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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.” In all, a large majority (80%) of these enrollees say their health care costs, which can include premiums, deductibles, co-pays, or coinsurance, are higher.

Public Views on Prescription Drug Costs: Regulation, Affordability and TrumpRx

Amid the Trump administration’s focus on lowering prescription drug costs, including its new TrumpRx website, KFF’s Health Tracking Poll finds that most Americans (59%) are worried about affording prescription drugs and support more regulation of prescription drug pricing (72%). Looking ahead to the midterm elections, the Democratic party currently holds the advantage for who voters trust to address health costs, including prescription drugs.

Health Information and Trust

Trust and Confidence in the CDC Remain at Low Point After Changes to Recommended Childhood Vaccines

Weeks after the Trump administration reduced the number of childhood vaccine recommended for routine use, public trust in the CDC is at its lowest since the COVID-19 pandemic, and less than half are confident in federal agencies’ ability to make such recommendations. Among those who have heard about the revised recommendations, more say they expect the changes to have a negative impact than a positive one on children’s health. Read the News Release.

Interactive Dashboard: KFF Polling on Health Information and Trust

Drawing on KFF’s poll findings, this interactive dashboard tracks the public’s trusted sources for health information, attitudes toward vaccines, and use of news, social media, and AI for health-related information. It provides visual representations of the key trends in the public’s trust in health information and tracks exposure to and belief in false and unproven health claims.

Recent Polls

2025 KFF Marketplace Enrollees Survey

Poll Finding

This survey explores how ACA Marketplace enrollees expect to respond if their premium payments doubled as expected in 2026 when enhanced premium tax credits are set to expire. About a third would very likely look for a lower-cost plan, even if it had higher deductibles, and about a quarter would very likely end up uninsured. The survey also examines how increased health care costs may affect their finances and the potential impact in next year’s elections.

Knowledge and Views of Medication Abortion

This KFF Health Tracking Poll finds that many, including women of reproductive age, remain unfamiliar with key facts about mifepristone. Fewer than half of all adults say they believe abortion pills are safe now, compared to over half of all adults two years ago. This poll explores awareness and perception of the recent FDA review of the medication, and support for policies aimed at restricting it.

KFF-Washington Post Survey Explores Parents’ Trust In, and Confusion About, Childhood Vaccines

The KFF-Washington Post partnership Survey of Parents explores experiences and views pertaining to childhood vaccines. The Survey of Parents also sheds light on school vaccination requirements, views on federal health agencies and policy changes, and the views of parents with children diagnosed with autism spectrum disorder. This poll comes as the Trump administration revamps federal policies, and HHS Secretary Robert F. Kennedy Jr. continues to question the childhood vaccine schedule.

KFF/New York Times Survey of Immigrants

KFF-New York Times Survey: Immigrants Report Rising Fear, Negative Economic and Health Impacts, and Changing Political Views During the First Year of President Trump’s Second Term

The 2025 Survey of Immigrants, a partnership between KFF and The New York Times, takes an in-depth look at the experiences of immigrants during the first year of President Trump’s second term, including their worries related to increased immigration enforcement, their health and economic wellbeing, and the political views and preferences of immigrant voters. The survey paints a portrait of families under strain — where fear of detention and economic instability are negatively impacting immigrants’ health and reshaping immigrant families’ daily lives and views of U.S. political parties.

Read the News Release | Explore The New York Times’ Reporting

the essentials

Health Tracking Poll

Our signature survey project provides up-to-date data on the public’s health care views, knowledge, and experiences.

Survey Question Finder

Search all KFF polls since 1992 by keyword and date to find full question wording and results.

Health Information and Trust Tracking Poll

The Health Information and Trust Tracking Poll is part of KFF’s Health Information and Trust Initiative, which tracks health misinformation and analyzes its impact on the public.

Polls in Health Policy

This chapter of our digital “textbook” explores why surveys are essential for understanding health policy issues. 

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  • State Health Coverage for Immigrants and Implications for Health Coverage and Care

    Issue Brief

    Noncitizen immigrants, particularly those who are undocumented, face significant barriers to accessing health coverage and care and are significantly more likely than citizens to be uninsured. Some states have taken up options in Medicaid and the Children’s Health Insurance Program (CHIP) to expand coverage for lawfully present immigrants and/or established fully state-funded programs to fill gaps in coverage for immigrants. This brief provides an overview of state health coverage programs for immigrants regardless of status and examines how health coverage for immigrants vary by state coverage policies using data from the 2023 KFF/LA Times Survey of Immigrants.

  • Major Federal and State Funding Cuts Facing Planned Parenthood

    Issue Brief

    This issue brief presents data from the most recent tracking poll asking if people have ever visited a Planned Parenthood clinic for health care services and looks at the funding cuts Planned Parenthood is currently facing including Medicaid, Title X, and Teen Pregnancy Prevention funds.

  • Public Trust in Vaccine Information, Misrepresented Vaccine Studies, and HIV and PrEP Stigma — The Monitor

    Feature

    This volume examines findings about trusted sources of vaccine information from the latest KFF Tracking Poll on Health Information and Trust. It also explores how the misrepresentation of studies and policy developments contribute to health narratives around vaccines, HIV and PrEP. Lastly, it summarizes new research on the use of generative AI to counteract vaccine misinformation.

  • Living in an Undocumented Immigrant Family Under the Second Trump Administration: Fear, Uncertainty, and Impacts on Health and Well-Being

    Issue Brief

    During his second term, President Trump has implemented an array of immigration policy changes focused on restricting immigration and increasing interior immigration enforcement efforts. These policy changes include restrictions on both lawful and unlawful immigration into the U.S., increased interior enforcement activities to support mass deportation, attempts to end birthright citizenship for the children of noncitizen immigrants, and rescinding protections against enforcement action in previously protected areas such as schools, churches, and health care facilities. These actions have broad impacts across immigrant families of all statuses, including the millions of U.S. citizen children living in them.

  • The Sad State of Trust in the CDC and FDA

    From Drew Altman

    In his latest column, KFF’s President and CEO Drew Altman discusses how the low levels of trust in the CDC and FDA today seen in KFF’s recent survey findings present a danger should the country face another epidemic.

  • KFF Tracking Poll on Health Information and Trust: Vaccine Safety and Trust

    Poll Finding

    As the Trump administration overhauls government health agencies, partisan trust in these agencies on vaccines has shifted and few express confidence in their ability to carry out key tasks. Most adults are confident in the safety of routine vaccines, but the COVID-19 vaccines remain polarizing with many uncertain about false claims regarding mRNA technology.

  • As COVID-19 Divisions, Attacks, and Misinformation Take Their Toll, Less Than Half of the Public Is Confident That the CDC and FDA Can Carry Out Core Functions 

    News Release

    Five years after the start of  COVID-19 pandemic and the communications challenges, divisions, and false claims that followed, less than half of the public say they have at least some confidence in the federal government’s health agencies like the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) to carry…