This document presents a summary of “Health Care Expansion and Reform in Pennsylvania: What Is Driving It, What Are the Proposals, and What Can Be Learned from Other State Initiatives?” a seminar sponsored by The Pew Fund for Health and Human Services. Held on April 17, 2007, the seminar was part of The Pew Charitable Trusts' information series called Programs Adjusting to a Changing Environment (PACE), created to improve nonprofits' ability to succeed by providing them with critical information, tools and resources.