The GAO has issued a report entitled “Medicare and Medicaid Participating Facilities: CMS Needs to Reexamine Its Approach for Funding State Oversight of Health Care Facilities.” The GAO identified a number of weaknesses in the health facility survey system, including state funding inequities, limited data on the impact of funding on facility oversight, and limited oversight of state spending. The GAO recommends that CMS broadly reexamine its current approach to funding and conducting surveys, and makes a number of specific suggestions for addressing identified these weaknesses. CMS concurred with most of the GAO’s recommendations.