This week, our In Focus section reviews “A Report on Shortfalls in Medicaid Funding for Nursing Center Care,” published by the American Health Care Association (AHCA) in April 2016. The report, prepared for AHCA by Eljay, LLC, and Hansen Hunter & Company, PC, reviews Medicaid nursing center rates and average costs in 33 states. The report finds that the average shortfall per Medicaid patient day has grown from $9.05 in 1999 to $22.46 in 2015 (projected). When extrapolated to all 50 states, this equates to an estimated Medicaid funding shortfall of more than $7 billion annually. The report provides a state-by-state breakdown of average Medicaid funding shortfalls, as well as a broader overview of and outlook on the nursing center sector.