Certified Nursing Assistant Level I Exam Prep 2026 - Complete OSBN Certification Practice

OBRA stands for Omnibus Budget Reconciliation Act. This federal law, enacted in 1987, established nationwide standards for nursing home care, including residents’ rights, quality of care, and staffing and training requirements, along with the state survey and certification process. For CNAs, OBRA explains why proper training, competency, and respectful, resident-centered care are required, and it underpins inspections and compliance expectations in long-term care settings. The other options aren’t actual federal acts related to nursing home care, so they aren’t correct.