Itโs hard work making it in the middle class
If thereโs a single unifying theme to the Massachusetts middle-class outlook in 2026, itโs contradiction: We have more than ever, and in many cases, thatโs not enough to enjoy the stability of prior generations.
The stateโs 2006 health care law was the model for the Affordable Care Act. What is its legacy?
HEALTH CARE AT 20
20TH ANNIVERSARY
The stateโs landmark health care reform law at 20
In April 2006, Gov. Mitt Romney signed landmark legislation that aimed to make Massachusetts the first state in the country with universal or near-universal health care coverage for all residents. โAn Act Providing Access to Affordable, Quality, Accountable Health Care,โ often known as Romneycare or by the shorthand Chapter 58 (its designation in that yearโs laws), was a pathbreaking effort to address the persistent coverage gap in US health care.


