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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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  • ¿Quién puede comprar un plan catastrófico?

    FAQs

    En general, los planes catastróficos solo se pueden vender a adultos jóvenes menores de 30 años. Sin embargo, existen ciertas exenciones por dificultades económicas y asequibilidad para personas de 30 años o más, incluso si no existe un plan de salud calificado, dentro o fuera del mercado, que cueste menos del 8.05% de sus ingresos en 2026, o si no son elegibles para créditos fiscales para primas o reducciones de costos compartidos según sus ingresos…

  • I’m 63 and enrolled in a retiree health plan from my former employer. Can I get better coverage and subsidies in the Marketplace instead of staying on retiree coverage?

    FAQs

    Yes, as long as you do so during the Open Enrollment period. However, because you are enrolled in retiree coverage, you will not be eligible for premium tax credits or cost-sharing subsidies for Marketplace coverage. This is true even if the coverage you’re enrolled in is a health reimbursement arrangement (HRA). If you drop your retiree coverage, you may be eligible for financial assistance on the Marketplace depending on your income. However, voluntarily dropping your…

  • I’m working on an H-2A visa. Am I eligible for coverage in the Marketplace?

    FAQs

    Yes. Lawfully-present immigrants who are otherwise eligible for coverage – including “nonimmigrants” like H-2A workers and those on student visas – may purchase insurance in the Marketplace. Those who are low-income and otherwise eligible may also receive premium assistance and cost-sharing reductions to lower the cost of coverage in Marketplace plans. However, DACA is no longer considered an eligible immigration status for health coverage through the Marketplaces, and starting in 2027, certain other lawfully present…

  • Are individuals granted deferred action under “Deferred Action for Childhood Arrivals” (DACA) eligible for Medicaid, CHIP, and the health insurance Marketplaces?

    FAQs

    No. Some individuals who entered the U.S. as children have been given temporary permission to stay in the United States under a program called Deferred Action for Childhood Arrivals (DACA). These individuals are lawfully present in the United States and can be granted work authorization and Social Security numbers. However, DACA recipients are no longer eligible for health coverage through Medicaid, CHIP, or the Marketplaces. Browse more questions in the Marketplace Basics section.

  • Will getting health insurance through Medicaid, CHIP, or the health insurance Marketplaces affect an individual’s ability to obtain lawful permanent resident status or citizenship?

    FAQs

    Some people who apply for a green card (lawful permanent residence) or a visa to enter the U.S. must pass a “public charge” test, which looks at whether the person is likely to become primarily dependent on the federal government as demonstrated by the use of cash assistance programs for income maintenance or government-funded institutionalized long-term care. In making this determination, immigration officials consider certain factors in their totality, including a person's age, family status, income…

  • Does being lesbian, gay, bisexual, or transgender (LGBT) affect my health insurance coverage and options? What if I am married to my same-sex partner?

    FAQs

    You cannot be turned away or charged more for being lesbian, gay, bisexual, or transgender. You also can’t be denied coverage or charged more because of any pre-existing health condition, such as HIV status. Insurers can’t have any annual or lifetime limits on how much they’ll spend on your medical care. Additionally, health programs that receive federal funding, such as Marketplace plans, Medicaid, and Medicare, cannot discriminate based on sex. Notably, though, the legal landscape is evolving.…

  • Do Marketplace plans or Medicaid cover abortions?

    FAQs

    It depends on where you live and what type of coverage you have. For Marketplace plans, there is no federal requirement for plans to cover abortion. About half of states prohibit Marketplace plans from covering abortion. However, other states require plans to cover abortion services and do not permit cost sharing. For Medicaid enrollees, federal law only allows the use of federal funds for abortion in cases of rape, incest, or life endangerment of the pregnant…

  • Does my health plan have to cover all birth control methods with a prescription? Do I have to pay a copay?

    FAQs

    Most employer plans and all Marketplace plans must cover at least one form of all FDA-approved, granted, or cleared birth control (“contraceptive”) services and supplies for women, without cost sharing. This includes sterilization services, insertion and removal of long-acting reversible birth control methods, and follow-up services. While some birth control methods are available over the counter without a prescription, plans typically require a prescription to trigger coverage. Though it is up to an insurer’s discretion,…

  • When can I apply for Marketplace premium tax credits when other coverage is available?

    FAQs

    In general, if you have or are offered other comprehensive, affordable coverage, you may not be eligible for premium tax credits on the Marketplace. However, there are several circumstances where you may be eligible. This chart lays out examples of different coverage types and whether or not they will disqualify you for premium tax credits.

  • Mi empleador ofrece un plan de salud pero con beneficios muy limitados. Solo cubre servicios preventivos y algunas visitas médicas al año. Quiero una cobertura mejor. ¿Puedo aplicar para seguro y subsid...

    FAQs

    Sí, puede solicitar cobertura en el mercado, y puede calificar para créditos fiscales para pagar sus primas si su plan de empleador no cumple con el estándar de la Ley del Cuidado de Salud a Bajo Precio (ACA) para un valor mínimo. Si el plan de su empleador solo cubre servicios preventivos y unas pocas visitas al médico, probablemente no cumpla con el estándar de valor mínimo, por lo que podría ser elegible para créditos…