UMMS Affiliation

Center for Health Policy and Research; MassAHEC Network; Department of Family Medicine and Community Health; Commonwealth Medicine

Publication Date


Document Type



*Community Health Workers; *Health Promotion; Health Services Accessibility; Healthcare Disparities; Humans; *Medically Uninsured; Patient Protection and Affordable Care Act; *Primary Health Care; United States


Community Health and Preventive Medicine | Health Policy | Health Services Administration | Health Services Research | Preventive Medicine | Primary Care | Public Health Education and Promotion


Implementing the health insurance mandate of the Patient Protection and Affordable Care Act (ACA), signed into law in 2010, will require states to reach, educate, and successfully enroll individuals and families who have had little experience with health coverage. The uninsured are likely to require considerable individualized application and enrollment support. Consumer advocates believe there is a need for ongoing support so that the newly insured retain their coverage, navigate their way effectively through the health care system, and engage in wellness and prevention activities. As many states prepare to enroll millions of low-income uninsured Americans, the experience of Community Health Workers (CHWs) in Massachusetts can inform outreach and enrollment efforts across the country.

Rights and Permissions

PDF posted as allowed by publisher's author rights policy at

DOI of Published Version



J Health Care Poor Underserved. 2014 Feb;25(1):lviii-lxiii. doi: 10.1353/hpu.2014.0028. Link to article on publisher's site

Journal/Book/Conference Title

Journal of health care for the poor and underserved

Related Resources

Link to Article in PubMed

PubMed ID