SubmissionNumber#=%=#27 FinalPaperTitle#=%=#CUAMC @ MedExACT 2026: Robust Ensemble Voting for Fair Medical Decision Extraction ShortPaperTitle#=%=# NumberOfPages#=%=# CopyrightSigned#=%=# JobTitle#==# Organization#==# Abstract#==#Automated extraction of medical decisions from clinical notes is a critical step to constructing more granular patient health trajectories than what is currently obtainable from structured healthcare data. Here we present a system designed for the MedExACT shared task that employs an ensemble of BERT-based classifiers to account for demographic diversity when extracting mentions of medical decisions from MIMIC-III discharge summaries. A simple voting strategy combined with architectural diversity is demonstrated to work best when training data is limited. Author{1}{Firstname}#=%=#William Author{1}{Lastname}#=%=#Baumgartner Author{1}{Username}#=%=#william.baumgartner Author{1}{Orcid}#=%=# Author{1}{Email}#=%=#william.baumgartner@cuanschutz.edu Author{1}{Affiliation}#=%=#University of Colorado Anschutz Medical Campus Author{2}{Firstname}#=%=#Lisa M. Author{2}{Lastname}#=%=#Schilling Author{2}{Orcid}#=%=# Author{2}{Email}#=%=#LISA.SCHILLING@CUANSCHUTZ.EDU Author{2}{Affiliation}#=%=#University of Colorado Anschutz Medical Campus ========== èéáğö