Connecticut health care thought leaders give our state a B-/C+ (GPA 2.48) on health reform this fall; the highest marks the state has gotten in over a year. Among issue areas the health insurance exchange and public education improved since the last survey. Areas that lost ground include Medicaid, patient-centered medical homes, health information technology, payment reform/quality improvement, engaging consumers in policymaking, and data-based policymaking. Thought leaders’ suggestions to improve progress are for smarter policymaking and leadership, engage consumers/advocates/public in policymaking, and to fix payment reform. Performance on payment and quality reform has dropped to a D in this survey earning five F grades.