In July 2023, the Delta Center conducted an midpoint assessment with the 14 PCAs and BHSAs participating in Delta Center Phase 2. These findings are based on an online survey completed by each state association and individual state follow-up Zoom interviews conducted by the JSI evaluation team. In this midpoint evaluation report, we provide an overview of the key insights gathered through the survey and follow-up interviews. These insights include the impact of the healthcare workforce crisis and strategies employed by states to address it; policy developments related to telehealth and Certified Community Behavioral Health Clinics (CCBHCs); the ways in which states grapple with health equity issues; and the value of Delta Center partnerships for individual associations.