Other than colloquial or local usages, his word has nothing to do with the State of Massachusettes.
(1) Jimmy stole three dollars out of my wallet to buy a cheese sub; he's a masshole.
(2) Wehn I first saw the size of her brown-eye, I almost exclaimed "That's a masshole."
1.WOW! Ronald Reagan was an asshole,but George W.is a real MASSHOLE!2. I'll have to use widescreen to get Gabourey Sidibe's masshole to fit on my tv screen.