The Commission continued its discussion on the current approach for monitoring access to care for Medicaid beneficiaries. In prior meetings, the Commission discussed the data available to monitor access, options for improving the data gaps and limitations, considerations for designing and implementing a new monitoring system, and the goals and key elements of an effective access monitoring system. This presentation reiterates the goals and key elements of a new access monitoring system and outlines seven potential recommendations for the Commission’s consideration, with the goal of making recommendations in the June report to Congress.