OBRA '87 - McKnight's Long Term Care News

OBRA ’87

McKnight’s 40 for 40: Paul Willging

OBRA ’87, the landmark federal law that greatly enhanced the regulation of nursing homes, marked a turning point for long-term care. Paul Willging, Ph.D., who led the American Health Care Association when OBRA ’87 took effect, helped the field transition to this new era of federal oversight.

Alan Horowitz

Old wine, new bottles: Increased scrutiny for antipsychotic drug use

The landmark legislation known as “OBRA ’87” (the Omnibus Budget Reconciliation Act of 1987) significantly limited the inappropriate use of antipsychotic drug use in long-term care facilities. Indeed, among OBRA ’87’s goals was the elimination of chemical restraints, typically associated with antipsychotic drugs. A quarter of a century after the passage of OBRA ’87, the Centers for Medicare & Medicaid Services (CMS) and numerous professional organizations are redoubling their efforts to further reduce the use of antipsychotic drugs in long term care.

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