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National Advocacy

2023.09.07 WM-Rural-Health-Care-RFI.pdf

Federal Trade Commission Comment Period on Proposed Non-Compete Agreements:  An Update

The ACC Board of Governor's (BOG) Work Group is pleased to announce publication of their viewpoint article on Restrictive Covenants in JACC: Advances.

The article is a synopsis of the work of the BOG Task Force that worked on this topic from 2021-22.

Restrictive Covenants and Noncompete Clauses for Physicians: A Viewpoint - ScienceDirect

The BOG Work Group's full White Paper can be found here:

Restrictive Covenants and Non-Compete Clauses for Physicians: A Review and Analysis (

A State-by-State legal analysis can be found here:

PowerPoint Presentation (

ACC President Hadley Wilson led a recent ACC Heart to Heart webinar on the topic that you may find interesting.

ACC President Series | Heart-to-Heart - American College of Cardiology

Since finishing the White Paper, Minnesota has banned most non-competes in new contracts, Indiana has banned them for primary care physicians and restricted enforcement of others, and New York legislature passed a broad ban which is on the Governor’s desk. There is probably additional activity in other states.  We will continue to keep you apprised on this important matter.

Archival Updates:

Federal Trade Commission Comment Period on Proposed Non-Compete Agreements.  Make Your Voice Heard

As communicated in January, the Federal Trade Commission (FTC) has proposed a rule targeted at limiting Restrictive Covenants (i.e., non-competes). Due to overwhelming interest in this important issue, the FTC extended their public comment period through April 19th. 
Based on feedback from ACC members—who overwhelmingly oppose non-competes—the Health Affairs Committee (HAC) of the ACC has prepared a letter for submission in support of limiting the use of Restrictive Covenants. Not surprisingly, the American Hospital Association (AHA) has submitted their own letter supporting Restrictive Covenants; however, the opening text of the AHA's letter suggests that they represent all employed physicians and providers, which is clearly not the case. The Missouri ACC Chapter has drafted its own response, the contents of which can be found here.
Here are links to relevant documents:
Fact sheet:
Press release:
Webpage to access text of proposed rule:

Check back for information on Missouri Advocacy issues.

US Congress Contact
United States Senate
United States House of Representatives
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Missouri Legislature Contact

Missouri House of Representatives
Missouri Senate

ACC's Legislative Conference 2023
Oct. 15-17, 2023

Registration is open for ACC's Legislative Conference 2023, taking place from Oct. 15 - 17 in Washington, DC. The three-day meeting offers cardiovascular clinicians spanning the entire care team a chance to hear from ACC leaders, staff and other experts on health policy issues affecting patients and the profession, while also providing an important opportunity to speak directly with members of Congress and their staff.  Click here for all the details and to register.

Conference Tips

  • Please register using the email address that corresponds with your ACC member record.
  • Follow @Cardiology on Twitter and the ACC Advocate newsletter for updates!
  • Email Meg Novak ( with questions.

Find Your Federal and State Officials

For a complete listing of the ACC Advocacy Resources, please visit via this link:

Missouri Advocacy

Missouri Chapter, American College of Cardiology
2650 S. Hanley Rd., Ste. 100
St. Louis, MO 63144
Phone: (314) 416-2275 Fax: (314) 845-1891

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