Health Affairs

Health Affairs, 25, no. 6 (2006): w420-w431 (Published online 14 September 2006) doi: 10.1377/hlthaff.25.w420 © 2006 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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The Third Wave Of Massachusetts Health Care Access Reform

John E. McDonough, Brian Rosman, Fawn Phelps and Melissa Shannon

In April 2006, Massachusetts passed its third major health care access reform law since 1988. This law establishes new structures and requirements that have never been attempted by any state. Key features include a shift of federal Medicaid dollars from institutional support to individual insurance subsidies, establishment of an insurance "Connector," individual and employer responsibility, a small-firm and individual insurance market merger, and provisions to address racial and ethnic health disparities. Massachusetts will engage in a multiyear implementation process. Only after this process is complete will the law’s significance be clear.

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