Under EMTALA, hospitals with emergency departments must provide which of the following to individuals who come to the ED and request it?

• A. A private examination by a physician
• B. A medical screening examination to any individual who comes to the emergency department and requests such an examination
• C. A follow-up appointment
• D. A payment waiver

Answer: (B)

The main idea tested is that EMTALA requires a medical screening examination for anyone who presents to an emergency department and requests such an examination. This screening must be provided by a qualified medical professional to determine whether an emergency medical condition exists, and it must be offered regardless of the person’s ability to pay or other financial considerations. It isn’t about a private examination by a specific physician, a follow-up appointment, or a payment waiver as part of the initial screening. If the screening reveals an emergency condition, the hospital must stabilize or appropriately transfer the patient; if not, they may discharge or provide whatever non-emergency care is appropriate.