Health insurance: As governor of Massachusetts, Romney signed legislation that required that nearly all Massachusetts residents obtain health insurance coverage by establishing means-tested state subsidies for people without adequate employer insurance, by directing funds designated to compensate for the health costs of the uninsured, and also specified penalties for those who fail to obtain coverage. Legislation, effective on July 1, 2007, requires health insurance for all state residents, provided a plan is available to the individual that is deemed affordable according to state standards. Employers with eleven or more employees are mandated to offer approved insurance plans for employees.<br>