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The balanced budget act of 1997 the balanced budget act of 1997 brought about major changes in the way that american healthcare is financed: there were many changes in funding and many new requirements for hospitals and other providers to meet. The central proposition of balancing act social investment and a balanced budget, this is a reply to george megalogenis’s quarterly essay, balancing act:. Essay/term paper: a balanced budget essay, term paper, affirmative action in the human rights act, chapter 214 of the revised statutes, 1989,.