Skip to main content

EMTALA Review

  • Chapter
  • First Online:
Common Problems in Acute Care Surgery
  • 2821 Accesses

Abstract

The United States Congress passed Emergency Medical Treatment and Active Labor Act (EMTALA) in 1985. By doing so, it defined for the first time a standard of medical care and legislated how hospitals and physicians were required to practice medicine. With the passage of EMTALA, Congress effectively defined hospital emergency departments as a community resource and essentially created a federal right to emergency care [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bitterman RA. Providing Emergency Care under Federal Law: EMTALA, AM. College of Emergence Physicians (2000), p. xiii

    Google Scholar 

  2. President George W. Bush, July 10, 2007, Cleveland, OH

    Google Scholar 

  3. Equal Access to Health Care: Patient Dumping: Subcommittee on Homan Resources and Intergovernmental Relations to the House Comm. On Governmental Operations, H.R. REP. No. 531, 100th Cong., 2d Sess., at 6–7 (1988)

    Google Scholar 

  4. Dan Rather, CBS Evening News, Tuesday, 2/5/1985

    Google Scholar 

  5. Private Hospitals’ Dumping of Patients, NY Times Oct 28, 1985 at A19.

    Google Scholar 

  6. Schiff RL, Ansell DA, Schlosser JE, et al. Transfers to a public hospital, a prospective study of 467 patients. NEJM. 1986;314:552–7.

    Article  PubMed  CAS  Google Scholar 

  7. McCormick B. CO public hospital dumps patients. Hospitals 1986;60(23):76

    Google Scholar 

  8. US House of Representatives. H.R. Rep No 241, 99th Cong, 1st Sess 5 (1985)

    Google Scholar 

  9. The Consolidated Omnibus Budget Reconciliation Act of 1985, Pub. L. No. 99-272 9121, 100 Stat. 82 (1986).

    Google Scholar 

  10. US House of Representatives. H.R. Rep No. 241, 99th Cong., 2d Sess., pt. 3, at 6,7 (1986) U.S.C.C.A.N. 726, 728.

    Google Scholar 

  11. Moy MM. The EMTALA Answer Book 2012 addition Wolters Kluwer Law and Business (2012).

    Google Scholar 

  12. US Congress. 42 USC 1395dd(g). Congressional amendments in 1989. Pub L No 101–239, Title VI, Sections 6003(g)(3)(D)(XIV), 6211(a)-(h), 103 Stat 2154, 2245 (enacted December 19,1989, effective on July 1, 1990) (codified in 42 USCA Section 1395dd (West Supp 1991).

    Google Scholar 

  13. US Congress. 42 USC 1395dd(a), 42 USC 1395dd(b), 42 USC 1395dd(g) Congressional amendments in 1989. Pub L No 101–239, Title VI, Sections 6003(g)(3)(D)(XIV), 6211(a)–(h), 103 Stat 2154, 2245 (enacted December 19,1989, effective on July 1, 1990) (codified in 42 USCA Section 1395dd (West Supp 1991).

    Google Scholar 

  14. Baker CH, Goldsmith TM. From triage to transfer: HCFA’s update on EMTALA. Health Law Digest. 1998;26:3–14.

    Google Scholar 

  15. Health Care Financing Administration, State Operating Manual, App. V (Rev. 2, May 1998).

    Google Scholar 

  16. Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Parts 413, 482, and 489

    Google Scholar 

  17. Federal Register, Vol. 68, No. 174, Tuesday, September 9, 2003, p. 53250

    Google Scholar 

  18. Department of Health and Human Services Centers for Medicare and Medicaid Services 42 CFR Part 489.24

    Google Scholar 

  19. Department of Health and Human Services Centers for Medicare and Medicaid Services 42 CFR Part 489.24(d)(3)

    Google Scholar 

  20. Department of Health and Human Services Centers for Medicare and Medicaid Services 42 CFR Part 489.24(b)

    Google Scholar 

  21. HHS/CMS Program Memorandum S&C-02-35, Simultaneously On-Call (June 13, 2002). Letter from Steven A. Pelovitz, Director, CMS Survey and Certification Group

    Google Scholar 

  22. Bitterman RA. HCFA’s New Guidelines for Enforcement of EMTALA. Emerg Department Legal Lett. 1998;9(12):113–20.

    Google Scholar 

  23. Interpretive Guidelines, Department of Health and Human Services Centers for Medicare and Medicaid Services 42 CFR Parts 489.24(j)(1), at 21

    Google Scholar 

  24. Bitterman RA. Supplement to Providing Emergency Care under Federal Law: EMTALA (April 2004)

    Google Scholar 

  25. Federal Register. Vol. 68, No. 174, Tuesday, September 9, 2003, p. 53255

    Google Scholar 

  26. HCFA Interpretive Guidelines, 42 USC 1395dd(h)

    Google Scholar 

  27. Federal Register. Vol. 68, No. 174, Tuesday, September 9, 2003, p. 53,244

    Google Scholar 

  28. HCFA Interpretive Guidelines § V-32, 42 USC 1395dd(b)(2)(D);

    Google Scholar 

  29. Bitterman RA. Providing Emergency Care Under Federal Law: EMTALA, AM. College of Emergence Physicians (2000), p. 184

    Google Scholar 

  30. U.S. Department HHS, CMS, State Operations Manual, App. V, Emergency Medical Treatment and Labor Act (EMTALA) Interpretive Guidelines, Part II, Tag A-2404/C-2404 (revised 5/29/2009)

    Google Scholar 

  31. CMS 2008 IPPS Proposed Rule (73 Federal Register 23669–23671)

    Google Scholar 

  32. 73 Federal Register 48661, Vol. 61, No. 180/Monday, 16 Sept 1996

    Google Scholar 

  33. St. Anthony Hospital v. U.S. Department HHS, 309 F.3d 680, 713 (10th Cir. 2002)

    Google Scholar 

  34. Millard v. Corrado, 14 S.W.3d 42 (Mo. App. Ct. 1999)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James J. McCarthy M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

McCarthy, J.J. (2013). EMTALA Review. In: Moore, L., Turner, K., Todd, S. (eds) Common Problems in Acute Care Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6123-4_42

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-6123-4_42

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6122-7

  • Online ISBN: 978-1-4614-6123-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics