This document provides an update on the year since the National Clinical Trials Summit and a six-month status report since the release of "To Your Health & Prosperity: An Action Plan to Help Attract More Clinical Trials to Canada". The document serves the practical purpose of keeping all stakeholders informed of efforts at the national level to address operational issues discouraging clinical trial investment in Canada. It is also intended as an expression of accountability and appreciation to the many organizations and individuals contributing to any of the Summit or Action Plan's recommendations, goals, and vision.