Many states have developed innovative strategies for stretching their limited health care dollars to improve health system performance. A broad range of initiatives is under way, including collaborations between public and private stakeholders, programs that reward providers for quality and efficiency, and efforts to achieve insurance coverage. To keep track of noteworthy state efforts, the Fund launched an e-newsletter, States in Action: A Bimonthly Look at Innovations in Health Policy, in May 2005. With a circulation approaching 10,000 subscribers, States in Action updates local, state, and federal policymakers, researchers, program administrators, and grantmakers on ongoing activities in the states and promising new initiatives taking place across the nation.