The Massachusetts Health Connector and the Division of Insurance provided detailed feedback on the proposed 2027 HHS health insurance rules, noting support for the Centers for Medicare & Medicaid Services’ goals to improve affordability, strengthen program integrity, and help people maintain access to coverage. The agencies also raised concerns that several proposals could limit state flexibility, create timelines that are difficult to carry out, and weaken the insurance risk pool. These changes could lead to higher premiums and cause some residents to lose coverage. Drawing on Massachusetts’s strong record of near-universal health coverage and its integrated eligibility systems, the letter emphasizes the importance of state-specific solutions that protect consumers, support stable markets, and preserve access to affordable health insurance.

Report cover from Massachusetts Health Connector 2022 Open Enrollment Period: Final Enrollment Results