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ACEP’s Political Action Committee Is Insuring Emergency Medicine’s Future

By Peter Jacoby, MD, FACEP; and Jeanne L. Slade | on May 14, 2018 | 0 Comment
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“There are large forces at work in American politics that are steering voters in one direction or the other, forces very different than those that drove voters a generation or two ago. “ —Charlie Cook, editor of The Cook Report

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Explore This Issue
ACEP Now: Vol 37 – No 05 – May 2018

The Changing Political Environment

Political, social, and economic changes continue to have dramatic effects on the delivery of emergency medical care in the United States. The time when we could just “practice medicine” and ignore the politics is gone.

As chairman of the National Emergency Medicine Political Action Committee (NEMPAC), ACEP‘s political action committee, I am proud of the work that our Board has done to engage ACEP members in the political process. NEMPAC had one of the best fundraising years in history in 2017, despite the tumultuous political environment, raising nearly $1.25 million in contributions from ACEP members.

In my years as Chairman, I’ve seen the PAC grow in receipts and numbers of ACEP supporters. Our ACEP Board and NEMPAC Board continue to work hard to educate ACEP members about the importance of political and legislative advocacy. However, in this environment, it’s not easy.

Lately, I’ve heard a growing number of reasons from our members as to why they don’t or won’t get involved.

The choice is simple:

  1. Watch from the sidelines.
  2. Or stand up and make the collective voice of emergency medicine stronger to give us the opportunity to help shape legislation that is in the interests of our specialty and patients.

Why NEMPAC Should Matter to You

PACs have a significant role within the political discourse and continue to be the primary means by which organizations like ACEP can gain access to policy makers. When NEMPAC makes a contribution, it sends a strong, collective, and clear message from emergency physicians to a candidate.

As the PAC grows, that message resonates more definitively. NEMPAC is the only national PAC solely dedicated to representing our interests in the nation’s capital.

The PAC can help open political doors and provide access to policymakers. This access provides opportunities to express our well-reasoned viewpoints on the issues of the day (eg, physician payment reform, medical liability reform, solutions to the opioid crisis, protecting the prudent layperson standard, access to care, funding for research and graduate medical education, etc.). Relationships established through NEMPAC open a line of communication between the emergency medicine community and policymakers.

“I don’t like the candidates that NEMPAC supports. Actually, I don’t like politics, period.” —ACEP member

The NEMPAC Process in Today’s Political Climate

In an organization with more than 37,000 members, it’s virtually impossible that everyone would share the same political viewpoints. Please try to remember that politicians from both political parties and with vastly differing ideologies have been, and continue to be, supportive of issues that affect emergency medicine. NEMPAC must work with elected officials and political candidates to advance the interests of our specialty, regardless of personal preference or party affiliation.

Sometimes we disagree personally with some of our candidate’s positions, but their support of EM cannot be discounted. The political process works well if you continue to support NEMPAC‘s efforts to advance the interests of the specialty, and in your personal life, continue to support the elected officials you feel best represent your political views. It’s important to be objective in this matter, just as you practice medicine.

Emergency physicians are results driven, but sometimes NEMPAC’s results in politics and legislative successes on Capitol Hill can be difficult to measure (See “What Have You Done for Me Lately?” for a list of legislative wins and priorities).

How Can You Get Involved With NEMPAC?

Groups whose priorities are counter to ours are coming out to support their PACs with renewed vigor. Contributing to and participating with NEMPAC is like purchasing insurance for our specialty; we all need to make it a priority.

So how can you get involved and help us drive change?

  1. Give-A-Shift: Join the more than 500 physicians who contribute one of their average shifts to NEMPAC each year, and receive many benefits including opportunities to network with leaders of ACEP and attend local fundraising events on behalf of NEMPAC.
  2. Talk to NEMPAC: The NEMPAC Board and staff rely on the advice and recommendations of NEMPAC donors and state chapter leaders when evaluating candidates, especially in races where there is no incumbent. Stay informed of the congressional races in your area and reach out to the NEMPAC Board and staff if you have input. All NEMPAC donors receive the NEMPAC Pulse, our quarterly newsletter filled with information about national politics, legislative initiatives and ACEP members who are making a difference through their advocacy efforts for the specialty.

Instead of burying our heads in in the sand, hoping this too will pass or coming up with more “PACscuses,” we ask to work together on the making the environment better for our specialty and patients.

For more information or to get involved, go to the NEMPAC website.


Dr. Jacoby is chairman of the NEMPAC Board of Trustees.

Ms. Slade is director of political affairs at ACEP.

“What Have You Done for Me Lately?”

Here are just a few of the successes that NEMPAC has been part of in this Congress:

  • During ACA repeal-and-replace efforts, preserved emergency services as an “essential health benefit” that qualified health plans must cover for their beneficiaries.
  • Provided protections and flexibility for EMS medical directors. The law explicitly permits physician medical directors to issue standing orders to EMS personnel so they may administer controlled substances to their patients.
  • Secured 10 years of funding for the Children’s Health Insurance Program (CHIP).
  • Extended the Geographic Practice Cost Index (GPCI) work floor update for two years.
  • Extended Medicare ambulance add-on payments for five years.
  • Implemented technical fixes to the Medicare Access and CHIP Reauthorization Act.
  • Provided an additional $6 billion to combat opioid misuse.
  • Allowed Medicare to reimburse for tele-stroke consultations, regardless of location.
  • Repealed the Independent Payment Advisory Board.

And we’re working on other legislative efforts to benefit emergency medicine: ACEP led the introduction of bipartisan bills to expand on innovative programs developed in the emergency department, such as:

  • The Alternatives to Opioids in the Emergency Department Act (HR 5197), which would provide $30 million over three years to help establish a demonstration program to test alternative pain management protocols to limit the use of opioids in the emergency department.
  • The Preventing Overdoses While in Emergency Rooms Act of 2018 (HR 5176), which would provide $50 million in grants (over five years) to establish policies and procedures for administering medication-assisted treatment in the emergency department to overdose patients with subsequent referral to community providers, as well as develop best practices for care coordination and integrated care models for long-term treatment and recovery options.

Pages: 1 2 3 | Multi-Page

Topics: ACEPAdvocacyAmerican College of Emergency PhysicianslegislationNational Emergency Medicine Political Action CommitteeNEMPAC

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