Addressing Boarding and Crowding in the Emergency Department

This bill, HR 2936 (the ABC-ED Act), aims to reduce emergency department crowding by requiring real-time tracking of hospital bed capacity and related metrics like patient wait times. It allows federal grants to modernize public health data systems that monitor emergency department boarding rates, bed availability, and ambulance offload times, with results displayed on a public dashboard (while protecting privacy). The bill also adds two new Medicare Innovation Center pilot programs: one focused on improving care for older adults (through staffing, infrastructure, and senior care coordination) and another for psychiatric crisis care (including dedicated units and faster facility transfers). Finally, it mandates a one-year study by the Government Accountability Office to evaluate best practices for these data systems and their impact on emergency department efficiency.