What Massachusetts Did

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State of Massachusetts
Massachusetts followed a similar, but not identical, path to state policy change and has produced some wide-ranging results.

It has:

  • Created active statewide CHW association
  • Office of CHWs in state public health department
  • Policy mandate for state contractors
  • 2006 state health care reform act:
    • Added CHW to state Public Health Council
    • Mandated report to legislature on CHW policy
    • Follow-up enrollment activity demonstrated value of CHWs
    • Led to creation of CHW credentialing board
    • Resulted in inclusion of CHWs in 2012 payment reform law