In October 2000, the ACP Board of Regents produced a Statement of Core Policy Principles on Providing Access to Care for All Americans. The Regents identified as a core principle the elimination of disparities in medical care based on social, ethnic, racial, gender, sexual orientation, and demographic differences. In May 2002, the College's Health and Public Policy Committee (HPPC) decided to make racial and ethnic disparities in health care a high priority for policy development. Shannon R. Lightner, MSW, MPA, Congressional Staffer, former ACP Health Policy Associate, acted as staff for this project. To prepare a list of issues, she used articles and documents in College files, articles identified in a computer search of the literature, key articles referenced in other materials, and articles suggested by HPPC members. After reviewing her list of issues for College policy development, Ms. Lightner was directed by the HPPC to prepare a position paper. On the basis of comments from HPPC members, she revised the position paper, which underwent a point-by-point discussion at an HPPC meeting early in 2003. The HPPC approved the paper, which was then posted on the College's electronic information centers for comments by members of the Board of Regents, Board of Governors, and several other College committees and affiliated internal medicine organizations. On the basis of these comments, the HPPC again modified the paper and submitted it to the Board of Regents with a summary of the comments received. The Board of Regents approved the position paper on 31 March 2003. Rachel Groman, MPH, ACP Health Policy Associate, then prepared an abridged version of the position paper for publication in Annals of Internal Medicine. Jack Ginsburg, MPE, Director of Health Policy Analysis and Research for ACP, oversaw the entire process.