Health Care Reform in Massachusetts: 20 Years of Impact

April 2026 - Twenty years after the Massachusetts Legislature passed and Governor Mitt Romney signed Chapter 58 of the Acts of 2006, "An Act Providing Access to Affordable, Quality, Accountable Health Care," Massachusetts continues to lead the nation with the highest rate of health insurance coverage. Chapter 58 was the result of years of analysis, strategy development, and collaboration among state leaders in the Legislature, the Governor’s office and the Executive Branch, consumer advocates, business leaders, health care providers and payers, and other stakeholders to establish a groundbreaking, bipartisan approach to near universal health coverage.

Connected to Coverage: Member Transitions to the Health Connector During the Medicaid Redeterminations Process

July 2025—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.

ConnectorCare Expansion Pilot Annual Report to the Legislature

July 2025—The ConnectorCare Expansion Pilot Annual Report highlights the significant impact of extending health coverage in Massachusetts to individuals earning up to 500% of the federal poverty level. Since the pilot began in 2024, over 115,000 individuals have gained more affordable insurance, with 63,000 actively enrolled as of mid-2025. The program offers benefits such as lower premiums, no deductibles, and reduced co-pays, helping residents access necessary care, including preventive services and medications for chronic conditions.

2024 Report to the Massachusetts Legislature: Activities and Accomplishments of the Massachusetts Marketplace

May 2025—The 2024 Report to the Massachusetts Legislature highlights a 40 percent increase in enrollment, reaching more than 360,000 members. This growth includes a rise in ConnectorCare enrollment, which expanded eligibility to individuals earning up to 500 percent of the federal poverty level. Additionally, thanks to effective outreach and community support, over 145,000 residents transitioned to new coverage after losing MassHealth during the unwinding of the Medicaid continuous enrollment provision.

Student Health Insurance Program Report for Academic Year 2023-2024

March 2025—The Student Health Insurance Program (SHIP) Report for Academic Year 2023-2024 details how health insurance is provided to students in Massachusetts. In the reported year, a total of 91 institutions offered SHIPs and covered over 120,000 students. The program remains a cost-effective and comprehensive coverage option for students in Massachusetts.

ConnectorCare Expansion Pilot Report

August 2024 - The ConnectorCare pilot expansion in Massachusetts has provided over 51,000 residents with access to more affordable health insurance, thanks to increased income eligibility limits from 300 percent to 500 percent of the federal poverty level. This initiative, part of the Fiscal Year 2024 state budget, has resulted in significant cost savings for members, with some saving over $150 monthly on premiums.

Massachusetts Health Connector 2022 Open Enrollment Period: Final Enrollment Results

June 2022—Building on the Commonwealth’s state health reform efforts and Affordable Care Act’s success, the American Rescue Plan (ARP) has been instrumental in providing premium relief to state residents, driving 253,000 individuals to enroll with the Health Connector during Open Enrollment (OE) for 2022 coverage. Massachusetts’s bedrock of affordability meant the state had a higher coverage rate than other states as the pandemic began and has largely maintained it over the last two years.

Massachusetts Health Connector 2021 Open Enrollment Period: Final Enrollment Results

June 2022—In 2021, the passage of the American Rescue Plan (ARP) and its significant advancement of affordable health care induced the Health Connector to extend its Open Enrollment (OE) period. Typically, OE is from November 1 through January 23, but in 2021 was extended until July 23 to allow uninsured residents ample opportunity to access ARP-enhanced subsidies, including more robust Advance Premium Tax Credits (APTCs) and special benefits for members reporting unemployment income. The Health Connector enrolled 87,000 new members in Exchange coverage over the course of the 2021 OE period.

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