<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>
the patient self-determination act ( psda ) mandates that
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