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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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  • Enrollment Growth in the ACA Marketplaces

    Policy Watch

    This analysis of enrollment in Affordable Care Act (ACA) Marketplace health plans finds a record 24.3 million people enrolled in 2025, more than double the total in 2020, with most of the growth occurring in states won by President Trump in the 2024 election. In six states, enrollment more than tripled from 2020 to 2025: Texas, Mississippi, West Virginia, Louisiana, Georgia, and Tennessee.

  • Recibí un formulario 1095-C por correo. ¿Qué es?

    FAQs

    El formulario 1095-C indicará su nombre y el de su empleador, los meses en que tuvo derecho a cobertura y el costo de la prima mensual más baja que podría haber contratado bajo el plan de salud de su empleador. Si trabajó para una empresa grande que no ofrecía cobertura médica a sus empleados de tiempo completo, el formulario 1095-C también lo indicará. Conserve este formulario con sus registros fiscales. Es posible que lo necesite…

  • Do Marketplace plans cover gender-affirming care? What changes have there been to coverage requirements?

    FAQs

    Not necessarily. Coverage varies by state and by plan. Some, but not all, states prohibit health insurance plans from excluding coverage for gender-affirming care. Even in states where coverage is required, it is possible that not all gender affirming services will be covered. For example, a plan might cover hormone therapy but not laser hair removal. In states where coverage for gender-affirming care is not required, some plans may exclude this coverage altogether. Beginning in…

  • How can I protect my personal information while enrolling in Marketplace coverage through a non-Marketplace website?

    FAQs

    Here are some tips on protecting your personal information if you choose to enroll in Marketplace coverage through a non-Marketplace website: Beware of sales techniques that pressure you to make quick decisions. Use this HealthCare.gov tool to find certified enrollment partner websites approved by the Marketplace. Be cautious in engaging with advertisements that offer cash, gifts, or other perks. The information you provide through these advertisements could be used for other purposes without your consent.…

  • Use of ACA preventive services potentially affected by Braidwood v. Becerra

    Issue Brief

    This analysis finds that about 10 million privately insured people received at least one ACA preventive service or drug that could be affected by a now-stayed U.S. District Court ruling, which found the Affordable Care Act's (ACA) requirement to cover certain preventive services without any cost sharing to be partially unconstitutional.

  • No, Medicaid Isn’t Broken

    From Drew Altman

    With Medicaid about to be a focal point of debate in the Senate, Drew Altman's Axios column looks at why the idea that the program is broken is more urban legend than fact.

  • The Share of Young Adults Who Received Mental Health Treatment Jumped 45% from 2019 to 2022, the Largest Increase Among Any Age Group

    News Release

    A new KFF analysis shows that the share of young adults (ages 18 to 26) receiving mental health treatment rose by 45% between 2019 and 2022 – a steeper increase than in any other age group. More than 1 in 4 young adults (26%) received counseling and/or medication for mental health concerns in 2022, up from 18% three years earlier, according to the analysis of the most up-to-date National Health Interview Survey (NHIS) data available.…