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VE SUMMARY PURPOSE To determine the extent of institutional compliance with the Omnibus Budget Reconciliation Act of 1990 advance directive provisions one year after enactment and determine the patients understanding of their rights as well as the information provided to them under the law. BACKGROUND On November 5, 1990 the Congress enacted advance directive provisions as part of the OBRA-90. These provisions, however, became effective December 1, 1991. The intent of this law is to provide.

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