ArticleMassachusetts Health Care Reform Is It Working?McAdoo, Joshua MS; Irving, Julian MS; Deslich, Stacie MA, MS; Coustasse, Alberto DrPH, MD, MBA, MPHAuthor Information Author Affiliation: Health Care Administration Program, Marshall University Graduate College, Huntington, West Virginia. The authors have no conflicts of interest. Correspondence: Joshua McAdoo, MS, Marshall University, One John Marshall Drive, Corbly Hall Room 107, Huntington, WV 25755 ([email protected]). The Health Care Manager: October/December 2013 - Volume 32 - Issue 4 - p 314-320 doi: 10.1097/HCM.0b013e3182a9d7cb Buy Metrics Abstract Before 2006, Massachusetts had more than 500 000 residents who lacked health insurance. Governor Mitt Romney enacted landmark legislation requiring all residents to obtain health insurance. Also, the legislation established a health insurance exchange for the purpose of broadening the choices of insurance plans made available to individuals in the state. The purpose of this research was to assess the Massachusetts health care reform in terms of access, cost, and sustainability. The methodology used was a literature review from 2006 to 2013; a total of 43 references were used. Health reform resulted in additional overall state spending of $2.42 billion on Medicaid for Massachusetts. Since the 2006 reform, 401 000 additional residents have obtained insurance. The number of Massachusetts residents who had access to health care increased substantially after the health care reform was enacted, to 98.1% of residents. The Massachusetts health care reform has not saved money for the state; its funding has been covered by Federal spending. However, reform has been sustained over time because of the high percentage of state residents who have supported the state mandate to obtain health care coverage. Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved.