TY - JOUR T1 - Consequences of federal patient transfer regulations: Effect of the 2003 emtala revision on a tertiary referral center and evidence of possible misuse AU - Kao DP, Martin MH, Das AK, Ruoss SJ Y1 - 2012/06/11 N1 - 10.1001/archinternmed.2012.1290 JO - Archives of Internal Medicine SP - 891 EP - 892 VL - 172 IS - 11 N2 - Emergency department (ED) use has risen steadily over the past 20 years, in part because patients are guaranteed medical attention under the Emergency Medical Treatment and Active Labor Act (EMTALA). EMTALA requires ED physicians to evaluate and stabilize all patients regardless of ability to pay, and hospitals must provide specialist care or arrange transfer to a tertiary care center when specialist care is unavailable.1- 2 Community hospitals have reported difficulty providing specialist coverage since the enactment of EMTALA, and the Centers for Medicare and Medicaid Services (CMS) published its “Final Rule” regarding EMTALA in September 2003, stating that hospitals with EDs are not required to guarantee specialist coverage at all times.3 SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2012.1290 UR - http://dx.doi.org/10.1001/archinternmed.2012.1290 ER -