CT’s progress toward health reform dropped from 29.0% to 27.4% this month mainly because of SIM setbacks and state budget cuts. Both implemented and new proposed cuts to Medicaid provider rates threaten significant progress over the last three years. Cuts to the promising health neighborhood project and a rush into risky shared savings models threaten future Medicaid progress. Ethics and conflict of interest programs circle SIM. The only bright spot is a slate of bipartisan Senate bills promoting transparency, stabilizing hospitals, and building toward future reforms. The CT health reform progress meter is part of the CT Health Reform Dashboard.