ACEP met with the Centers for Medicare & Medicaid Services (CMS) to discuss the ACGME’s proposed changes to emergency medicine residency program requirements to share our perspectives and gain clarity on how CMS will approach changes to funding emergency medicine residencies.
CMS gave important assurances that the existing regulatory framework has flexibility to accommodate changes to the length of training in order to provide stability throughout the transition.
Should the proposed ACGME EM requirements be adopted effective July 1, 2027, EM residents who start training on this date will be assigned an Initial Residency Period (IRP) code of 4 years. Between now and that date, the 3-year IRP code will continue to be assigned to all other EM residents as it is now. The training for residents with a 4-year IRP code assigned will be eligible for full CMS funding for all 4 years after July 1, 2027.
ACEP will continue our conversations with CMS to ensure stability and certainty for all EM programs and EM residents alike as any proposed requirements are finalized and implemented.
