McDonough John E, Rosman Brian, Phelps Fawn, Shannon Melissa
Health Care For All, Boston, Massachusetts, USA.
Health Aff (Millwood). 2006 Nov-Dec;25(6):w420-31. doi: 10.1377/hlthaff.25.w420. Epub 2006 Sep 14.
In April 2006, Massachusetts passed its third major health care access reform law since 1988. This law establishes new structures and requirements that have never been attempted by any state. Key features include a shift of federal Medicaid dollars from institutional support to individual insurance subsidies, establishment of an insurance "Connector," individual and employer responsibility, a small-firm and individual insurance market merger, and provisions to address racial and ethnic health disparities. Massachusetts will engage in a multiyear implementation process. Only after this process is complete will the law's significance be clear.
2006年4月，马萨诸塞州通过了自1988年以来的第三部重大医疗保健可及性改革法案。该法案建立了前所未有的新结构和要求。主要特点包括将联邦医疗补助资金从机构支持转向个人保险补贴、设立保险“连接体”、个人和雇主责任、小型企业与个人保险市场合并，以及解决种族和族裔健康差异的条款。马萨诸塞州将开展一个为期数年的实施过程。只有在这个过程完成之后，该法案的意义才会明晰。
