Rice quality and functionality are characterized in many ways, depending largely on the industry segment using the rice. These characteristics include appearance, milling, and cooking parameters. Recently, variable quality of rice grown in the United States has been reported, but the cause was not well documented. Agronomic impacts include planting time, irrigation and fertility, cultivar selection, and harvest conditions. However, recent research suggests that ambient air temperature, specifically elevated nighttime air temperature (NTAT) during grain filling, dramatically affects the variability of rice milling quality, in terms of milled- and head-rice yields; appearance, in terms of chalkiness; and functional characteristics, including viscosity profiles, gelatinization temperatures, and proximate concentrations. Future research is needed to develop cultivars that are resistant to stress resulting from elevated NTAT during the critical period of grain filling, and, for the near term, to develop altered production management practices that mitigate elevated-temperature stress.