The Fiscal Year (FY) 2009 IPPS final rule included EMTALA revisions, effective October 1, 2008. The regulatory provisions have been revised and reorganized. Key changes include introduction of a shared community call (CCP) plan option and elimination of ambiguous language concerning on-call list criteria. Technical corrections were made to track the statutory language. A hospital with specialized capabilities is not required under EMTALA to accept the transfer of a hospital inpatient who presented to the admitting hospital under EMTALA. The Interpretative Guidelines in the State Operations Manual Appendix V that correspond to these changes are attached.