Congress primarily enacted the Emergency Medical Treatment and Active Labor
Act (EMTALA) in 1986 to prevent the denial of care to uninsured patients i
n emergency departments. The final version of EMTALA lacks specific protect
ion for indigent patients and saddles hospitals and physicians with more li
ability than Congress initially intended. Loopholes in the law allow denial
of care to patients when temporarily stabilized. Congress should ameliorat
e these problems through amendment of the law.