Establishing a routine and meaningful information flow between key stakeholders and government officials offers opportunities to secure ideas for improvement, build support for specific implementation plans, and leverage resources to the benefit of all. The ACA requires states and the federal government to inform the public about new health insurance options created under the ACA, but this is only a beginning. The sheer number and scale of the tasks to be accomplished under the ACA means the resources of each state’s people and institutions must be brought into the work. Successful public engagement will mean leveraging intellectual, social, financial, and infrastructural capital that can be brought to bear to achieve successful implementation that meets the needs of each state’s constituents. A multi-sector effort is most likely to succeed as programs are developed, implemented, and adjusted.