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The Affordable Care Act created an annual fee on certain health insurance providers beginning in 2014. On Nov. 26, 2013, the Treasury Department and IRS issued final regulations on this annual fee imposed on covered entities engaged in the business of providing health insurance for United States health risks.
Section 1867 of the Social Security Act (42 U.S.C Â§ 1395dd) sets forth the requirements for Medicare-participating hospitals that have emergency departments. The majority of hospitals in the United States accept Medicare funding, and thus are participating hospitals covered under EMTALA.MTALA was enacted in 1986 under Section 1867 of the Social Security Act. (42 U.S.C. Â§ 1395dd). EMTALA was passed as part of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) (Pub. L. 99-272).