California is the largest state in our union. Bigger than a host of nations in many ways, from population to gross domestic product, its sheer size is one of many reasons why the state's health care system is under duress. Despite the state's budget woes, California is one the few states in our union to take significant steps toward health care reform. As national reform efforts begin to take shape, what lessons can we draw from California's experience, to inform future federal policy initiatives? Host Dr. Jack Lewin welcomes California Health and Human Services Agency Secretary Kim Belshé for a wide-ranging conversation, covering California's previous attempts at reform, progress toward greater health information technology adaptation across the state and the burden to the healthcare system posed by California's ever-expanding population of undocumented workers and their families.