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98 Marq. L. Rev. 1759 (2014-2015)
America's Unraveling Safety Net: Emtala's Effect on Emergency Departments, Problems and Solutions

handle is hein.journals/marqlr98 and id is 1797 raw text is: AMERICA'S UNRAVELING SAFETY NET: EMTALA'S EFFECT ON EMERGENCY DEPARTMENTS, PROBLEMS AND SOLUTIONS 1. INTROD U CTION ................................................................................. 1760 II. PROBLEMS AFFECTING EDs EXACERBATED BY EMTALA ..... 1763 A. The Fiscal Burden on Hospitals ............................................... 1765 1. The General Financial Landscape Hospitals O perate W ithin ............................................................... 1765 2. The Costs of EMTALA Being an Unfunded M andate ......................................................................... 1769 3. EMTALA's Direct Costs to Hospitals .......................... 1774 4. Ramifications of Fiscal Burden for EDs ....................... 1775 B. ED O vercrowding ..................................................................... 1775 1. EMTALA's Contribution to ED Overcrowding ......... 1776 2. Consequences of Overcrowding ..................................... 1778 III. EXAMINING EM TA LA .................................................................... 1779 A. Congresss's Intent in Enacting EMTALA .............................. 1779 B. EMTALA: Statute and Regulations ........................................ 1782 IV. CLARIFYING THE STATUTE: JUDICIAL INTERPRETATION O F E M T A L A .................................................................................... 1784 A . D istrict Courts D ivided ............................................................. 1784 B. The Sixth Circuit's Approach: An Improper Motive R equirem ent .............................................................................. 1789 C. The Supreme Court Interprets EMTALA .............................. 1791 V. SUGGESTED SOLUTIONS FOR THE UNINTENDED CONSEQUENCES OF EMTALA ...................................................... 1792 A. Congress Should Amend EMTALA ....................................... 1792 B. Courts Should Adopt the Sixth Circuit's Improper M otive Requirem ent ................................................................. 1799 C. Congress Should Fund EMTALA .......................................... 1800 V I. C O N CLU SION ...................................................................................... 1802

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