Emergency Care EMTALA Alterations During the COVID-19 Pandemic in the United States

J Emerg Nurs. 2021 Mar;47(2):321-325. doi: 10.1016/j.jen.2020.11.009. Epub 2020 Nov 30.

Abstract

The coronavirus 2019 pandemic has affected almost every aspect of health care delivery in the United States, and the emergency medicine system has been hit particularly hard while dealing with this public health crisis. In an unprecedented time in our history, medical systems and clinicians have been asked to be creative, flexible, and innovative, all while continuing to uphold the important standards in the US health care system. To continue providing quality services to patients during this extraordinary time, care providers, organizations, administrators, and insurers have needed to alter longstanding models and procedures to respond to the dynamics of a pandemic. The Emergency Medicine Treatment and Active Labor Act of 1986, or EMTALA, is 1 example of where these alterations have allowed health care facilities and clinicians to continue their work of caring for patients while protecting both the patients and the clinicians themselves from infectious exposures at the same time.

Keywords: Coronavirus disease 2019; Emergency Medicine Treatment and Active Labor Act; Emergency medicine; Telemedicine.

MeSH terms

  • COVID-19 / therapy*
  • Delivery of Health Care / methods*
  • Emergency Medical Services / legislation & jurisprudence*
  • Emergency Medical Services / methods*
  • Humans
  • Pandemics
  • SARS-CoV-2
  • Telemedicine / methods
  • United States