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The Patient Protection and Affordable Care Act (ACA, 2010) will have a remarkable impact on mental health services, yet enormous implementation challenges exist. This commentary examines some of the issues related to workforce development and performance measures raised by Chor, Olin, and Hoagwood (2014). In particular, we examine inefficiencies related to the Mental and Behavioral Health Education and Training Grants, current training models, national initiatives to identify consensus quality indicators, and electronic health records. We highlight opportunities for psychology to lead effective reform by developing efficient training and knowledge architectures.