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The Massachusetts Of Massachusetts

Decent Essays

The Massachusetts Experiment Massachusetts has undergone many changes in their health care system since enacting a universal health care law in 1988. The effects of the Massachusetts health care laws are a good indicator of what people should expect from the enactment of the ACA. The multiple health care reforms in Massachusetts were in an attempt to increase health care coverage while still maintaining financial stability.
Background
Massachusetts began its health care reform in 1988. Under the direction of Governor Michael Dukakis (D), a universal health care law was enacted through implementation of a “play-or-pay” employer mandate; unfortunately this implementation suffered multiple postponements (McDonough, Rosman, Phelps, & Shannon, 2006). Some components of the 1988 law were implemented and stand today: the CommonHealth program for Medicaid coverage to disabled adults seeking to work and to certain disabled children, the Medical Security Plan provides coverage to workers who are collecting unemployment compensation, the Healthy Start program provides coverage to lower-income pregnant women and new mothers, and the student health insurance mandate (McDonough et al., 2006). The years 1996 to 1997 brought about another wave of health care reform for Massachusetts. The expansions in 1996 and 1997 resulted in an increase in the number of people enrolled in MassHealth (Massachusetts Medicaid program). As well, one of the key elements of Massachusetts’s safety net is

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