More than a decade after its enactment, tens of millions of people nationwide rely on coverage options created through the Affordable Care Act of 2010 (ACA). The law has survived multiple court challeges at the U.S. Supreme Court and repeated attempts by Republicans in Congress to repeal it. Subsequent legislation has scaled back some aspects of the law and expanded others, including by the COVID-19 relief bill, the American Response Plan Act of 2021. This page highlights relevant analysis about the ACA and proposed and enacted changes to it..

For information about ACA Marketplace Open Enrollment, including fact sheets and 300+ FAQs, visit our collection of resources on Understanding Health Insurance.

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Obamacare y Usted: Si no tiene seguro médico

Obamacare ha creado nuevas maneras de tener cobertura de salud. Si usted no tiene seguro médico a través de su empleador, seguramente pueda obtenerlo a través del nuevo Mercado de los Seguros Médicos (o “intercambio”) en su estado. Nuevas opciones de cobertura Llenando una única aplicación, usted aprenderá sobre sus…

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State-by-State Estimates of the Number of People Eligible for Premium Tax Credits Under the Affordable Care Act

Key provisions of the 2010 Affordable Care Act (ACA) create new Marketplaces for people who purchase insurance directly and provide new premium tax credits to help people with low or moderate incomes afford that coverage. This analysis estimates that about 17 million people who are now uninsured or who buy insurance on their own (“nongroup purchasers”) will be eligible for premium tax credits in 2014. This issue brief provides national and state estimates for tax credit eligibility for people in these groups.

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Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold?

There are numerous aspects of the Affordable Care Act that will be important for people with HIV in the U.S., — however, it is unlikely that these changes will address all the needs of people with HIV. The Ryan White HIV/AIDS Program will thus remain crucial for the provision of adequate health care to HIV-infected individuals, but it will need to change. Changes in the Ryan White Program’s role will depend largely on state decisions on Medicaid expansion and health care marketplaces. This article, published in the September/October issue of Topics in Antiviral Medicine, summarizes a presentation by Jennifer Kates of the Kaiser Family Foundation at the IAS–USA continuing education program held in New York, New York, in April 2013.

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Kaiser Health Tracking Poll: October 2013

The October Kaiser Health Tracking Poll finds the divided public’s opinion of the ACA remains similar to the previous month.

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Obamacare Vital Signs Not Just Numbers

In his latest column, Kaiser President and CEO Drew Altman discusses the focus on first year metrics, especially enrollment projections, in the ACA debate.

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Obamacare and You: If You Are a Woman…

This short explainer highlights key changes for women coming under the Affordable Care Act, also known as Obamacare.

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A Look at Section 1115 Medicaid Demonstration Waivers Under the ACA: A Focus on Childless Adults

This brief provides an overview of Section 1115 waiver authority, describes major provisions of waivers that extend coverage to childless adults, and identifies key issues and implications of these waivers looking forward to the Affordable Care Act and beyond.

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JAMA Forum: The Affordable Care Act After Week 1–What We Know and What We Don’t Yet Know

Larry Levitt’s October 2013 column on what we know and don’t know after the first week of Obamacare open enrollment is now available on The JAMA Forum.

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Health Coverage and Care for American Indians and Alaska Natives

This brief provides an overview of health coverage and care for American Indians and Alaska Natives today and the potential implications of the ACA coverage expansions.

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Obamacare and You: If You Are Uninsured…

The Affordable Care Act, also called Obamacare, creates several new ways to get health coverage. This fact sheet explains how If you are uninsured and not offered health coverage through your job, you may be able to obtain coverage through Medicaid or through a new health insurance marketplace (or exchange) in your state. It is from our Obamacare & You series.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.