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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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  • Kaiser Health Policy News Index: August-September 2014

    Feature

    The latest Kaiser Health Policy News Index finds that attention to health policy stories in August took a back seat to breaking national news such as the unrest in Ferguson, Missouri, international events in the West Bank, Syria and Ukraine and a global health story, the Ebola outbreak in West Africa. The only U.S. health policy news story that garnered a significant amount of public attention this month was the passage of a bill in…

  • Kaiser Health Tracking Poll: August-September 2014

    Feature

    The latest Kaiser Health Tracking Poll includes a special look at registered voters’ views and what role, if any, the the Affordable Care Act might be playing in the upcoming midterm election. Partisan divisions on the law are as deep as ever, not only when it comes to overall opinion but also in the public’s perception of how the law has impacted their own families and the next steps they want Congress to take.

  • Republicans Have an Edge in Voter Enthusiasm Heading Into Fall, But Few Cite ACA as Motivating Factor

    News Release

    Anti-Obamacare Ads Reaching Most Voters in Competitive Senate Races Health Care Ranks Among Several Second-Tier Issues for Voters in Midterm Elections Behind the Economy The latest Kaiser Family Foundation Health Tracking Poll finds Republicans with a modest edge in terms of voter enthusiasm, but the Affordable Care Act, also called Obamacare, is not the main motivator. The poll finds that 27 percent of Republicans say they are “more enthusiastic” about voting this year than in…

  • The Politics of Obamacare: How the Affordable Care Act is Playing in the Midterm Elections

    Event Date:
    Event

    In 2010, many political analysts and journalists cited the debate over, and enactment of, the Affordable Care Act (often called "Obamacare") as one factor that helped spark the conservative Tea Party movement and the Republican takeover of the House in that year's Midterm Elections. Four years later, the law's major coverage provisions have taken effect, resulting in new health coverage for millions of Americans, but public opinion on the law remains deeply divided along partisan…

  • Infographic: How Does Where You Work Affect Your Contraceptive Coverage?

    News Release

    The Affordable Care Act’s requirement that most private health insurance plans provide contraceptive coverage has been the focus of ongoing litigation in the federal courts. In response to recent Supreme Court actions in the Hobby Lobby and College of Wheaton cases, the U.S. Department of Health and Human Services issued an interim final rule and a proposed rule on August 22, 2014 addressing how some employers with religious objections to birth control can comply with…

  • Premiums Set to Decline Slightly for Benchmark ACA Marketplace Insurance Plans in 2015

    News Release

    Analysis of 15 States and D.C. Also Finds Changes Vary Across States and Insurers Results Suggest Consumers Should Shop Carefully When Open Enrollment Begins November 15 MENLO PARK, Calif. -- An early look at the cost of health insurance in 16 major cities finds that average premiums for the benchmark silver plan – the one upon which federal financial help under the Affordable Care Act to consumers is based – will decrease slightly in 2015. …

  • A Perilous Gap in Health Insurance Literacy

    From Drew Altman

    In this column for The Wall Street Journal’s Think Tank, Drew Altman discusses how progress in expanding coverage requires greater attention to the problem of health insurance literacy.

  • A Perilous Gap In Health Insurance Literacy

    News Release

    In his latest column for The Wall Street Journal’s Think Tank, A Perilous Gap In Health Insurance Literacy, Drew Altman discusses how progress in expanding coverage requires greater attention to the problem of health insurance literacy. All previous columns by Drew Altman are available online.