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POLLING on the ACA

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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  • An image of text is an excerpt from Jared Ortaliza's quick take which reads, "Data currently being released represent Open Enrollment Marketplace plan selections, or how many people have signed up for or been automatically renewed into 2026 coverage. These data do not necessarily translate to effectuated enrollments. That is because people who have selected a plan or been automatically renewed may not ultimately choose to pay for their plan, thus “effectuating” their coverage."

    ACA Sign-Ups Are Down by Over a Million People, But It’s Still an Incomplete Picture

    Quick Insights

    Data currently being released represent Open Enrollment Marketplace plan selections, or how many people have signed up for or been automatically renewed into 2026 coverage. These data do not necessarily translate to effectuated enrollments. That is because people who have selected a plan or been automatically renewed may not ultimately choose to pay for their plan, thus “effectuating” their coverage.

  • Quote from Alina Salganicoff, KFF Senior Vice President and Director for Women’s Health Policy. It says, “The Administration’s latest funding deadline and guidance shift intensifies pressure to the reproductive health safety net at a time when the number of uninsured individuals is projected to rise due to Medicaid cuts and expiration of enhanced Affordable Care Act premium tax credits, and Planned Parenthood clinics have lost their federal Medicaid funding.”

    Navigating Uncertainty: The Latest Challenge to the Title X Family Planning Safety Net

    Quick Insights

    The Administration's latest funding deadline and guidance shift intensifies pressure to the reproductive health safety net at a time when the number of uninsured individuals is projected to rise due to Medicaid cuts and expiration of enhanced Affordable Care Act premium tax credits, and Planned Parenthood clinics have lost their federal Medicaid funding.

  • After 16 Years, Partisans Still View the Affordable Care Act Very Differently

    Quick Insights

    On the 16th anniversary of the Affordable Care Act’s (ACA) passage, most of the public (61%) view the law favorably, though opinions and debates remain as partisan as ever....As voters continue to grapple with the affordability of coverage and care, the partisan legacy of the ACA will almost certainly figure into debates about health care costs this fall.

  • ¿Hay alguna razón por la que el mercado no ajustaría y continuaría automáticamente mi subsidio para la prima al momento de la renovación?

    FAQs

    Si vive en un estado que utiliza cuidadodesalud.gov , cuando solicitó cobertura por primera vez, tuvo la oportunidad de autorizar al mercado a consultar sus datos de ingresos en línea, incluyendo sus declaraciones de impuestos, durante 1 a 5 años. Si no lo autorizó, su asistencia financiera NO se renovará automáticamente para el próximo año, y debe volver a aplicar. Si vive en un estado que opera su propio mercado de seguros, el proceso para…

  • What kinds of health insurance plans do private enrollment websites sell?

    FAQs

    Private enrollment websites that are run by insurance companies typically only show plans offered by that insurer. Websites run by insurance brokers are required to show all plans offered by multiple insurers. If you have questions or concerns about information on these sites, contact the Marketplace call center, HealthCare.gov, or your state Marketplace. Many private enrollment websites also sell short-term health plans, cancer-only policies, and other less comprehensive products. These products may appear cheaper than…

  • My employer doesn’t offer health insurance. Can I buy a plan on the Marketplace and qualify for financial assistance?

    FAQs

    Yes, if your employer does not offer you health insurance, you can shop for a plan on the Marketplace instead. The annual Open Enrollment period to sign up for coverage runs from November 1 to January 15 in most states. Depending on your income and household information, you may qualify for premium tax credits and cost-sharing reductions to help offset your costs. If your income is very low, the Marketplace will also help determine if…

  • I don’t have a checking account. Can the insurance company require that I get one and pay my premiums through automatic monthly withdrawals?

    FAQs

    No. Insurers offering coverage in the Marketplace are required to provide a variety of payment methods and cannot require a consumer to pay by automatic bank withdrawals (sometimes called electronic funds transfers, or EFT) or debit card. Federal rules require the insurer to also accept paper checks, cashier’s checks, money orders, and general-purpose pre-paid debit cards. These methods must be available to consumers for both the initial premium payment (at enrollment) and ongoing payments.

  • Status of State Medicaid Expansion Decisions

    Interactive

    This page displays an interactive map of the current status of state decisions on the Affordable Care Act's Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below the map.

  • Grandfathering Explained

    Perspective

    The Republican leadership in the House of Representatives recently indicated that it will be seeking to repeal regulations under the Affordable Care Act (ACA) that govern the “grandfathered” status of health plans. As this aspect of the health reform law gets more scrutiny, it may be useful to review some of the specifics of how grandfathering works. The purpose of grandfathering: As provisions of the ACA go into effect, grandfathering provides for a smoother transition by…