Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Cost Sharing for Non-Emergency Care in Hospital; Grants for Alternate Non-Emergency Service Providers: DRA and Tax Relief and Health Care Act (TRHC)

The purpose of this letter is to provide you with additional information about sections 6041, 6042, and
6043 of the Deficit Reduction Act (DRA) of 2005, Public Law No.109-171, and to provide guidance on
changes enacted by the Tax Relief and Health Care Act (TRHC) of 2006, Public Law No.109-432. We
are also providing specific guidance about Section 6043 of the DRA, “Emergency Room Co-payments
for Non-Emergency Care.”

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 15, 2007

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.