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The Omnibus Budget Reconciliation Act (OBRA) was passed as a response to:

  1. High healthcare costs

  2. Reports of abuse and poor care in long-term care facilities

  3. Need for advanced nursing techniques

  4. Shortage of healthcare workers

The correct answer is: High healthcare costs

The Omnibus Budget Reconciliation Act was passed as a response to high healthcare costs. The act was intended to reform the Medicare and Medicaid programs in order to control rising healthcare expenses. While B, C, and D may also be issues within the healthcare system, they were not the primary reason for the passage of OBRA. Additionally, OBRA was specifically focused on long-term care facilities and not necessarily on advanced nursing techniques or a shortage of healthcare workers. Therefore, A is the most accurate answer in this context.