1. Few Have Heard About State Decisions on Exchanges and
Medicaid Expansion
How much, if anything have you heard about your As far as you know, has your state’s governor
state’s decision on whether to create a state-run announced that your state will expand Medicaid,
health insurance exchange or marketplace where announced that your state will not expand Medicaid,
people who don’t get coverage through their jobs can not announced their decision, or have you not heard
shop for insurance? enough about this to say?
Has not
announced
Announced decision Dk/ Ref.
state will 6% 2%
not expand
A lot Medicaid
7% 7%
Announced
Some state will
15% expand
Medicaid
Nothing at 7%
all Not heard
48% enough to
say
Only a little 78%
29%
SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted March 5-10, 2013)

2. More Favor Expanding Their State’s Medicaid Program Than
Oppose
As you may know, the health care law expands Medicaid to provide health insurance to more low-income uninsured
adults. The federal government will initially pay the entire cost of this expansion, and after several years, states will
pay 10 percent and the federal government will pay 90 percent. The Supreme Court ruled that states may choose
whether or not to participate in this expansion. What do you think your state should do?
Keep Medicaid as it is today Expand Medicaid to cover more low-income people
Total 41% 52%
Democrats 20% 76%
Independents 46% 44%
Republicans 67% 26%
NOTE: Other/Neither (vol.) and Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted March 5-10, 2013)

3. Public: What Health Cost Growth Slowdown?
Over the past few years, would you say the cost of Would you say the amount you and your family are
health care for the nation as a whole has been going paying for health care and health insurance has been
up faster than usual, going up slower than usual, or going up over the past few years, going down, or staying
going up abut the same amount? about the same? (If going up) Would you say your health
care costs have been going up faster than usual, slower
Going up than usual, or about the same amount?
slower than
Dk/Ref. Going down
usual
4% 2%
4%
Dk/Ref.
7%
Going up
faster than
Going up usual
faster than Staying 34%
Going up
usual about the
about the
58% same
same
32%
amount as
usual Going up
31% about the
same
amount as
Going up
usual
slower than
24%
usual
2%
SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted March 5-10, 2013)

4. At Three Years, Opinion On ACA Remains Divided
As you may know, a health reform bill was signed into law in 2010. Given what you know about the health reform
law, do you have a generally favorable or generally unfavorable opinion of it?
ACA signed into law
80% on March 23, 2010
Favorable Unfavorable Don't know/Refused
60%
50 50 51
48 49 48
46 45 46 46
44 44 44 43 44 43 44 43 44 43 43 44 44 43 45 43 43
42 42 41 41 41 42
40%
40%
43 42 43 42
40 41 41 40 40 41 41 41 42 42 42 41 41 42
40
42 41 40
39 38 38 38 39
37 37 37 36 37%
35 34
20%
23 23%
18 18 18 19 19 19 19 18 19 19 19
17 16 17 17
14 14 14 15 14 15 15 15 15 14
12 11 13 12
10 9 8
0%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Feb Mar
2010 2011 2012 2013
SOURCE: Kaiser Family Foundation Health Tracking Polls

5. Three Years Later, Public Still Divided by Party
Percent who say they have a favorable opinion of the health reform law:
ACA signed into law
on March 23, 2010 Democrats Independents Republicans
80% 75
72 73 73 72 72 72
78 71 70 71
69 68 69 68 69 69
66 65 64 65 66
64 64 64 64 64
62 62 62
60 57 58%
60% 52
49 48
43
41 42 41 40 40 39 41
38 38
40% 36 37 37 37 37
35 36 35 34
37
34 34 33 33 34 33 34 32
32 32 31%
30
20% 24
23
21 21 20 19 18%
16 17 16 16 16
15 14
13 12 12 11 12
11 11 12 12 12 12
10
12 12
8 9
7 8 7 8
0%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Feb Mar
2010 2011 2012 2013
SOURCE: Kaiser Family Foundation Health Tracking Polls

6. Most Report No Experience With Law So Far
So far, would you say you and your family have [personally benefited from/been negatively affected by] the health
reform law, or not?
Percent who say someone in their family has personally benefited from the health reform law
Percent who say someone in their family has been negatively affected by the health reform law
80%
Percent who say they have not been personally impacted yet
71% 72%
68% 69% 68% 67%
60% 66% 64%
62%
40%
21% 22%
20% 20% 19%
17% 18% 18% 18%
20%
19%
17%
15% 14% 13% 14% 15% 14%
11%
0%
Dec Feb Mar May Jul Nov Mar Aug Mar
2010 2011 2012 2013
SOURCE: Kaiser Family Foundation Health Tracking Polls

7. Majority Say They Don’t Understand How ACA Will Impact
Them, Including Two-Thirds of Uninsured and Low-Income
Do you feel you have enough information about the health reform law to understand how it will impact you
personally, or not?
Yes, have enough information No, do not have enough information
Total 41% 57%
Uninsured (under age 65) 33% 67%
Household income less than $40,000 30% 68%
NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted March 5-10, 2013)

8. Most Popular Provisions Among Least Widely Recognized
(And Vice Versa)
Percent who say they feel favorable about each of the following and percent who say they are aware each is
included in the health reform law:
Percent with a favorable view of element Percent who are aware element is included in ACA
Tax credits to small businesses to buy insurance 88%
52%
Close Medicare "doughnut hole" 81%
46%
Create health insurance exchanges 80%
58%
Extension of dependent coverage 76%
69%
Subsidy assistance to individuals 76%
62%
Medicaid expansion 71%
59%
Guaranteed issue 66%
53%
Medical loss ratio 65%
40%
Increase Medicare payroll tax 60%
54%
Employer mandate/penalty for large employers 57%
71%
Individual mandate/penalty 40%
74%
NOTE: Items asked of separate half samples. Question wording abbreviated. See topline (http://www.kff.org/kaiserpolls/8425.cfm)
for complete wording.
SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted March 5-10, 2013)

9. Trend in Opinion on Personal Impact of ACA
Do you think you and your family will be better off or worse off under the health reform law, or don’t you think it will
make much difference?
ACA signed into law
80% on March 23, 2010 Better off Won't make much difference Worse off
60%
44 44
39 39 41 40%
38 39 41 39
40% 37 38 35 37 34
35 37 37 37 36
32 32 33 36 33 32 34 32 31 34 34 33 33
33 30 29
31 3028 3230 31 32 28 28 30
32 31 34 33 32 33 27 33 32 32 31 32
30 29 29 31 31 31 31 32
29 28 29 28 28 27 28 27 29%
28 26 27 26 26 26 26 25 26 26 26
20% 25 25 23 24
24 24 23
20 18 21%
0%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jul Aug Sep Oct Feb Mar
2010 2011 2012 2013
NOTE: Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation Health Tracking Polls

10. Expectations for ACA’s Impact on Cost and Quality More
Negative Than Positive
Under the health reform law, do you think each of the following will get better, worse, or will it stay about the same?
Worse Stay about the same Better
NATIONAL IMPACTS
The cost of health care for the nation as a whole 55% 18% 21%
The quality of health care in the nation 45% 26% 24%
Consumer protections for the average person with private health insurance 39% 36% 16%
Access to health care for the uninsured 28% 24% 40%
PERSONAL IMPACTS
The cost of health care for you and your family 49% 33% 15%
The quality of your own health care 34% 48% 15%
Your ability to get and keep health insurance 28% 46% 20%
NOTE: Items asked of half sample. Don’t know/Refused answers not shown.
SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted March 5-10, 2013)