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.

