2. MA REFORM IN NATIONAL CONTEXT
REFORMS MA FEDERAL
Insurance reform
Partially, through
• Guaranteed issue market 1990s 2010 Affordable
• Acceptance of preexisting conditions Care Act
• Modified community rating
Expansion of coverage
• Individual mandate
Chapter 58 of 2010 Affordable
• Employer responsibility
the Acts of 2006 Care Act
• Medicaid expansion
• Insurance exchange
Initial cost containment Chapter 305 of
• Investigation of health care cost drivers the Acts of 2008
TBD
• Standardized reporting of cost/quality metrics Chapter 288 of
• Tools for prudent purchasing the Acts of 2010
17. RESOURCES & CONTACT INFORMATION
• Massachusetts Attorney General’s 2011 Examination of Health Care Cost
Trends and Cost Drivers: http://www.mass.gov/ago/docs/healthcare/2011-
hcctd-full.pdf
• Massachusetts Attorney General’s 2010 Examination of Health Care Cost
Trends and Cost Drivers: http://www.mass.gov/ago/docs/healthcare/final-
report-w-cover-appendices-glossary.pdf
• Massachusetts legislation (Chapter 288 of Acts of 2010) to increase
transparency and control costs in health care market:
http://www.malegislature.gov/Laws/SessionLaws/Acts/2010/Chapter288
• Massachusetts Division of Health Care Finance and Policy materials on cost
trends hearings: http://www.mass.gov/dhcfp/costtrends
Karen Tseng, Assistant Attorney General, MA Attorney General’s Office
Karen.Tseng@state.ma.us; (617) 963-2123