WASHINGTON - A new report released by the American College of Emergency Physicians (ACEP) shows that support for hospitals and emergency room patients is deteriorating.

"America's Emergency Care Environment: A State-by-State Report Card" forecasts an expanding role of emergency departments under President Obama's Affordable Care Act and the harmful effects wrought by the competing pressures of shrinking resources and increasing demand.

The state-by-state analysis finds that Minnesota scores a C grade overall.

The Report Card grades across five categories: access to emergency care, quality and patient safety, medical liability environment, public health and injury prevention and disaster preparedness.

Dr. Alex Rosenau, President, American College of Emergency Physicians, spoke with KARE 11 Sunrise about the results of the report and Minnesota's ranking.