In 2016, Health & Medicine initiated a research project to explore the impacts, unintended consequences, and unfinished work of health reform—broadly defined—from the perspective of representatives of Cook County’s health care safety net through interviews and focus groups with people working in the sector. In late 2018, we began the process of re-interviewing participants in our original research project as well as adding the perspective of stakeholders from additional sectors. Initial findings from this qualitative research served as the basis for an October forum entitled The Chicago Forum for Justice in Health Policy: Health Reform Impacts, Challenges, and the Future. Forum participants responded to our research findings as well as adding their own feedback and experiences. This report summarizes our learnings based on both our research and the forum proceedings.