Understanding the Latest Changes in EMTALA: Our Country’s Emergency Care Safety Net
On April 7, 1986, President Ronald Reagan signed into law the Consolidated Omnibus Budget Reconciliation Act of 1985, which incorporated legislation known as the Emergency Medical Treatment and Labor Act (EMTALA) to address the problem of “patient dumping” by hospital emergency departments. Although originally designed to serve as a safety net for emergency patients, the statute grew in both scope and complexity during the following two decades, wreaking widespread confusion within the physician and hospital communities regarding their respective responsibilities under the law.
KeywordsEmergency Physician Hospital Emergency Department Manage Care Plan Medicare Prescription Emergency Medical Treatment
Unable to display preview. Download preview PDF.
- 1.Federal Register, Vol. 68, No. 174, Part II. Medicare Program; Clarifying Policies Related to the Responsibilities of Medicare-Participating Hospitals in Treating Emergency Medical Conditions; Final Rule. DHHS, CMS. September 9, 2003: 5326.Google Scholar
- 2.Bitterman R. Overview of Hospital and Physician Responsibilities Mandated by EMTALA. Foster. Providing Emergency Care under Federal Law: EMTALA. Dallas: The American College of Emergency Physicians, 2000: 21.Google Scholar
- 3.Joint Commission on Accreditation of Healthcare Organizations. Manual, 1999, Medical Staff Standard 1.1.3.Google Scholar
- 4.DHHS Office of Inspector General Report OEI-090-98-00220. The Emergency Medical Treatment and Labor Act: Survey of Hospital Emergency. January 2001: 2.Google Scholar
- 5.68 Federal Register. September 9, 2003: 53264.Google Scholar
- 6.Department of Health and Human Services, Centers for Medicare and Medicaid Services Survey and Certification Letter No. S&C-02-34, June 13, 2003.Google Scholar
- 7.68 Federal Register. September 9, 2003: 53254.Google Scholar
- 8.68 Federal Register. September 9, 2003: 53255.Google Scholar
- 9.68 Federal Register. September 9, 2003: 53264.Google Scholar