Mrs. Ford was a member of a Medicaid health maintenance organization (HMO). Because of this, she was transferred to Merit Hospital in Oakland, California (a hospital that accepts her insurance) where her HMO registration information could not be obtained. Later it was determined that the state of California did not update their records in a timely manner. Mrs. Ford was ultimately transferred to Highland General Hospital, despite being in active labor the entire time, where she later delivered a stillborn baby. Increasing reports, such as these, caught the attention of Congress, which ultimately led to them passing the Emergency Medical Treatment and Labor