Thomas Considine, New Jersey Banking & Insurance Commissioner; Don George, President and CEO, Blue Cross/Blue Shield of Vermont; Kevin Lembo, Connecticut State Comptroller and former State Healthcare Advocate; and Richard Nathan, Researcher and former Director of the Nelson A. Rockefeller Institute of Government. Moderated by Heather Howard, Director, State Health Reform Assistance Network and Lecturer in Public Affairs at the Woodrow Wilson School. Panelists discuss the ability of states to implement health care reform and the current exchange within and between states on how to effectively roll out programmatic changes.