The Affordable Care Act’s (ACA) vision for no wrong-door, streamlined enrollment extends to annual renewals. Ultimately, the process should be highly automated with fewer burdens on enrollees to fill out forms or submit paperwork to prove eligibility. However, the first round of renewals will be more involved because eligibility for children, parents, pregnant women, and the expansion adults is now based on new Modified Adjusted Gross Income (MAGI) rules for counting income and household size. In addition to MAGI-related data, states also are required to collect information to assess eligibility for all insurance affordability programs – which include Medicaid, the Children’s Health Insurance Program (CHIP), and subsidized coverage in the new health insurance marketplaces.