Each of these Councillors may cast a single vote on any issue that the Council decides. In addition, an equal number of alternate Councillors, selected in like manner and number, attend the Council meeting. An alternate Councillor may speak to any debated issue, but does not vote unless substituting forthe same group s Councillor. Each state, section of membership, or EMRA may decide the manner in which their respective Councillors and alternate Councillors are named. The ACEP Bylaws do limit Councillors to two or three year terms, though no term limits apply.
Most states designate some or all chapter officers as Councillors.
Remaining positions and alternates are often chosen by election during a state chapter s annual meeting. Sections often send their chair as Councillor. The Young Physicians Section holds separate Councillor and alternate Councillor elections in its meeting during the week of Scientific Assembly. EMRA Councillors are appointed from the EMRA Board of Directors by the EMRA President.