Federal Advocacy

EDPMA advocates for the practice of emergency medicine through federal, regulatory and state advocacy.
Priority issues include implementation of the No Surprises Act, fixing the Medicare physician fee schedule, protecting EMTALA and keeping patients out of the middle of payment disputes.

EDPMA Data Analysis: Qualifying Payment Amounts and Health Plan Compliance Under the No Surprises Act

EDPMA surveyed its membership to report on issues related to the implementation of the No Surprises Act (NSA) since January 1, 2022. See the study findings here.

EDPMA’s study reveals: 

91% of claims surveyed did comply with the NSA’s statutory and regulatory QPA disclosure requirements.

Post-NSA Out-of-Network Payments decreased 92% of the time, compared to Pre-NSA. The average decrease is 32% per ER Visit.

The Independent Dispute Resolution volumes are driven by artificially low QPAs, payer intransigence, failure of Open Negotiation, health plan termination of in-network agreements, and CMS’ refusal to implement common sense recommendations.

When reported, the QPA consistently equals the allowed amount for provider payments.

EMTALA is now minimally funded, jeopardizing the Emergency Department Safety Net.

Emergency Department staffing is in jeopardy.

EDPMA also offers solutions including:

Congressional Involvement
Rapid and effective enforcement
Accurate QPAs
Require and Clarify RARC Codes
EMTALA Must Now Be Funded

See our solutions here.

EDPMA Lobby Day

EDPMA’s Lobby Day is Tuesday, November 14 in Washington DC. We focus on meetings with the House and Senate Leadership and Leadership with the key Committees overseeing health care. Interested in joining us? Complete the Interest Form and we will forward information as the event nears.

EDPMA Advocacy Primer

If you need help identifying your congressional delegation, finding contact information, or preparing for a meeting, please review the EDPMA Advocacy Primer.

For access to key letters to and from federal and state decision makers and payers, lobby packets, and other helpful information, please visit the toolboxes under the “Resources Tab.”