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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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  • ¿Mi plan de salud estudiantil tiene que cubrir la anticoncepción? Y, si no, ¿cuáles son mis opciones?

    FAQs

    Depende del tipo de cobertura que ofrezca su universidad. Generalmente, sí, si se trata de un plan "Totalmente asegurado". Estos planes deben proporcionar, sin costo compartido, acceso a todos los métodos anticonceptivos aprobados por la Administración de Drogas y Alimentos (FDA), procedimientos de esterilización, educación y asesoramiento para pacientes ordenados por un profesional de la salud. Si su plan de salud estudiantil es "autoasegurado", la cobertura de anticonceptivos depende de qué servicios estén cubiertos, lo…

  • Tuve cobertura del mercado en 2025 y tengo que conciliar mis impuestos de este año. ¿Cuál es el máximo que tendría que reembolsar al IRS?

    FAQs

    Para el año fiscal 2025, si subestimó sus ingresos y recibió un subsidio para las primas anticipado mayor al que le correspondía, deberá reembolsar la diferencia entre el monto del crédito fiscal recibido y el monto al que tenía derecho. Sin embargo, si sus ingresos son inferiores a cuatro veces (400%) el nivel federal de pobreza, existen límites en dólares sobre el monto que deberá reembolsar para créditos pagados a las aseguradoras en su nombre.…

  • 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.

  • How Much and Why ACA Marketplace Premiums Are Going Up in 2025

    Issue Brief

    This analysis of insurers' preliminary rate filings shows that ACA Marketplace insurers are requesting a median premium increase of 7% for 2025, similar to the 6% premium increase filed for 2024. Insurers cite growing health care prices – particularly for hospital care – as a key driver of premium growth in 2025.

  • Insurance Coverage of OTC Oral Contraceptives: Lessons from the Field

    Report

    This report is based on 35 structured interviews conducted from January to August 2023, with nearly 80 experts and key players such as pharmacists, health plans, and state Medicaid officials involved in the coverage and provision of OTC contraception in seven states with one or more of these coverage approaches (IL, NJ, NM, NY, OR, UT, and WA). It discusses the challenges and successes in coverage under private health insurance and Medicaid and reviews policy…

  • As ACA Marketplace Enrollment Reaches Record High, Fewer Are Buying Individual Market Coverage Elsewhere

    Issue Brief

    This analysis looks at how many people are signed up for each type of individual ACA Marketplace coverage—both on- and off-Marketplace and with or without subsidies—as of early 2023 based on federal enrollment data and administrative data insurers report to state regulators, as compiled by Mark Farrah Associates. The number of people enrolled in compliant and non-compliant plans was also evaluated.

  • Already at Record High, ACA Marketplace Enrollment Could Increase Further

    News Release

    Enhanced Marketplace subsidies have continued to drive up enrollment in the individual market, and the loss of Medicaid coverage by millions of people could contribute to this trend, according to a new KFF analysis. Meanwhile, enrollment in non-ACA-compliant plans is at a record low. As of early 2023, an estimated 18.2 million people have individual market coverage, the highest since 2016. Individual market enrollment grew by about 29% between early 2020 and early 2023 —…

  • KFF Examines Challenges in Navigating Coverage for Opill, the First Over-the-Counter Daily Oral Contraceptive Pill, Coming to Market Next Year 

    News Release

    As Opill—the first over-the-counter daily oral contraceptive pill in the United States—is expected to be available for purchase in early 2024, new research conducted by KFF examines barriers to its accessibility for consumers and challenges in providing insurance coverage for it. Based on interviews with nearly 80 representatives from private insurance plans, state Medicaid programs, chain pharmacies, and other key groups, the report provides a deeper view into the operational challenges in expanding access to…