<P> The Patient Self - Determination Act (PSDA) was passed by the United States Congress in 1990 as an amendment to the Omnibus Budget Reconciliation Act of 1990 . Effective on December 1, 1991, this legislation required many hospitals, nursing homes, home health agencies, hospice providers, health maintenance organizations (HMOs), and other health care institutions to provide information about advance health care directives to adult patients upon their admission to the healthcare facility . This law does not apply to individual physicians . </P> <P> Because the 1991 PSDA does not apply to individual physicians, private clinics and practices, most of which are incorporated for - profit organizations, the problem of cruel over treatment for profit of the elderly on Medicare / Medicaid was not controlled to the extent that Congress hoped would be possible when the states would implement the goals of the 1991 PSDA in state laws . (Recently, in 2012, the newspapers have revealed that The United States Department of Health and Human Services and the Department of Justice have cooperated to prosecute over treatment of patients under the federal False Claims Act .) The goals of the 1991 PSDA are covered in the PURPOSE section, below . </P>

What is the purpose of the patient self determination act quizlet