CT’s June Health Reform Dashboard remains unsettled. Mistrust remains at the core of problems in CT. The new state HIT environmental scan mentions the need for trust a dozen times. Medicaid policy development and implementation remains mired in mistrust, rushing ahead without data, and a lack of transparency. The state budget remains dreary and signals around Medicaid from the US Senate are mixed. In good news, CT’s Senate unanimously passed a bill to remove gag clauses so pharmacists can tell us the full truth about our medications, their costs and effectiveness. The Health Care Cabinet is continuing our work to control drug costs in CT with new workgroups to develop options.