In April 2023, after three years of COVID-era federal Public Health Emergency coverage protections, the Health Connector began welcoming tens of thousands of newly-eligible residents. These residents came to the Health Connector seeking access to affordable health care coverage, a process that ran through 2024 as MassHealth redetermined the eligibility of all 2.4 million of its members. In Massachusetts, the Medicaid and CHIP programs are known together as MassHealth.

This report details the results of that effort, which, by the end of 2024, included nearly 200,000 MassHealth members who experienced eligibility changes and then accessed Health Connector coverage. Special enrollment periods, designed to make it easier to obtain coverage, led Massachusetts residents to overwhelmingly maintain coverage during a period of significant change.

Published July 2025