By PAM BELLUCK
Published: April 23, 2006 http://www.nytimes.com/2006/04/23/weekinreview/23belluck.html?_r=1&oref=slogin
AFTER Massachusetts became the first state to enact near-universal health care coverage this month, Robert E. Travaglini, the State Senate president, allowed himself a bit of bravado.