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.
Affordable Care Act
The ACA Marketplace
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.”
new and noteworthy
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.
Timely insights and analysis from KFF staff
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Back to the Future? A look back at High-Risk Pools
Sen. Vance suggested moving higher-risk individuals to different insurance risk pools than healthier ones... What could such a policy mean for health coverage and costs? ... more
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Health Care So Far Hasn’t Been a Major Campaign Issue, But…
The fact that health reform has not been a central issue in this campaign does not mean that the outcome of the election has no consequences for health care. ... more
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The “Concept of a Plan” President Trump Proposed to Replace the ACA
Trump has long talked about making the ACA less expensive, but the question is less expensive for whom ... more
Cynthia Cox 
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