As of April 2014, more than 1.4 million Californians had selected a non-Medi-Cal health plan through Covered California, the state's health care marketplace. What was their experience of seeking and receiving care through plans made newly available under the ACA?This study provides early insight into the successes and challenges of the ACA from the perspectives of consumers as well as from providers in clinical organizations in California. It is based on focus groups with 74 consumers and interviews with 64 health care providers in four areas of the state. Because consumers surveyed were among those quickest to enroll and use services, they are not representative of all Covered California enrollees