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
KFF Poll: Health Care Costs, Expiring ACA Tax Credits, and the 2026 Midterms
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.” 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 KFF Health Tracking poll finds.
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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What an Income Cap Could Mean for ACA Enrollees and the Federal Budget
Some members of Congress are considering an income cap on the ACA enhanced premium tax credits to lower federal costs. Depending on the income cutoff chosen, a cap may have little effect on the federal budget and a big effect on some households’ budgets, particularly for older enrollees. ... more
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Public Support for Extending the Enhanced ACA Tax Credits Reflects Broader Concerns About Health Care Affordability
The debate over these enhanced tax credits can be seen as a proxy for the broader public’s concerns about health care affordability which may be why the public is largely in favor of extending these subsidies – even as overall views of the ACA are still very polarized. ... more
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Which Congressional Districts Could See the Greatest ACA Premium Payment Increases?
If the enhanced premium tax credits expire this year, the impact on ACA enrollees’ premium payments will vary by income, age, and geography. Among the five congressional districts with the highest premium increases, premiums will increase by over 500%. ... more
Jared Ortaliza 
Ashley Kirzinger 
Lynne Cotter
Latest News
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Many ACA Customers Are Paying Higher Premiums. Most Blame Trump and Republicans, Poll Finds.
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What the Health? From KFF Health News: Health Spending Is Moving in Congress
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El alto costo del seguro médico pone en jaque a los granjeros
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Ante el aumento en los precios del seguro médico, las familias enfrentan decisiones difíciles
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