State and National Health Reform

Independent, nonpartisan research and analysis about the impact of state and national health reform on Massachusetts.


August 20, 2015
This issue brief, prepared by Health Management Associates, focuses on the changes to subsidized insurance in Massachusetts resulting from passage of the ACA.
May 21, 2015
This issue brief outlines options available to the state through sections 1331 (BHP) and 1332 (State Innovation Waiver) of the ACA.
February 28, 2013
Chart of state decisions related to implementation of the Affordable Care Act.
December 4, 2012
This report, written by staff from the Urban Institute, examines the policy options for Massachusetts with regard to its individual mandate as the ACA is implemented.
July 19, 2012
Four policy options for assessing employers who do not provide affordable health insurance coverage to their workers.
July 27, 2011
An in-depth discussion of the provisions from the Affordable Care Act (ACA) which impact Medicaid programs and how these provisions may be applied in Massachusetts.
March 17, 2011
An overview of key lessons from Massachusetts that could be relevant to stakeholders working to implement health reform in other states and nationally.
June 21, 2010
A comprehensive assessment of how the national reform law intersects with the Commonwealth's own health reforms.

Chart Packs

June 27, 2017
This chart pack provides an overview of the Senate-proposed Better Care Reconciliation Act of 2017.
May 23, 2017
This state-level analysis models the impact of the American Health Care Act (AHCA) on Massachusetts focused on 2022, when the law would be fully phased in.
March 10, 2017
This chart pack provides an overview of proposals to cap federal Medicaid funding and the considerations for Massachusetts.
March 26, 2014
Chartpack summarizing the impact of the state’s 2006 health reform law. Data collected from state agency reports, national reports, and state surveys on access and coverage.

Interactive Resources

February 28, 2013
Chart of state decisions related to implementation of the Affordable Care Act.
March 7, 2012
An online, interactive guide to Massachusetts' 2010 health care cost containment law.
November 22, 2010
This resource outlines the legislative structures of Massachusetts health reform and associated regulations in an easy to understand format.

Man holding sign that says Community.

Massachusetts health reform:

The Health Reform Toolkit Series is designed to share lessons learned from Massachusetts’ implementation of health reform to help states plan, build, and implement elements of the ACA.

Click here to see the Series