Omnibus Budget Reconciliation

Omnibus Budget Reconciliation Act Standards to be developed through private sector. 8/13/81... 

The Omnibus Budget Reconciliation Act (OBRA) is enacted by Congress on an annual basis. It is used primarily to enact the budget for all the nations governmental agencies and activities and generally has little to do specifically with pharmacy. However, the OBRA... 

The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) regulations (www.elderlibrary.org) specify when antipsychotic drugs can and cannot be used to treat behavioral disturbances in nursing home residents... 

To enhance the quality, appropriateness, and effectiveness of health care services, and access to these services the federal government in the Omnibus Budget Reconciliation Act of 1989 (Public Law 101-239) established the AHCPR. The act, sometimes referred to as the Patient Outcome Research Act, called for the establishment of a broad-based, patient-centered outcomes research program. In addition to the traditional measures of survival, clinical endpoints and disease- and treatment-specific symptoms and problems, the law mandated measures of functional status and well-being and patient satisfaction. In 1999, then President Clinton signed the Healthcare Research and Quality Act, reauthorizing AHCPR as the AHRQ until the end of fiscal year 2005. Presently, its mission is to improve the outcomes and quality of health care, reduce its costs, address patient safety and medical errors, broaden access to effective services, and improve the quality of health care services. 

The passage of the Omnibus Budget Reconciliation Act (OBRA) of 1990 provided poor seniors who qualified for Medicare and Medicaid a level of mandatory patient care protuded by pharmacists in addition to Medicaid prescription coverage. 

In 1981, Congress passed a 2-year moratorium of U.S. Treasury regulation 1.861-8 (Public Law 97-34). Although Congress has never made the moratorium permanent, it has renewed the moratorium for a temporary period at each expiration. Most recently, the Omnibus Budget Reconciliation Act of 1990 extended the moratorium through the 1991 tax year (Public Law 101-508). 

Kuhlik, B.E., The Medicaid Prescription Dmg Rebate and Improved Access to Medicines Requirements of the Omnibus Budget Reconciliation Act of 1990, Food Drug Cosmetic Law Journal 46 363-390, March 1991. 

On December 11,1980, Congress enacted the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) to create the Superfund hazardous substance cleanup program. The Superfund Amendments and Reauthorization Act of 1986 (SARA) made numerous changes to CERCLA to expand the program s scope. The Omnibus Budget Reconciliation Act of 1990 extended the law s taxing authority, which had expired at the end of 1991 under SARA, through December 31, 1995. 

Acquire an understanding of the requirements of the Comprehensive Omnibus Budget Reconciliation Act. 

Whether the contractor will be responsible for pa)dng civil penalties assessed for any citations or orders issued by MSHA to the contractor or to the owner for violations alleged by MSHA for conditions at the contractor s worksite or for conditions caused by the contractor s employees or equipment (civQ penalties of up to 55,000 per violation are mandatory rmder the Federal Mine Safety and Health Act. See 30 USC 820(a)(1994)(the maximum penalty was increased to 55,000 by the Omnibus Budget Reconciliation Act of 1997). For civil penalty assessment procedures, see 30 CFR Part 100 (1999)... 

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