Certified Nursing Assistant (CNA) Practice Exam 2025 - Free CNA Practice Questions and Study Guide

The correct answer is the Omnibus Budget Reconciliation Act (OBRA). This legislation, enacted in 1987, established specific standards of care and quality for nursing homes to ensure that the needs of residents are met adequately. OBRA introduced important regulations that focus on improving the quality of life for residents, including the requirement for personalized care plans based on individual assessments. It emphasizes that nursing homes must provide care that meets the physical, emotional, and social needs of residents, enhancing their dignity and quality of life.

The other options do contribute significantly to healthcare but do not specifically address standards of care in nursing homes. The Medicare Act primarily focused on health insurance for individuals over 65 and some younger people with disabilities, while the Affordable Care Act aimed at expanding health insurance coverage and improving healthcare access. Healthy People 2020 was a public health initiative focusing on improving the health of Americans overall, but it does not set care standards for nursing homes specifically.