expenses to a $5,000 maximum for an individual and $7,500 for a family. Before the deductible applies, the proposed plan includes preventive office visits with higher copayments, but would not include emergency room visits if the person was not admitted. The new plan covered abortions (both elective and medically necessary) in the heavily Catholic state. Outcomes prior to ACA The number of uninsured Massachusetts residents dropped from about 6% in 2006 to about 2% in 2010, before increasing to between 3–4% in 2012. The United States Census Department shows a higher percentage of uninsured for the same years but a similar trend line. Both trend lines mirror the approximately 400,000 residents added to the rolls of the insured in 2006/2007 via an expansion in Medicaid eligibility rules and the subsidization of the Commonwealth Care insurance program. A 2011 view of the data, released by the state in 2013, shows the number of people receiving employer-sponsored insurance (ESI) in Massachusetts decreased by approximately 500,000 people (about 8% of the state population) since the enactment of the Massachusetts health insurance law in 2006. The latest U.S. Census data on health care insurance types in Massachusetts was released in September 2012, and also illustrates the long-term decrease in ESI, and an increase in public, free and subsidized insurance. In the early years of the implementation of the law, approximately 2% of those eligible were determined not to have had access to affordable insurance, and a small number opted for a religious exemption to the mandate. Approximately 1% of taxpayers were determined by the Commonwealth to have had access to affordable insurance during tax year 2009 and had to pay an income tax penalty instead. Comparing the first half of 2007 to the first half of 2009, spending from the state's Health Safety Net Fund dropped 38–40% as more people became insured, before increasing in later years. The Fund—which replaced the Uncompensated Care Pool or Free Care—pays for medically necessary health care for those who do not have health insurance. According to the DHCFP in a report dated September 2011, "Total Health Safety Net (HSN) payments increased by 7% in the first six months of Health Safety Net fiscal year 2011 (HSN11) compared to the same period in the prior year while demand increased by 10%. Demand represents the amount that providers would have been paid in the absence of a funding shortfall. Because