Legislation

November 9, 2017

The fourth edition of the tracking tool provides a detailed description of key components of Chapter 224, highlighting the progress the state has made in its implementation of the law as of November 2017. This tool is designed for policymakers, advocates, and other stakeholders who wish to track when and how state leaders have addressed policy issues pertaining to Chapter 224.

October 5, 2017

Federal authorization for the Children’s Health Insurance Program (CHIP) expired on September 30, 2017. Senators Orrin Hatch (R-UT) and Ron Wyden (D-OR) have filed a bill to extend CHIP for five years, but Congress did not act quickly enough to prevent the current authorization from expiring. Unspent federal CHIP funds may be carried over into the next fiscal year and Massachusetts’s current allotment of federal CHIP funds should allow the state to continue to use CHIP funds for benefits until early 2018.

June 27, 2017

This chart pack provides an overview of the Senate-proposed Better Care Reconciliation Act of 2017, highlighting some of its key provisions, particularly as they relate to Medicaid. Developed by Manatt Health, this chart pack was commissioned by the Blue Cross Blue Shield of Massachusetts Foundation for the Massachusetts Coalition for Coverage and Care.

June 22, 2017

This report describes the Children’s Health Insurance Program (CHIP) in Massachusetts and its role as part of MassHealth. Though there is no expiration date for CHIP in federal law, Congress has authorized funding of the program through September 30, 2017. Without Congressional action, a majority of states, including Massachusetts, will exhaust their current federal CHIP allocation by March 2018. This report discusses the importance of CHIP and the broader health policy debate, including reauthorization, now taking place in Washington.

September 29, 2016

The third edition provides a detailed description of key components of Chapter 224, highlighting the progress the state has made in its implementation of the law as of September 2016. This tool is designed for policymakers, advocates, and other stakeholders who wish to track when and how state leaders have addressed policy issues pertaining to Chapter 224.

April 12, 2016

Chapter 58 of the Acts of 2006—“An Act Providing Access To Affordable, Quality, Accountable Health Care”—was signed into law by Governor Mitt Romney on April 12, 2006. The groundbreaking law sought near-universal health care coverage for the residents of Massachusetts by expanding Medicaid, creating a new program of subsidized insurance, enacting changes to the health insurance market, and requiring adults to have health insurance unless an affordable option was not available.

August 25, 2015

This updated edition of the tracking tool provides a detailed description of key components of Chapter 224, highlighting the progress the state has made in its implementation of the law as of August 2015. This tool is designed for policymakers, advocates, and other stakeholders who wish to track when and how state leaders have addressed policy issues pertaining to Chapter 224.

July 30, 2015
Medicaid, a federal-state partnership program, has advanced a variety of both federal and state health coverage reform goals over the last 50 years. There is perhaps no state in which Medicaid has played a more important role in the evolution of how health care is delivered and paid for than Massachusetts. This interactive timeline reflects some of the key moments in our history where Medicaid served to expand coverage for low-income and vulnerable people in the Commonwealth.
April 7, 2015

Unless Congress acts, federal funding for the Children’s Health Insurance Program (CHIP) will run out soon after September 2015. On March 26, the U.S. House of Representatives passed legislation that would fund CHIP for two more years. The Senate is expected to take up the bill in mid-April. This report, written by Robert Seifert of the Center for Health Law and Economics at the University of Massachusetts Medical School, examines the serious implications for Massachusetts if federal funding for CHIP is not extended.

September 4, 2014

This budget brief highlights the FY2015 budget for MassHealth and other subsidized health coverage programs. It is the last in a series of FY2015 budget briefs produced by MMPI in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute.

December 18, 2013

This report – written by Elisabeth Rodman of the Blue Cross Blue Shield of Massachusetts Foundation – explains how the Commonwealth of Massachusetts chose to implement the Affordable Care Act (ACA) and the resulting changes to health programs, policies, and operations.

October 9, 2013

This glossary, prepared by the Blue Cross Blue Shield of Massachusetts Foundation with input from the Center for Health Information and Analysis and the Health Policy Commission, defines some of the key cost containment terms necessary to understand Chapter 224 of the Acts of 2012 and the health care cost dialogue in Massachusetts.

August 7, 2013

This budget brief highlights the FY 2014 budget as enacted for MassHealth and other subsidized health coverage programs. This is the last in a series of FY 2014 fact sheets produced by MMPI in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute.

June 6, 2013

This budget brief compares the Massachusetts House and Senate Fiscal Year (FY) 2014 budget proposals for MassHealth (Medicaid) and other subsidized health coverage programs. It is the third in a series of FY 2014 fact sheets produced by MMPI in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute. MMPI will publish budget fact sheets at each stage in the FY 2014 budget process, as budget bills move through the state legislature.

May 8, 2013

This budget brief describes the Massachusetts House of Representatives' Fiscal Year (FY) 2014 budget for MassHealth (Medicaid) and other subsidized health coverage programs, and compares the House budget with the Governor’s proposal. It is the second in a series of FY 2014 fact sheets produced by MMPI in partnership with the Massachusetts Budget and Policy Center and the Massachusetts Law Reform Institute. MMPI will publish budget fact sheets at each stage in the FY 2014 budget process, as budget bills move through the state legislature.

February 28, 2013

Chart of state decisions related to implementation of the federal health care reform law, the Affordable Care Act (ACA). Originally created by the Center for Health Law & Economics, UMASS Medical School, and Health Care For All; updated by the BCBSMA Foundation. This document was last updated in February 2013.

February 22, 2013

This budget brief describes the Governor's Fiscal Year (FY) 2014 budget proposal for MassHealth (Medicaid) and other subsidized health coverage programs. It is the first in a series of FY 2014 fact sheets that will be published by the Massachusetts Medicaid Policy Institute (MMPI) and produced by the Massachusetts Budget and Policy Center in partnership with the Massachusetts Law Reform Institute. MMPI will be publishing budget fact sheets at each stage in the FY 2014 budget process, as budget proposals move through the state legislature.

November 5, 2012

These fact sheets highlight the major implications of Massachusetts’s 2012 health care cost containment law, Chapter 224, for four key stakeholder groups:  hospitals, health plans, consumers, and clinicians. From increased data reporting requirements for hospitals and health plans, to greater cost transparency for consumers, Chapter 224 will have significant impacts on many aspects of the Massachusetts health care system in the years ahead.

September 28, 2012

This report – written by Anna Gosline and Elisabeth Rodman of the Blue Cross Blue Shield of Massachusetts Foundation – summarizes the key components of Chapter 224 of the Acts of 2012, “An Act Improving the Quality of Health Care and Reducing Costs Through Increased Transparency, Efficiency and Innovation,” which was signed into law on August 6, 2012.

September 28, 2012

This report, written by Robert Seifert and Rachel Gershon of the Center for Health Law and Economics at UMass Medical School, examines the key components of the most recent Massachusetts health reform law - Chapter 224 of the Acts of 2012 - as they pertain to the Massachusetts Medicaid program (“MassHealth”). Under the new law, MassHealth will be subject to the annual spending growth benchmark and will be required to implement alternative payment arrangements for most of its members, among other new requirements and responsibilities.