Quality & Patient Safety

Congress considers ER physician payment bill

Patient Safety Monitor Alert, March 18, 2009

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To ease the crisis many emergency rooms (ER) are facing as more uninsured patients use the ER when they have health problems, Congress is considering increasing payments to ER physicians under the Emergency Services Act of 2009, reports The Birmingham News. Most states require by law that ERs treat any patients, regardless of their ability to pay for care.

The Emergency Services Act of 2009 would create a bipartisan commission to examine issues like shortages of emergency specialists and ER overcrowding. Also, the Act would seek to increase payments to those physicians who staffed ERs, which has been a trouble spot in the past. Many specialists elect not to remain on-call for ERs because they are not reimbursed by Medicaid for their time in the ER, due to the many uninsured patients who use it for care.

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