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Moreover , since Petitioner did not dispute that Mrs. Rivera had an emergency medical condition , he did not need to address the applicability of the various definitions of this term as part of his case . Rivera had an emergency medical condition which was not stabilized and because she was in active labor , the letter identified two major alternative elements of a statutory violation . When questioned , he had an alibi.The medical examiner 's report returned three significant facts : she 'd had pubic lice , her stomach contained undigested food , and there was no semen inside her . The OIG further alleged that patients were being asked to pay significant amounts of money before being seen by a doctor to determine if they had an emergency medical condition . to assess whether the individual involved had an emergency medical condition which had not been stabilized , and provide a report on its findings .