ACEP Council consists of members representing ACEP’s 53 chartered chapters (50 states, Puerto Rico, the District of Columbia and Government Services), its sections of membership, the Association of Academic Chairs in Emergency Medicine (AACEM), the Council of Emergency Medicine Residency Directors (CORD), the Emergency Medicine Residents' Association (EMRA) and the Society for Academic Emergency Medicine (SAEM).

The Council is a deliberative body that meets once a year for two days in conjunction with the College’s annual Scientific Assembly. The Council votes on resolutions, including changes to the Bylaws, College Manual, and the Council Standing Rules, which may be submitted by any two members. Resolutions guide policy development and activities of the College.