Additionally, EMTALA penalties have more than doubled with the enactment of the Federal Civil Penalties Inflation Adjustment Act of 2015. Currently, the Civil Monetary Penalty for each violation of EMTALA by a hospital with one hundred beds or extra sits at $112,916 (up from $50,000), while a hospital with lower than 100 beds risks a nice of $56,460 (up from $25,000). After finishing its investigation, if CMS determines the hospital violated the legislation, it then requests a second review by the QIO. In this “60-day evaluation,” the QIO affords the affected hospital and suppliers the chance of a hearing to formally present their facet of the case.