Following the Senate Republican Majority Leader, a handful of GOP Senators joined Democrats in voting for Medicaid expansion, and the bill now heads to the House for similarly contentious debate.

Arizona used $9 million in federal funding toward an HIX. But that was before it decided not to build its own marketplace. At least 7 other states have made similar decisions after spending federal grants. Here's where that money went.

In a Senate hearing, CCIIO outlined the agency's work trying to "transform the insurance market," while the director of Connecticut's HIX called shared responsibility "the hallmark of reform" and a young cancer patient recounted her story of coverage denials, bureaucratic wrangling and high debt.

Friday deadline passes and states largely bypass the option to work with the federal government in setting up new online health insurance marketplaces that open for business Oct. 1.

In a letter to CMS, the National Association of Medicaid Directors is asking for additional time to digest and comment on proposed rules for state management of Medicaid, CHIP and health insurance exchanges.

The ONC and NIH are working the EU health agencies to develop international interoperability standards, with the goal of increasing patient access to personal health information globally.

Now that many large and urban providers have adopted EHRs, IT vendors offer niche products for increasing quality metrics, streamlining workflow and bringing care to the home at the Canada-U.S. eHealth Innovation Summit.

The campaigns long shadow over the elections. What would have happened to meaningful use and ONC had Romney won? HIX delay. And DoD, VA efforts to improve care for their patients.