This month Connecticut health care thought leaders gave our state a C on health reform, erasing the C+ bump in last month’s survey. Connecticut also earned a C for effort. Patient-centered medical homes join Medicaid as the bright spots, earning a B and C+, respectively. Medicaid is the only area that received any A grades from thoughtleaders. Educating the Public earned the worst grade – a C/D, closely followed by Public Education and Health Insurance Market Reform. Suggestions to improve Connecticut’s progress echoed last month’s themes — engaging consumers and small businesses in policymaking, smarter policymaking, urgency, and a call for collaboration.