The 2017 Virginia General Assembly established the Emergency Department Care Coordination (EDCC) program (§ 32.1-372) and in 2023 the General Assembly changed the EDCC program to the Smartchart Network Program effective January 2024. The following annual progress report on the Emergency Department Care Coordination Program (EDCC), includes the participation rate of hospitals and health systems, providers and subscribing health plans; strategies for sustaining the program and methods to continue to improve care coordination; and the impact on health care utilization and quality goals such as reducing the frequency of visits by high-volume emergency department utilizers and avoiding duplication of health care services.