Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24 (R-142)

OMB 0938-0667

This collection contains the requirements for hospitals in effort to prevent them from inappropriately transferring individuals with emergency medical conditions, as mandated by Congress. CMS uses this information to help assure compliance with this mandate. This information is not contained elsewhere in regulations.

The latest form for Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24 (R-142) expires 2023-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
CMS-R-142_Supporting_Statement_Part_A_.pdf Supporting Statement A
Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24, & HCFA-1005-IFC, PPS for Hospital Outpatient Services,...

All Historical Document Collections

202006-0938-016 Approved without change	Reinstatement with change of a previously approved collection	2020-07-06
201701-0938-001 Approved with change	Reinstatement without change of a previously approved collection	2017-01-09
201608-0938-017 Improperly submitted	Reinstatement without change of a previously approved collection	2016-09-27
201305-0938-017 Approved without change	Extension without change of a currently approved collection	2013-05-22
201004-0938-009 Approved without change	Extension without change of a currently approved collection	2010-04-26
200701-0938-011 Approved without change	Extension without change of a currently approved collection	2007-01-12
200310-0938-008 Approved without change	Revision of a currently approved collection	2003-10-16
200208-0938-016 Approved with change	Revision of a currently approved collection	2002-08-29
200107-0938-012 Approved without change	Extension without change of a currently approved collection	2001-07-26
199807-0938-004 Approved without change	Extension without change of a currently approved collection	1998-07-10
199708-0938-007 Approved without change	Extension without change of a currently approved collection	1997-08-25
199605-0938-003 Approved without change	Reinstatement with change of a previously approved collection	1996-05-07
199601-0938-002 Approved without change	Extension without change of a currently approved collection	1996-01-26
199410-0938-018 Approved without change	New collection (Request for a new OMB Control Number)	1994-10-31