4.6 • 640 Ratings
🗓️ 24 April 2024
⏱️ 113 minutes
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0:00.0 | We will hear argument this morning in case 23-726, Moyle v. United States and the consolidated case. |
0:07.6 | Mr. Turner. |
0:08.7 | Thank you, Mr. Chief Justice, and may it please the Court. |
0:12.2 | When Congress amended the Medicare Act in 1986, it put EMTALA on a century's old foundation of state law. |
0:19.0 | States have always been responsible for licensing doctors and |
0:22.0 | setting the scope of their professional practice. Indeed, Entala works precisely because |
0:26.7 | states regulate the practice of medicine. And nothing in EMTALA requires doctors to ignore the scope |
0:32.6 | of their license and offer medical treatments that violate state law. Three statutory provisions make this clear. |
0:39.3 | First, Section 1395, the Medicare Act's opening provision, |
0:44.0 | forbids the federal government from controlling the practice of medicine. |
0:47.9 | That's the role of state regulation. |
0:50.0 | Second, subdivision F in EMTALA codifies a statutory presumption |
0:54.0 | against preemption of state medical regulations. And third in EMTALA codifies a statutory presumption against preemption of state medical |
0:55.6 | regulations. |
0:56.9 | And third, EMTALA's stabilization provision is limited to available treatments, which |
1:02.0 | depends on the scope of the hospital staff's medical license. |
1:05.7 | Illegal treatments are not available treatments. |
1:08.7 | Add in this Court's own presumption against preemption of state regulations, |
1:12.8 | combine that with the need for clear and unambiguous spending clause conditions, |
1:17.5 | and the administration's reading becomes wholly untenable. |
1:20.4 | The administration's misreading also lacks any limiting principle. |
1:23.9 | If ER doctors can perform whatever treatment they determine is appropriate, |
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