“Emergency services” defined
In this subsection—
(A) In general
(A)In general#
The term “emergency services” means, with respect to an individual enrolled with an organization, covered inpatient and outpatient services that—
(i) are furnished by a provider that is qualified to furnish such services under this subchapter, and
(ii) are needed to evaluate or stabilize an emergency medical condition (as defined in subparagraph (B)).
(A)(i)#
are furnished by a provider that is qualified to furnish such services under this subchapter, and
(A)(ii)#
are needed to evaluate or stabilize an emergency medical condition (as defined in subparagraph (B)).
(B)Emergency medical condition based on prudent layperson#
The term “emergency medical condition” means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in—
(i) placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy,
(ii) serious impairment to bodily functions, or
(iii) serious dysfunction of any bodily organ or part.
(B)(i)#
placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy,
(B)(ii)#
serious impairment to bodily functions, or
(B)(iii)#
serious dysfunction of any bodily organ or part.