Which of the following statements best describes a notable change of the Omnibus Budget Reconciliation Act? (Select all that apply.)

Question

a. Legislated a funding increase for RN staffing
b. Changed from process evaluation to outcome evaluation when evaluating care
c. Established guidelines for the use of restraints
d. Created health maintenance organizations nationwide
e. Added prescription drug benefits for Medicaid recipients
f.
Required all states to review certificates of need before agencies could expand

Answer 1

ANS: B, C, E
The Budget Reconciliation Act influenced funding and set up guidelines and regulations about several issues including a move from process to outcome evaluation, use of restraints, and prescription drugs for Medicaid recipients. The Health Maintenance Organization Act of 1973 established health maintenance organizations. The National Health Planning and Resources Act of 1974 required health care facilities to obtain prior approval from the state for expansion in the form of a certificate of need. The Nurse Training Act in 1964 provided funds for nursing school construction and loans and scholarships for full-time study.