Summary results from the 2025 Massachusetts Health Insurance Survey (MHIS) show that 97.9% of residents reported having health insurance at the time of the survey, though more than a quarter of residents skipped needed care due to cost.

CHIA’s research brief, Burdened by the Bill: Understanding Medical Debt in Massachusetts, finds that more than 1 in 8 Massachusetts residents carries family medical debt, most often caused by cost-sharing.

CHIA is in the process of updating its regulations regarding the annual industry assessments, 957 CMR 3.00, to implement recent statutory changes in chapters 342 and 343 of the Acts of 2024. Pending promulgation of these regulations, preliminary assessment payments will not be due October 1, 2025 (inclusive of Hospitals and Ambulatory Surgical Centers).

CHIA will notify all assessed entities when assessment payments will be due.

Overall acute hospital profitability decreased by 1.6 percentage points from the prior year, according to CHIA’s HFY 2024 MA Hospital and Health System Annual Financial Performance Report.

This publication also reports on the profitability of hospital health systems and non- acute hospitals.

CHIA is preparing to update all of its existing regulations and introduce a new regulation related to Pharmacy Benefit Manager (PBM) data reporting. Draft regulations will be promulgated in accordance with applicable law.

CHIA invites input from data reporters to ensure that reporting requirements imposed under the regulations are not duplicative or excessive. If you have thoughts, concerns, or ideas related to CHIA’s regulations, contact regulations@chiamass.gov.