We heard a report from Paul Summergrad, chair of the new Work Group on the Role of Psychiatry in Health Care Reform, assisted by Sam Muzynski. The work group has had several conference calls and an in-person meeting; members include Carol Bernstein, Peter Buckley, Bob Cabaj, Frank deGruy, Benjamin Druss, Anita Everett, David Fassler, Patrice Harris, Roger Kathol, Wayne Katon, Gray Norquist, and Ed Pontius. Paul gave a great summary of the group’s review of the changing health care landscape. He noted that growing evidence supports the value of psychiatric integration into medical care settings, particularly for older patients (a rapidly growing segment of the population), who have substantial medical comorbidity. There is a strong consensus of opinion that integrated care must lead to integrated funding and that behavioral health is lagging behind in the development of effective electronic health records.