At yesterday’s morning plenary, state leaders discussed some of the health policy challenges as they continue to implement the ACA and prepare for 2014. The speakers spoke candidly about budget cuts, limited resources, and growing health care costs. The speakers, pictured from left to right are:

Charles Milligan, Deputy Secretary, Maryland Department of Health & Hygiene

Joan Henneberry, Exchange Planning Director, Colorado Health Institute

Joseph Flores, Legal Fiscal Analyst, Virginia State Senate

David Lakey, Commissioner, Texas Department of State Health Services

Maryanne Lindeblad, Assistant Secretary, Washington State Department of Social & Health Services

Alan Weil, NASHP Executive Director (at the podium)