The national IMPaCT project supported North Carolina as one of four leading states in the field of practice transformation and primary care extension. Through IMPaCT, North Carolina partnered with four other states (Idaho, Maryland, Montana, West Virginia) to disseminate its primary care practice transformation strategies. Together these states formed the North Carolina IMPaCT Learning Community, and each state received individual and group technical assistance to help implement a practice transformation initiative. North Carolina, meanwhile, is completing its own IMPaCT project with a focus on further improvements to its primary care transformation model. Participants on this webinar will hear from the states in the Learning Community. Idaho will present on how it used the technical assistance offered through the project to devise a plan for primary care transformation that would become the basis of its State Innovation Model Design award. The other three states in the Learning Community will react to Idaho’s presentation and recount how the NC IMPaCT project promoted their development in key areas of data infrastructure, stakeholder engagement, and practice support. Participants will also hear from North Carolina on its IMPaCT practice support improvements. At the end of the webinar participants will have the opportunity to ask questions of the speakers about their experiences with primary care transformation.