The states shoulder a significant amount of responsibility for tackling the opioid epidemic, reversing obesity trends, and reducing tobacco use within their borders. They also have policy decisions to make about expanding Medicaid, developing health exchanges under the Affordable Care Act, serving undocumented residents, and strengthening their public health systems. Budget constraints, politics, demographics, and health indicators all influence their response. Health policy journalist Julie Rover and her co-hosts on KHN’s “What the Health?” talk to governors John Hickenlooper (Colorado) and Steve Bullock (Montana) about the health challenges in their states, and how they provide and pay for health care. (Underwritten by the Commonwealth Fund)