Schneider K C
Tex Med. 1989 Jan;85(1):58-60.
National attention has been directed to the problem of "dumping" of uninsured patients upon public hospitals. Federal law addresses only transfers of emergency room patients without regard to possible financial motivation. All transfers, including those requested by patients, must meet criteria for appropriateness. A substantial proportion of confirmed violations have involved failure to adequately screen the patient for emergency conditions. Both the hospital and the physician responsible for the care of a patient who is transferred in violation of the law may be subject to Medicare sanctions, including termination or suspension from participation and fines up to $50,000 for each occurrence. Proposed regulations affirm that private practitioners who provide uncompensated emergency room services under an oral agreement may be subject to sanctions in the event of a violation.
全国都在关注公立医院接收无保险患者的“甩卖”问题。联邦法律仅涉及急诊室患者的转诊，而不考虑可能的经济动机。所有转诊，包括患者要求的转诊，都必须符合适当性标准。相当一部分已确认的违规行为涉及未能对患者进行充分的紧急情况筛查。对于违反法律转诊患者的医院和负责该患者护理的医生，都可能受到医疗保险制裁，包括终止或暂停参与资格，每次违规最高可处以5万美元罚款。拟议的法规确认，根据口头协议提供无偿急诊室服务的私人执业者，一旦违规也可能受到制裁。
