This document outlines the health-related activities of states in 2010, which were primarily driven by the ongoing effects of the downturn in the American economy and the passage of the Patient Protection and Affordable Care Act (ACA). Despite a challenging fiscal environment, states made considerable strides in 2010. In many cases, they used federal resources to accomplish tasks laid out in the ACA. In response to federal health reform, the majority of states are considering the big questions related to their goals for the health system. These conversations have already begun to yield innovative and interesting results with much more to come over the next several years.
