What became effective in 1966 by an act of legislation that revolutionized home care?

Name: What became effective in 1966 by an act of legislation that revolutionized home care?
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When Medicare became effective in 1966,it revolutionized home care by changing it to a medical rather than nursing model of practice,defining and limiting services it would reimburse,and changing the payment source and even changing the reason home care was provided.

What Became Effective in 1966 by an Act of Legislation