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Three years into ACA expansions, the Kaiser Foundation has highlighted how four states, including CT, are streamlining eligibility and enrollment. Researchers used focus groups and case studies to find that eligibility and enrollment systems worked well through the expansion and while Medicaid enrollment grew quickly in the beginning, it has now stabilized. While marketplace enrollment grew in each state, affordability has been the greatest challenge to further growth. Local outreach and enrollment by a broad range of community partners is key and states continue planning to sustain and expand coverage.