“Following the Supreme Court ruling upholding the Affordable Care Act (ACA) and as 2014 approaches, many states are moving into high gear to prepare for implementation of the major provisions of the law, including a new streamlined Medicaid enrollment system and, at states’ option, the expansion of Medicaid. Nearly all states are pressing forward with information technology and process improvements to develop faster, streamlined Medicaid enrollment systems as required under the ACA, whether or not the state elects to expand Medicaid coverage under the law. These and other findings appear in the Kaiser Commission on Medicaid and the Uninsured report, Getting into Gear for 2014: Findings From a 50-State Survey of Eligibility, Enrollment, Renewal and Cost-Sharing Policies in Medicaid and CHIP, 2012-2013, the product of a comprehensive annual survey conducted with the Georgetown University Center for Children and Families. A second report released at the briefing highlights the experiences of some previously uninsured people who obtained Medicaid coverage in states that opted to serve the newly eligible population before 2014.”