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Tracking the Public’s Views on the ACA

While overall opinion of the Affordable Care Act has been more favorable than unfavorable since 2017, there remain deep partisan divides. See how public opinion on the ACA has changed from the inception of the law to the present. This interactive tool highlights key moments when views shifted and trends based on party identification, income, age, gender, and race/ethnicity.

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  • We’ve Never Seen Health Care Cuts This Big

    Perspective

    In this July 1 column for The New York Times Opinion section, KFF Executive Vice President for Health Policy Larry Levitt explains how the budget reconciliation bill passed by the Senate on July 1 is effectively a partial repeal of the Affordable Care Act (ACA) and, if signed into law, the resulting reductions in Medicaid and ACA Marketplace coverage would make it "the biggest rollback in federal support for health coverage ever."

  • Insurers’ Preliminary Rate Filings Anticipate Biggest Increases in ACA Marketplace Plan Premiums Since 2018

    News Release

    This analysis of preliminary rate filings submitted by 105 ACA Marketplace insurers in 19 states and DC shows that ACA Marketplace insurers are requesting a median premium increase of 15% for 2026, which would represent the largest hike in premiums since 2018, the last time policy uncertainty contributed to sharp premium growth. The scheduled expiration of enhanced tax credits and impact of tariffs on some drugs, medical equipment, and supplies are among the factors pushing…

  • KFF Health Tracking Poll: Public Views on Recent Tax and Budget Legislation

    Poll Finding

    KFF's Health Tracking Poll looks at awareness and perceived impact of the tax and budget law signed by Trump in July 2025. Nearly half of the public says that they expect the new law to generally hurt them and their families, about twice the share who say it will generally help. The law itself remains largely unpopular, with many more people holding unfavorable views than favorable ones.

  • Poll: New Tax and Budget Law Remains Largely Unpopular; Nearly Half Say It Will Hurt Their Families, though Republicans and MAGA Supporters Are More Optimistic

    News Release

    Nearly half (46%) of the public says that they expect the new tax and budget law signed by President Trump earlier this month to generally hurt them and their families, nearly twice the share (26%) who say it will generally help, a new KFF Health Tracking Poll finds. Among people who rely on Medicaid for their health coverage, two-thirds (65%) say it will hurt their families compared to one in five (18%) who say it…

  • ¿Mi plan de salud estudiantil tiene que cubrir la anticoncepción? Y, si no, ¿cuáles son mis opciones?

    FAQs

    Depende del tipo de cobertura que ofrezca su universidad. Generalmente, sí, si se trata de un plan "Totalmente asegurado". Estos planes deben proporcionar, sin costo compartido, acceso a todos los métodos anticonceptivos aprobados por la Administración de Drogas y Alimentos (FDA), procedimientos de esterilización, educación y asesoramiento para pacientes ordenados por un profesional de la salud. Si su plan de salud estudiantil es "autoasegurado", la cobertura de anticonceptivos depende de qué servicios estén cubiertos, lo…

  • My company provides funds for workers to buy health insurance on their own instead of providing health insurance through the company. Can I still qualify for premium tax credits to buy a Marketplace plan?

    FAQs

    Employees who receive funds to buy health insurance on the individual market can sometimes still qualify for premium tax credits, depending on the type of health reimbursement arrangement (HRA) their employer offers and its affordability to you: Employers with fewer than 50 workers may offer what’s known as a Qualified Small Employer HRA. If your employer offers this type of coverage arrangement and it is considered “affordable” based on your household income, you will not…

  • ¿Qué es un plan de salud para estudiantes?

    FAQs

    Un plan de salud estudiantil es un tipo especial de cobertura médica que las universidades ofrecen a sus estudiantes matriculados. Normalmente, un plan de salud estudiantil es diferente de la cobertura patrocinada por el empleador que las universidades ofrecen a su plantel de profesores y a su personal.

  • ¿Cómo puedo proteger mi información personal al inscribirme en la cobertura del mercado a través de un sitio web que no pertenece al mercado?

    FAQs

    Aquí tiene algunos consejos para proteger su información personal si decide inscribirse en el mercado de seguros a través de un sitio web externo: Tenga cuidado con las técnicas de venta que lo presionan para tomar decisiones rápidas. Utilice esta herramienta cuidadodesalud.gov para encontrar sitios web de socios de inscripción certificados y aprobados por el mercado de seguros. Tenga cuidado al interactuar con anuncios que ofrecen dinero en efectivo, regalos u otros beneficios. La información…

  • ¿Qué tipos de planes médicos venden los sitios web de inscripción privada?

    FAQs

    Los sitios web de inscripción privada administrados por compañías de seguros generalmente solo muestran los planes que ofrece esa aseguradora. Los sitios web administrados por corredores de seguros deben mostrar todos los planes ofrecidos por varias aseguradoras. Si tiene preguntas o inquietudes sobre la información en estos sitios, comuníquese con el centro de atención telefónica del mercado, con cuidadodesalud.gov o con el mercado de su estado. Muchos sitios web de inscripción privada también venden planes…