As 2019 closed, CHRT’s research and evaluation team reflected on 10 years of Cover Michigan—a health care consumer survey that originally sought to explore health, health insurance, and health care access trends across Michigan to better understand the impact of the Affordable Care Act. Over the last decade, the survey has revealed important trends about health status, health care coverage, and access to health care across populations. In the next decade, CHRT will increase its focus on the social determinants of health; use new platforms to disseminate findings; and expand statewide partnerships to inform policy decisions that positively impact the health of people in communities across Michigan.