House Speaker Nancy Pelosi, D-Calif.; Senate Majority Leader Harry Reid, D-Nev.; and Senate Finance ranking member Charles Grassley, R-Iowa. During the 2008 election cycle, NEMPAC donated about $1.3 million to federal candidates and committees.

The group will soon kick off an advertising and advocacy campaign to debunk myths about the cause of emergency department crowding.

ACEP's total revenue for fiscal 2008 was $24 million, according to IRS forms.

Key Players

Angela Gardner

Gardner, ACEP's president-elect, and Nicholas Jouriles, ACEP's president, have guided the group's involvement in the health care discussion.

"I've met on a monthly basis with congressmen and senators and their health [legislative assistants] on health care reform," Gardner said, adding that staff in ACEP's D.C. office have daily contact with congressional staff.

The group has also encouraged members to contact lawmakers through its "911 Legislative Network," a direct-advocacy program.

Gardner, Journiles and ACEP's executive director, Dean Wilkerson, are not registered lobbyists. ACEP has three registered lobbyists on staff, according to the Center for Responsive Politics.

Links
Access to Emergency Medical Services Act
ACEP Advocacy Page
ACEP 911 Legislative Network

CORRECTION: The University of Texas Medical Branch and the Centers for Disease Control and Prevention were misidentified in the original version of this report.

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The group's priority is to reduce overcrowding in emergency departments, a problem it says is mostly caused by "boarding", the practice of keeping patients who have already been admitted to a hospital in the emergency department for prolonged periods of time. Those patients often wait 24 to 72 hours to move from the ER to the hospital, ACEP reports.

 

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