In the latest survey, CT health care thought leaders give our state a B-/C+ grade on health reform, little changed from last year’s survey. CT’s grade for effort rose to a B- in this survey. Higher marks go to patient-centered medical homes and the health insurance exchange. Payment reform/quality improvement scored lowest. CT’s performance on public education and health information technology improved since last year. Engaging consumers, Medicaid, and data-based policymaking all lost ground. Suggestions to improve progress are to engage knowledgeable consumers (a perennial leader) and practicing providers, learn from what works, and frustration with the lack of progress.