The Mass Blue Cross Foundation has helpfully maintained an ACA Tracking Tool, listing the various decision points facing Massachusetts as we implement the Affordable Care Act. The chart is the best snapshot of the myriad of complicated considerations and issues facing state policymakers. Even though the ACA is modeled after our Chapter 58 blueprint, the details vary considerably, and shoehorning the ACA into the Massachusetts context requires substantial policy alterations and decisions.
The chart was just updated – you can get the new version from here. The chart includes links to documents with further details on the issues.
Health Care For All helped prepare the original chart, along with the Center for Health Law & Economics at UMASS Medical School. The latest update was done by BCBS Foundation staff.
We expect the Patrick administration to be filing its ACA implementation legislation any day now, though we have been expecting the bill soon for a number of weeks. Meanwhile, this tracking chart is wonk heaven for those wishing to closely follow implementation.