Hx Of Healthcare

Question 1

Social Security Act

Answer 1

1935
Great Depression
Foundation for future healthcare laws
*big piece for OT: provided insurance for more individuals who worked

Question 2

Health Education Assistance Amendment

Answer 2

1964-1965

Provided $$ and training for allied health personnel

Question 3

Allied Health Personnel Training Act

Answer 3

1966

1st legislation to include OT funding

Question 4

IDEA

Answer 4

1975
Individuals with Disabilities Education Act
-funding for related personal in schools

Question 5

Tax Equity and Fiscal Responsibility Act

Answer 5

1982
Extended limits on Medicare…Included OT and other rehab services
*OT practitioners lost their jobs; anyone reimbursed by Medicare was investigated closely

Question 6

Expansion of Medicare Part B

Answer 6

1983
Rehab hospitals, outpatient services, home health services
*increase of OT services in these areas
*services supported by funding 
*OT personnel were hired fast

Question 7

Omnibus Budget Reconciliation Act (OBRA)

Answer 7

1987
Reduction of physical and medical restraints
*higher need for OT

Question 8

Balanced Budget Act

Answer 8

1997
Brought prospective payment system (pps) to long-term care facilities
*limited reimbursement in rehab services
*BAD for OT, rehab jobs were laid off

Question 9

Medicare Revision for therapy services

Answer 9

2010

Decrease reimbursement for group services

Question 10

Affordable health care act (March)

Answer 10

2010
More people can access insurance
*rehab gets paid more

Question 11

Legislation impact in OT

Answer 11

• reimbursement $$
• employment opportunities
• practice settings
• documentation requirements