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Affordable Care Act

The ACA Marketplace

2025 KFF Marketplace Enrollees Survey

In 2025, about one in three ACA enrollees said they would be “very likely” to look for a lower-premium Marketplace plan If their premium payments doubled.

Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees

Following the expiration of the enhanced premium tax credits for people with Affordable Care Act (ACA) Marketplace plans, a new KFF follow-up survey of the same Marketplace enrollees KFF surveyed in 2025 finds half (51%) of returning enrollees say their health care costs are “a lot higher” this year compared to last year, including four in 10 who specifically say their premiums are “a lot higher.”

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POLLING

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.
DATA

Marketplace Enrollment is Down in 2026—But All of the Data Isn’t in Yet

ANALYSIS

Higher Premium Payments or Higher Deductibles: The ACA's Tradeoffs

QUIZ

Test Your Knowledge of the Affordable Care Act

ANALYSIS

Competition Increased in Individual Market But Fell in Fully Insured Group Markets

Timely insights and analysis from KFF staff

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  • Rural Health: Laying the Foundation for Health Reform

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    Event

    The Alliance for Health Reform and the Robert Wood Johnson Foundation co-sponsored this briefing to have a panel of experts answer questions about how some aspects of pending health reform proposals may have a substantial impact on rural care. What provisions in the various reform proposals affect rural health care? What particular challenges need to be overcome in order to improve care delivery in rural areas? What aspects of health reform will require special accommodation…

  • Making Health Care Work for American Families: Medicaid and Access to Care

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    Diane Rowland, executive vice president of the Kaiser Family Foundation and executive director of the Foundation's Commission on Medicaid and the Uninsured, testified March 24, 2009, before the House Energy and Commerce Subcommittee on Health as part of a hearing entitled “Making Health Care Work for American Families: Access to Care." Rowland, appearing as part of a panel, addressed why Medicaid can be a platform for health care reform and can be instrumental in efforts…

  • Addressing Disparities in Health and Health Care — Issues for Reform

    Event

    Marsha Lillie-Blanton, Dr.P.H., Kaiser senior advisor on race, ethnicity and health care, testified before the House Ways and Means Health Subcommittee about the role of health insurance in reducing disparities in health care and in health status. The testimony is part of an ongoing health reform hearing series. Testimony (.pdf) Slides (.ppt)

  • Health Reform Implementation: When Sausage-Making Moves Downtown

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    Panelists at this briefing examine what's happening behind the scenes to implement the Patient Protection and Affordable Care Act. An overview of federal policymaking and the efforts by stakeholders and others to affect final policies pertaining to the health reform law is provided. The session will look into key tools and levers available to the federal government, including formal rulemaking and other policy processes, as well as efforts by stakeholders and others to affect final…

  • Today’s Topics In Health Disparities: What Might Health Reform Mean for Women of Color?

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    This December 16, 2009, Today's Topics In Health Disparities webcast examined aspects of the current Senate and House health reform bills that particularly impact women of color. Women tend to be greater users of the health care system than men, have higher rates of some chronic illnesses, and have unique reproductive health care needs. Women also tend to take the lead when it comes to obtaining health care for their family members. Provisions such as…

  • The State of Children’s Health, Care and Coverage

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    A record 90 percent of children now have health coverage – more than a third of whom are covered by Medicaid and CHIP. Yet about 7.5 million children remain uninsured, including 5 million who are eligible for Medicaid and CHIP but not enrolled. Who are the at-risk kids? How are states faring with enrollment and retention? How will children and families be affected once major parts of the Patient Protection and Affordable Care Act (ACA)…

  • Briefing Examines High Medicare Spending for Beneficiaries in Long-Term Care

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    These three reports examine the relatively high use of hospital and other Medicare-covered services and the associated costs of medical care for Medicare beneficiaries who live in nursing homes and other long-term-care facilities. They also explore the potential for delivery system reforms to improve quality and reduce costs. Medicare Spending and Use of Medical Services for Beneficiaries in Nursing Homes and Other Long-Term Care Facilities: A Potential for Achieving Medicare Savings and Improving the Quality…

  • The Part D Experience: What are the Lessons for Broader Medicare Reform?

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    Launched in 2006, Medicare added a prescription drug benefit that relies entirely on private plans, while, for other benefits, beneficiaries have a choice between private health plans and traditional fee-for-service Medicare. As policymakers consider changes to Medicare that would give an even greater role to private health plans in caring for Medicare’s nearly 50 million seniors and people with disabilities, the Kaiser Family Foundation hosted a policy workshop to examine how the Part D experience…

  • Article and Policy Forum Examine Medicare, Health Reform and the Challenges Facing People With Disabilities

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    Wednesday, Sept. 8, the Foundation held a policy workshop examining Medicare, health reform and the challenges facing people with disabilities. Younger Medicare beneficiaries with disabilities are much more likely than seniors in the program to report problems accessing and paying for needed medical services, Kaiser Family Foundation researchers report in this Health Affairs article. Based on a national random-sample survey of people on Medicare, the study finds that half of nonelderly disabled beneficiaries report problems…

  • Today’s Topics In Health Disparities: The Effect of the Economic Downturn on the Health of Communities of Color

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    Transcript (.pdf) On Wednesday, March 25, the Kaiser Family Foundation held a live, interactive webcast to examine the economic downturn’s impact on health care in communities of color as part of its Today's Topics In Health Disparities series. Rising unemployment has left many families uninsured and increasingly strained family finances are prompting some Americans to cut back on medications and forgo preventive care. The panel discussed these and other potential implications of the economic crisis,…