ACEP ID:

April 5, 2024

Local Flavor

State Legislative Issues

Additional context for understanding the current state political situation as well as chapter legislative and regulatory priorities.

Arizona

Currently, signed in, with other medical associations, to oppose proposed legislation that enables psychologists to prescribe psychotropic medications.

California

CalACEP sponsoring legislation in 2023 requiring that insurers and health plans collect co-pays and deductibles from patients.

Colorado

Democrats control both chambers of the legislature and the Governor's office, leading to a highly progressive social agenda.

Florida

Republican supermajority in legislature and Republican Governor, as of 2024. As an entire state, it was more of a "purple" state, with close to 50:50 split of voters, but this has changed. Democratic voters are concentrated more so in the south of the state. May

Illinois

2022: ICEP sponsored legislation to protect victims of sexual assault seeking evidence collection, and to improve compensation for performing exams.

Indiana

2023: On-site physician coverage for all EDs.

Kansas

Aligned with Kansas Medical Society

Louisiana

SB 439 8/1/22 Provides for bridge year graduate physicians for unmatched LA graduate physicians to work with rural mentor physician while awaiting next match.

Michigan

Large fight on nurse staffing ratios; CPOM Letter signed onto with State Medical Society and other organizations; Member involvement in county medical society legislative committees.

Missouri

Passed legislation to specifically stop ED denials by payors.

North Carolina

We usually fight several public health bills like repealing motorcycle helmet laws and restrictions on what physicians can say to patients.

Ohio

Ohio ACEP is in the early stages of planning a law similar to Indiana's, to require a physician always be present in every ED.

Oregon

EMS Modernization IT

Pennsylvania

Outpatient emergency departments (OEDs): Recent PA DoH guidelines released (Jan 2023) for OEDs. Several rural sites have transitioned from acute care hospitals to OEDs. This is likely to have an impact on access as well as possible SoP issues with potential for move to indy NP/PA staffing.

Texas

Tort reform challenged every legislative session to index the cap to inflation.

West Virginia

Legislation working on EMS wait times, palliative care, and a treatment in place program (community paramedicine).

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