The program, announced in late June, represents the largest medical debt relief effort in Massachusetts to date. It was created through a partnership between the Atrius Health Equity Foundation, Undue Medical Debt, and the Massachusetts Health & Hospital Association to assist residents facing significant healthcare-related financial pressure.
Letters informing recipients of the relief began arriving around July 7, notifying residents that some or all of their medical debt would be removed. The initiative focuses on patients with limited financial resources, using eligibility criteria based on income levels and the size of their outstanding medical bills.
Nonprofits Identify Patients Most Affected by Medical Debt
The organizations behind the initiative chose recipients directly instead of requiring residents to submit applications. The goal was to reach people who had the greatest difficulty covering their medical expenses.
According to The U.S. Sun, the nonprofits selected Massachusetts residents with annual incomes at or below 400% of the federal poverty level. This includes individuals earning up to $63,840 per year and families of four earning up to $132,000.
The selection process also considered the scale of each person’s medical debt compared with their income. Patients whose unpaid medical bills represented at least 5% of their annual salary were included among those targeted for relief.
The amount of debt canceled varies significantly between recipients. Some residents will see only $50 removed, while others will receive relief totaling up to $450,000.

Majority of Recipients Are Located in Essex and Middlesex Counties
The debt relief program covers communities throughout Eastern Massachusetts, with most beneficiaries concentrated in two counties. Around 85% of recipients live in Essex and Middlesex counties. The average amount of medical debt erased for those residents is $1,226.73.
Dr. Ann Hwang, president of the Atrius Health Equity Foundation, said the initiative represents a significant step in addressing the financial challenges linked to healthcare costs.
“This announcement is a pivotal point in our efforts to eliminate medical debt. Our goal at the Foundation is to help close the gap in life expectancy across Eastern Massachusetts, and medical debt keeps people from getting the care they need,” Hwang said in a June 25 press release.
She added that the program could help affected families while encouraging additional partnerships aimed at supporting communities across Eastern Massachusetts.
Partnership Expands Medical Debt Cancellation Efforts in Massachusetts
The latest debt relief effort brings the total amount of medical debt eliminated through the partnership between the three organizations to more than $255 million.
The initiative began after the Atrius Health Equity Foundation provided grants to organizations including Undue Medical Debt and Health Care For All. Undue Medical Debt then purchased large amounts of patient debt from healthcare providers and debt collectors at discounted prices before canceling the balances for people who were least able to repay them.
According to data from the Center for Health Information and Analysis, more than 12% of Massachusetts residents have some amount of medical debt.
Residents who are not included in the current relief program have been advised to review their healthcare bills carefully, check for possible errors, and negotiate charges when possible.








