Health reform legislation passed in Massachusetts in 2006 aimed to expand health insurance coverage and access to care for residents. To evaluate the impact, researchers conducted a state survey starting in 2006. Preliminary results found that more residents had health insurance coverage after reform, more employers offered coverage, and more residents reported having a regular provider and receiving care. Affordability of care also improved despite rising costs. Ongoing surveys will continue to assess the effects of the Massachusetts reform and inform national health reform.