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NACES Plus Foundation, Inc. (NACES) , founded in 1989, subcontracts with
Pearson VUE ®, an international testing company specializing in the development and administration of professional licensing and certification exams, to manage the administration of the examination. It's central office is located in Austin, Texas.

The nursing Home Reform Act, adopted by Congress as part of the Omnibus Budget Reconciliation Act (OBRA) of 1987 and 1989, was designed to improve the quality of care in long-term health care facilities and to define training and education standards for nurse aides working in such facilities. OBRA required the certification of nurse aides employed in long term care facilities that are certified to participate in Medicaid/Medicare programs. Each state is responsible for implementing the terms of this federal law.

Pearson VUE and the National Council of State Boards of Nursing, Inc., (NCSBN) developed the National Nurse Aide Assessment Program (NNAAP™) to comply with the standards set forth by OBRA. The NNAAP Examination is designed to objectively measure the knowledge and skills of nurse aide candidates to assess at least entry level competency in the nurse aide field.



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