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Grand Canyon University *

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NUR590

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Medicine

Date

Dec 6, 2023

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ppt

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5

Uploaded by sathornton09

Regulation Staff Presentation Stephanie Thornton Walden University
Emergency Medical Treatment and Labor Act (EMTALA) • Congress enacted the EMTALA in 1986, to ensure public access to emergency medical treatment, regardless of insurance status or ability to pay. • Medicare participating hospitals, offering emergency services are obligated to provide screening and medical care, including for women in active labor. • Hospitals are required to medically stabilize patients, or transfer to another hospital if unable to stabilize at current facility. • Example of EMTALA: an uninsured chronic asthmatic presenting with acute shortness of breath to emergency department.
Regulation of EMTALA • Centers for Medicare & Medicaid Service (CMS) enforces the EMTALA. • Hill- Burton Act of 1946, mandated hospitals to provide care to patients regardless of ability to pay. • Despite mandate, refusal of care was still prevalent particularly to minorities, low-income, or uninsured. • In 1986, there were an estimated 250, 000 unstable patients transported annually (Rhodes & Smith, 2017). • Federal enforcement is complaint driven.
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