This week, our In Focus section reviews updated end-of-November 2014 reports issued by the Department of Health and Human Services (HHS) on Medicaid expansion enrollment from “Medicaid & CHIP: November 2014 Monthly Applications, Eligibility Determinations, and Enrollment Report.” CMS has provided updated Medicaid enrollment totals in 50 states and the District of Columbia, and corrected previous inaccuracies in both current and baseline Medicaid enrollment figures from earlier reports. Additionally, we review preliminary 2015 Exchange enrollment from the HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE) Issue Brief, “Health Insurance Marketplace 2015 Open Enrollment Period: January Enrollment Report,” with enrollment data for November 15, 2014 through January 16, 2015. Combined, these reports present an initial picture of Medicaid and Exchange enrollment as we enter 2015.