This Health Affairs article provides an update on the progress of health reform in Massachusetts as of fall 2009 using data from surveys of working-aged adults. Massachusetts continues to sustain record high levels of insurance coverage in the midst of the economic recession, with uninsurance at 4.8 percent for non-elderly adults in fall 2009. In addition, the authors find that the gains in access and affordability reported in Massachusetts under the initial years of health reform persisted into fall 2009. However, some barriers to accessing care persist and problems affording care continue to be an issue for some residents.
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