Hawai'i is one of the top states in terms of proposed budget cuts to Medicare-financed nursing home care, according to an analysis by the American Health Care Association.

The group analyzed the Bush administration's fiscal 2009 budget and determined a combination of proposed budget cuts and intended regulatory changes will incur a nationwide one-year, $18.45 per patient day cut in Medicare-finance nursing home care.

In Hawai'i, the cut will amount to $19.92 a day. That ranked as the sixth-biggest cut among states nationwide. California ranked first with projected reductions per day of $22.47.

The American Health Care represents 11,000 nursing homes, assisted-living facilities and other care facilities.