As the healthcare system continues to change, many states have taken the lead in adjusting their policies to match with a quality, value based system. Greater investment in primary care is associated with lower costs, higher patient satisfaction, fewer hospitalizations, fewer ED visits and lower mortality. To date, nine states (RI, OR, ME, DE, WV, WA, VT, CO, CT) have either passed legislation or a budget proviso to allocate more healthcare expenditure towards primary care. In addition to these nine, several other states have either attempted, or are currently exploring options to do something similar. These states have recognized that a shift in healthcare expenditure, allowing more comprehensive and effective primary care, is necessary to achieve a higher performing overall healthcare system. The PCC is committed to connecting these state leaders with stakeholders providing other perspectives, to allow them to craft the most constructive legislation possible.