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KFF Health Tracking Poll: Health Care Costs, Expiring ACA Tax Credits, and the 2026 Midterms

Heading into this midterm election year, the cost of health care tops the public’s economic anxieties and more than 4 in 10 voters say the issue will have a major impact on their vote, a new KFF Health Tracking poll finds. Two thirds of public say Congress "did the wrong thing" by not extending ACA enhanced tax credits, but Republicans largely say Congress “did the right thing.”
DATA

ACA 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

Enhanced Premium tax credits

2025 KFF Marketplace Enrollees Survey

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

Updated Larry QT on ePTCs

There is No Drop-Dead Date for an ACA Tax Credit Extension, But Coverage Losses Will Mount as the Clock Ticks

A discharge petition in the House paves the way for a vote on a three-year extension of the tax credits, which would provide ACA enrollees premium relief whenever it comes. While there is still time to extend the enhanced tax credits, with each passing day, more and more ACA Marketplace enrollees are going to drop their health insurance when faced with eye-popping increases in their premium payments, writes KFF’s Larry Levitt.

Timely insights and analysis from KFF staff

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  • Large Majorities Across Parties Favor Allowing the Federal Government to Negotiate Drug Prices, Even After Hearing Common Arguments About It

    News Release

    Most of the Public Lacks Confidence that President Biden, Congressional Democrats or Republicans Will Do the Right Thing on Drug Prices Allowing the federal government to negotiate with drug companies to lower drug prices for Medicare beneficiaries and people enrolled in private plans – a key cost-saving proposal in the Democrats’ massive reconciliation bill –…

  • The Inequity Of The Medicaid Coverage Gap and Why It Is Hard To Fix It

    Perspective

    In this column for the JAMA Health Forum, Larry Levitt explores why the Medicaid "coverage gap" still exists in 12 states that have not expanded their Medicaid programs under the Affordable Care Act, why it matters, and why eliminating it could prove challenging.

  • The Public Weighs In On Medicare Drug Negotiations

    Feature

    This data note from the latest KFF Health Tracking Poll explores the public's views on Medicare drug price negotiation, including how arguments on both sides impact support and opposition; confidence in leaders to do the right thing on drug pricing; and experiences with prescription drug costs.

  • Data Note: Strongly Held Views on the ACA

    Feature

    Since the passage of the Affordable Care Act in 2010, Kaiser Family Foundation polling has found the public divided in their overall views of the law. At the same time, an intensity gap in opinion has existed since 2010, with the share of the public holding strongly unfavorable views of the law outnumbering the share with strongly favorable views. A new analysis of Kaiser Family Foundation polling data finds that intensity gap began to close in spring 2017. The share with a “very favorable” view is now roughly equal to the share with a “very unfavorable” view.

  • New Regulations Broadening Employer Exemptions to Contraceptive Coverage: Impact on Women

    Issue Brief

    This brief explains the contraceptive coverage rule under the ACA, the impact it has had on coverage, and how the new regulations issued by the Trump administration have changed the contraceptive coverage requirement for employers with religious and moral objections to contraception and the women who receive coverage through their plans.

  • Kaiser Health Tracking Poll – August 2017: The Politics of ACA Repeal and Replace Efforts

    Feature

    Following the U.S. Senate’s failed vote on the “skinny repeal”, the latest Kaiser Health Tracking Poll finds that the majority of the public say it is a “good thing” that the Senate did not pass the bill that would have repealed and replaced the ACA. A large share of Americans think President Trump and his administration should do what they can to make the current health care law work and a majority of the public want to see bipartisan efforts to improve the 2010 health care law. However, about half of Republicans and Trump supporters would like to see Republicans in Congress keep working on a plan to repeal the ACA, and most Republicans and Trump supporters endorse using hard-ball tactics to encourage Democrats to start negotiating with President Trump on a replacement plan. The majority of the public are also unaware that health insurance companies choosing not to sell insurance plans or charging higher premiums in certain marketplaces only affect those who purchase their own insurance on these marketplaces.

  • Medicaid’s Role in Ohio

    Fact Sheet

    This fact sheet provides data on Medicaid's role in Ohio. It describes how ending the enhanced match for Medicaid expansion and implementing a per capita cap or block grant would affect Ohio.