OBRA 87 required long-term care facilities to...

• A. Merge standards and upgrade ICF/ID to the same standards as Skilled Care Facilities.
• B. Provide free care to all residents.
• C. Ban all private rooms in facilities.
• D. Eliminate Medicaid funding for SNFs.

Answer: (A)

OBRA 87 aimed to raise and standardize the quality of care in long‑term care settings. A key move was to align and upgrade the standards for facilities serving people with developmental disabilities (ICF/ID) so they met the same minimum requirements as skilled nursing facilities. This means ICF/ID facilities would be brought up to SNF-level standards and subject to the same federal oversight and certification processes, especially for facilities that receive Medicaid funding. The result is more uniform care, resident rights protections, and accountability across these settings.

The other options don’t fit what OBRA 87 did: it didn’t promise free care for all residents, it didn’t ban private rooms, and it didn’t eliminate Medicaid funding for SNFs.