The Prevention and Wellness Trust Fund (PWTF) of Massachusetts healthcare reform legislation (Section 60 of Chapter 224of the Acts of 2012) seeks to "reduce health care costs by preventing chronic conditions." It is designed to address four priority chronic conditions including pediatric asthma. The pediatric asthma program activities include Care Management for High-Risk Asthma Patients; Home-Based Multi-Trigger, Multi-Component Intervention (minimum of three home visits, asthma self-management and education, trigger remediation supplies, environmental services); Comprehensive SchoolBased Asthma Management Programs; Comprehensive Head Start-Based Asthma Management Programs; and Asthma Self-Management in Primary Care. In 2014, nine communities have been funded to be PWTF sites: Six offer pediatric asthma interventions, and five have initiated home-based asthma visits.
