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This paper explores the impacts that Massachusetts' 2006 landmark Chapter 58 healthcare reform has had on community health centers (CHCs) that provide services to immigrant communities. This analysis is presented through an in-depth case study of one such immigrant CHC, the Dorchester Multiservice House, in Dorchester, Massachusetts. Following background sections on immigrant populations in ... read moreMassachusetts, their health challenges, and on the history of Chapter 58 reform, I present three chapters of analysis to show how Chapter 58 has impacted the Dorchester House's patients, providers, and the organization as a whole. I find that, at each level, Chapter 58 has posed significant challenges to Dorchester House, which, in turn, have compromised its ability to provide care to immigrant patients. I follow these chapters of analysis, I present a conclusion that links some of these challenges to specific provisions in Chapter 58 and identify areas of recommendation on the topic of how health care policy can be adjusted to better provide equal access to immigrants and to the health care providers who serve them both in Massachusetts and, with increasingly relevancy, in the United States as a whole.read less
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