The Board of Governors (BOG) is a 66 member body of the ACC Fellows who represent all 50 states, the District of Columbia, Puerto Rico, Canada, Mexico and the US Uniformed Services.  

The BOG reports to the Board of Trustees of the College.  Each Governor is elected at the state or regional level, and represents that membership to the College. 

Governors in states with a Chapter automatically become the Chapter President.  In 1989, the ACC enabled Chapters to be formed at the state level.  All FACCs are members of their Chapter.  ACC currently has 44 chapters, which cover 47 states and Puerto Rico. 
 

Governors, and therefore Chapters, serve as a conduit for the flow of information to and from the grassroots membership and national organization.  Chapter Presidents also represent the interests of cardiologist on state, local and regional legislative, regulatory and payer issues important to cardiovascular specialists.  Chapters currently provide a forum at the state or regional level for ACC members to discuss legislation, regulation and socioeconomic issues that affect the cardiology community and ultimately the patients to whom they render cardiovascular care. Chapters enable the College to address issues that occur only within a state or region.

"It is my duty to remind you that the American College of Cardiology (ACC) maintains official policies on relationships of members with industry with respect to participation in all meetings of ACC Committees or Task Forces.  I have a copy of your current statement from the College file.  If your statement contained a Disclosure Form identifying an industry relationship as defined by ACC, and this Committee/Task Force takes under consideration today a matter where that relationship would apply, you should absent yourself and not participate in the discussion for its duration."