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(Draft) Board Report 6: Resolution 25-422: Physician On Site in Emergency Departments

Mar 31, 2026

SUGGESTED RECOMMENDATIONS FOR THE HOUSE OF DELEGATES

RECOMMENDATION:

The Board of Trustees recommends that resolution 25-422 be amended as follows:

RESOLVED, that the Pennsylvania Medical Society, in order to promote truth and transparency in the services available to patients seeking emergency medical care, pursue the enactment of legislation or regulation requiring that all facilities in the state of Pennsylvania that bear the designation of Emergency Department, ED, Emergency Room, ER, or other title, facility logo or design implying provision of emergency medical care must have the real-time, on-site presence of, and supervision of non-physician practitioners by, a licensed physician with training and experience in emergency medical care, 24 hours a day, 7 days a week whose primary duty is dedicated to patients who seek emergency medical care in that specific ED, whether it serves the general population or a special population. Physician collaboration with a non-physician practitioner will not fulfill this requirement.; and be it Ffurther, let it be

RESOLVED, that the Pennsylvania Medical Society advocate for similar pursue the enactment of legislation or regulation, promoting truth and transparency for patients regarding availability and scope of emergency medical services at all health care facilities and seeking appropriate designations, at a Federal level with the American Medical Association, in accordance with Commonwealth of Pennsylvania Code requiring that non-physician practitioners providing emergency medical care be supervised by a licensed physician with training and experience in emergency medical care, and that physician collaboration with a non-physician practitioner will not fulfill this requirement; and be it further

RESOLVED, that in recognition of geographic and workforce challenges, particularly in rural or underserved areas, the Pennsylvania Medical Society support reasonable flexibility in implementation of these requirements, provided that such flexibility maintains timely physician involvement, prioritizes patient safety, and does not misrepresent the level of emergency services available to patients; and be it further

RESOLVED, that the Pennsylvania Medical Society advocate for similar legislation or regulation, promoting truth and transparency for patients regarding availability and scope of emergency medical services at all health care facilities and seeking appropriate designations, at a federal level with the American Medical Association, in accordance with Commonwealth of Pennsylvania Code.

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