States will need a system for monitoring ACA implementation activities in order to maintain a coordinated approach internally, and a feedback loop to coordinate with stakeholders as decisions are made and changes are implemented.

*Milestone details:

*Full name: Establish a system for monitoring implementation and reporting to stakeholders.

*Relevance to the ACA:

States will likely wish to adopt a process for monitoring and reporting to stakeholders that is broader than what is required by the ACA. The ACA does not specifically require monitoring, but does require public reporting in specific instances. Relevant sections include:

§1311, §2401, §4201, §5102 – Requirements to engage stakeholders in implementation

§1311, §2701, §3015 – Requirements for reporting on quality and efficiency