The WHCC 2^nd Annual State and Public Purchaser Summit features the many challenges and solutions with State reform implementation, including the financing of critical state programs, developing health IT infrastructures and expanding access to large populations of uninsured individuals. National and State Public Administrators, Elected Officials, Commissioning Officials and Program Directors from Regional Health Information and Insurance Exchange Organizations, State Medicaid Agencies, State DHHS and State Health Care Reform Commissions present case studies and innovations on Medicaid expansion and insurance exchanges, health information networks, state payment reform strategies and population based care initiatives. Innovative strategies for optimizing federal funding and implementing complex HIT infrastructures are discussed to ensure that states are ready to meet rigorous reform timelines.