--- - |2 This article proposes an interactionist update of “street‐level bureaucracy,” one of the most influential approaches for studying how public policy is translated into street‐level practice. While the street‐level approach assumes that bureaucrats are alone in enacting policy, the present article argues for seeing “street‐level policy” as formed in negotiation between bureaucrats and clients. To demonstrate this, the article uses ethnographic data and a Straussian framework to analyze how nurses and patients negotiated access in a Norwegian emergency service. The article thus sets a new course for street‐level research, helping researchers look beyond the individual to explore inter‐individual negotiation and its influence on street‐level decision‐making. - 'Symbolic Interaction, EarlyView. '