This Center for Health Care Strategies (CHCS) 25th anniversary panel discussion examined how systemic racism plays out in our nation’s health care system and explored crucial opportunities for Medicaid to take a more proactive role to identify, address, and reduce health disparities and contribute to broader societal efforts to address racism. Experts and leaders representing federal, state, and provider perspectives shared their insights on how Medicaid can use its policy and program levers to address the social drivers of health and improve the long-term prospects for healthier communities.