Examining how previously uninsured Hispanic residents perceive affordability of their health premiums after the 2006 Massachusetts Health Care Reform

This grant supports a qualitative study designed to better understand the personal financial impact of the 2006 Massachusetts Health Care Reform (Chapter 58) bill among Hispanics. A core component of this bill is its individual mandate to obtain "affordable" health insurance coverage or face tax penalties. There is no documentation of the experiences of ethnic groups such as Hispanics who may not be familiar with the bureaucratic process of enrolling, who may have limited English proficiency, have low income, and have minimal or no experience dealing with health insurance.The questions addressed by this project are: (1) What are the markers that characterize the decision-making process that low-income Hispanics follow to learn about Chapter 58? 2) How do low-income Hispanics determine whether they can or cannot afford health insurance premiums established by the government? (3) What role does financial distress play in the perception of health insurance affordability? and (4) What courses of action do low-income Hispanics take when they deem the insurance premium unaffordable?

Grant Details

Amount Awarded $48,664.00

Awarded on: 5/21/2008

Time frame: 6/1/2008 - 9/30/2009

Grant Number: 63543


Cambridge Health Alliance

1493 Cambridge Street
Cambridge, 02139-1047


Dharma E. Cortes
Project Director