This report is part of a series of 21 state and regional studies examining the rollout of the ACA. The national network ---- with 36 states and 61 researchers ---- is led by the Rockefeller Institute of Government, the public policy research arm of the State University of New York, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania. The Kansas report highlights the diverse approaches to implementation taken by elected officials including Insurance Commissioner Sandy Praeger, Governor Sam Brownback, and the Kansas Legislature. The political landscape changed this year when Commissioner Praeger decided not to seek re-election. Her replacement, Commissioner-Elect Ken Selzer, has expressed opposition to the ACA.