CHA News Article

CHA Releases Updated EMTALA Manual

Using a question-and-answer format, EMTALA — A Guide to Patient Anti-Dumping Laws provides guidance on how to comply with the Emergency Medical Treatment and Active Labor Act (EMTALA) and clarifies situations to which it applies. The manual addresses medical screening exams, patient transfers, obligations of transferring and receiving hospitals, physician on-call responsibilities, enforcement, court cases, applicable California hospital licensing and managed care laws, and numerous other issues. 

“EMTALA can be a confusing and overwhelming law for staff to understand,” stated David Perrott, MD, DDS, CHA senior vice president and chief medical officer. “Hospital staff will find this manual is an excellent reference when questions arise.”  

Updated by M. Steven Lipton of Hooper, Lundy & Bookman, PC, this edition includes:

  • A new chapter describing the complexities of applying EMTALA and California’s mental health laws (LPS) to treating emergency psychiatric patients.
  • Update regarding CMS‘ position on asking emergency patients for financial/insurance information and aggressive debt collection activities.
  • Changes to California law allowing emergency services to be provided by non-physician practitioners in specified situations.
  • Guidance on how to respond and prepare for QIO/HSAG reviews and hearings on EMTALA cases.
  • Update regarding EMTALA obligation waivers during disasters and public health emergencies.
  • And more.

To learn more and order the manual, visit