By Sam Baker - 04/13/12 07:04 PM EDT
He said states under-funded nursing homes by more than $6 billion last year.
Medicaid has been a particularly difficult problem for state policymakers during the economic downturn. More people need the program when unemployment is high, but high unemployment also means that states have less tax money to pay for their Medicaid programs.
The federal government provided extra funding as part of the 2009 stimulus, but that bonus expired last year.