How PPACA helps residents of the Commonwealth:

  • National health reform will help make health insurance more affordable for working families in Massachusetts. Massachusetts currently offers subsidies for individuals and families with incomes of up to 300% of the federal poverty level (or $66,000 for a family of four). Starting in 2014, national health reform will offer tax credits for people with incomes up to 400% of the federal poverty level (or $88,200 for a family of four) to purchase insurance through the Insurance Exchange.
  • National health reform will save significant taxpayer dollars. Massachusetts anticipates significant savings when the legislation is fully implemented.
    • Individuals currently served in the Commonwealth Care program and subsidized with state and federal money will be eligible for fully federally funded subsidies through the new federal Exchange rules starting in 2014;
    • Starting, in 2014, Massachusetts and other "early leader" states will receive significantly more federal Medicaid matching dollars for those who are newly eligible under the federal law, but whom Massachusetts has already been covering. This will bring in at least an additional $1.8 billion to Massachusetts between 2014 and 2019, and $347m for each year thereafter;
    • Massachusetts' federal funding rates for the Children's Health Insurance Program (CHIP) will increase significantly starting in 2015.
  • National health reform will help seniors with their prescription drug costs. PPACA closes the Medicare prescription drug "donut hole" for the approximately 81,000 Massachusetts residents who reach this gap in coverage. It provides a $250 rebate for all Medicare Part D enrollees who enter the donut hole in 2010.
  • National health reform will support the Commonwealth's ability to build on the tradition of excellence in health care innovation. PPACA includes grant opportunities for states to reduce chronic disease, address health disparities, improve evidence-based disease prevention, develop early childhood visitation programs, and expand outreach and education for some Medicare beneficiaries. National health reform will also bolster the Commonwealth's ongoing efforts to reform the health care payment system. This kind of innovation is critical to improving the quality of care and lowering health care costs over the long term.
  • National health reform will prohibit co-pays for preventive care. This is an important public health provision that was not included in the Massachusetts reform, which will encourage everyone to seek the primary and preventive care they need without having to worry about the cost.
  • National health care reform supports Massachusetts' strong health care and academic industries. Massachusetts is home to some of the nation's finest medical schools, hospitals, research labs, and biotechnology firms. National reform will create a host of new federally funded grant opportunities that will further support our medical schools, hospitals, and educational institutions. Grants for training the health care and public health workforces will help to support two of Massachusetts' greatest local industries: health care and medical education.

Massachusetts Division of Insurance Consumer Alert doc format of insurance-changes-effective-100923.doc

This information is provided by the Executive Office of Health and Human Services.