Date of Award


Document Type

Open Access Thesis

Degree Name

Master of Social Work (MSW)


Social Work

First Advisor

Clarice Staff

Second Advisor

Ed Skarnulius

Third Advisor

Michelle Bailey


The Omnibus Budget Reconciliation Act of 1990 (P.L. 101-158) was the federal legislation that included the Patient Self-Determination Act, now referred to as advanced directives. This historical and policy analysis as a qualitative method of research will examine the legislative policy that was passed by congress and signed into law by the president of the United States as well as the public regulations developed by the executive branch. This law requires that patients in health care facilities receiving federal funds (Medicare and Medicaid) receive information regarding advanced directives. This research and its findings will attempt to provide the social work profession with a clear understanding of the historical process in this piece of legislation and the individuals initially identified, those receiving federal money (Medicare and Medicaid) to participate. This research reveals two separate but related goals: federal budget reduction and its effects on decreasing spending on health care, and empowering people to make choices about their health care and end of life choices.


SC 11.MSW.2000.Kaehn.KH

Included in

Social Work Commons