Moving Forward.
THE AFFORDABLE CARE ACT:
Findings from a Survey of Likely Voters in 5 Battleground States | October 1, 2015
Methods.
• N=1,005 adults 18 and older who are likely voters.
• 5 states: FL, NV, OH, PA, VA.
• “Likely voters” are indivi...
3
Takeaways.
Likely voters in battleground states believe the ACA is here to stay.
They support improving the law over rep...
Findings.
The law is here to stay.
5
Q: Do you agree or disagree with these statements about
the law… “The Affordable Care Act is pr...
Improve the law, don’t repeal it.
6
Q: Here are two statements about the Affordable Care Act. Please
choose the one you ag...
They prefer a candidate who will
keep/improve the ACA.
7
Q: All other things being equal, would you want a
candidate who w...
What is one word that describes how you feel about the ongoing
political debate about the Affordable Care Act?
Frustrated ...
They feel the law has led to important
outcomes.
9
Q: Please tell me if you think each is an important or not important ou...
They support many changes to the
law.
10
Q: I am going to read some ideas to improve the Affordable Care Act. Regardless o...
They support many changes to the
law. (cont’d)
11
Q: I am going to read some ideas to improve the Affordable Care Act. Reg...
They support their state’s decision to
expand Medicaid (NV, OH, and PA).
12
Q: Nevada/Ohio/Pennsylvania accepted federal d...
They want their state to expand
Medicaid (FL and VA).
13
Q: Florida/Virginia has turned down federal dollars that were set...
Questions?
Contact Mike Perry at
mike@perryundem.com.
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Michael Perrry - “First Look: Healthcare Poll of Likely Voters from Battleground States – Conducted on Behalf of SEIU”

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From the 2015 PQC Annual Conference

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  • The ACA is probably here to stay”
    %Agree
    African-Americans – 84%
    Democrats – 83%
    Independents – 63%
    Republicans – 45%

    “Stop wasting
    time”
    %Agree
    African-Americans – 85%
    Democrats – 84%
    55-64 year olds – 66%
    Independents – 55%
    Republicans – 32%

  • “Keep/Improve”
    African-Americans – 80%
    Democrats – 84%
    Independents – 54%
    Republicans – 31%

    Congress should work to improve the ACA”
    %Agree
    African-Americans – 91%
    Democrats – 88%
    25-34 year olds – 77%
    Independents – 67%
    Republicans – 55%



  • “Keep/Improve”
    African-Americans – 91%
    Democrats – 87%
    Independents – 52%
    Republicans – 23%

    “Repeal”
    Democrats – 9%
    Independents – 42%
    Republicans – 72%









  • Preexisting

    Very important – D: 87%, I: 68%, R: 64%
    Somewhat impt -- D: 11%, I: 21%, R: 27%

    Preventive

    Very important – D: 86%, I: 64%, R: 64%
    Somewhat impt -- D: 12%, I: 25%, R: 26%

    If you lose a job

    Very important – D: 83%, I: 66%, R: 54%
    Somewhat impt -- D: 15%, I: 21%, R: 30%


    Maternity, women’s health

    Very important – D: 82%, I: 60%, R: 46%
    Somewhat impt -- D: 15%, I: 21%, R: 34%

    16 million uninsured

    Very important – D: 83%, I: 56%, R: 37%
    Somewhat impt -- D: 14%, I: 24%, R: 33%

    Reduced ER use

    Very important – D: 64%, I: 48%, R: 42%
    Somewhat impt -- D: 27%, I: 30%, R: 32%

    On parents coverage until 26

    Very important – D: 67%, I: 43%, R: 40%
    Somewhat impt -- D: 23%, I: 26%, R: 26%
  • Require hospitals to be upfront

    Total support – D: 96%, I: 84%, R: 91%
    Total oppose -- D: 2%, I: 12%, R: 8%


    Prevent insurance companies from charging high co-pays

    Total support – D: 93%, I: 83%, R: 85%
    Total oppose -- D: 6%, I: 16%, R: 14%

    Change the way you pay doctors/hospitals

    Total support – D: 90%, I: 84%, R: 85%
    Total oppose -- D: 5%, I: 14%, R: 11%

    Give Medicare more power

    Total support – D: 96%, I: 83%, R: 84%
    Total oppose -- D: 3%, I: 14%, R: 14%


  • Expand tax credits

    Total support – D: 93%, I: 82%, R: 89%
    Total oppose -- D: 5%, I: 17%, R: 10%

    Take steps to reduce deductibles/out of pocket

    Total support – D: 92%, I: 77%, R: 82%
    Total oppose -- D: 5%, I: 21%, R: 15%

    Give insurance commissioners more authority

    Total support – D: 86%, I: 71%, R: 78%
    Total oppose -- D: 11%, I: 27%, R: 19%


  • Michael Perrry - “First Look: Healthcare Poll of Likely Voters from Battleground States – Conducted on Behalf of SEIU”

    1. 1. Moving Forward. THE AFFORDABLE CARE ACT: Findings from a Survey of Likely Voters in 5 Battleground States | October 1, 2015
    2. 2. Methods. • N=1,005 adults 18 and older who are likely voters. • 5 states: FL, NV, OH, PA, VA. • “Likely voters” are individuals who say they are likely to vote in the 2016 elections, and have shown a history of voting in the 2008 and 2012 elections. • 15-minute survey. • Braun Research conducted the interviews. • 50% landline/50% cell phone. • Margin of error is + 3.1 percentage points. Table 1: Sample Details N Size Total 1,005 Florida 202 Nevada 201 Ohio 200 Pennsylvania 201 Virginia 201 The survey was sponsored by Community Catalyst and SEIU to understand how voters feel about the Affordable Care Act more than five years after passage. With the second important Supreme Court Decision ruling on the law occurring in June and with two open enrollment periods completed, the question is: do Americans support repealing the law and starting over, or do they want to keep the law and make it work better. And if they want to keep the health law, what kinds of changes do they want to see. This survey tries to answer these questions. It was conducted by PerryUndem.
    3. 3. 3 Takeaways. Likely voters in battleground states believe the ACA is here to stay. They support improving the law over repealing it. They are split on whether the law is working or not, which is likely driving their support for improvements. Likely voters prefer a 2016 candidate who wants to keep/improve the law over a candidate who wants to repeal it. The prolonged debate over the law is frustrating them. Likely voters feel the law has led to a number of important outcomes. They support many ideas to improve the law. In particular, they want more transparency in healthcare pricing and limits on insurance companies’ ability to overcharge consumers. In states that have already expanded Medicaid (NV, OH, and PA), likely voters strongly support that decision. In states that haven’t (FL and VA), they strongly want their state to expand Medicaid.7
    4. 4. Findings.
    5. 5. The law is here to stay. 5 Q: Do you agree or disagree with these statements about the law… “The Affordable Care Act is probably here to stay.” N=1,005 Strongly agree 34% Somewhat agree 30% Somewhat disagree 13% Strongly disagree 19% DK/REF 5% 58% 64% agree the ACA is probably here to stay. Say “stop wasting time.” Fifty-eight percent of voters agree strongly (46%) or somewhat (12%) that “Congress should stop wasting time trying to repeal the Affordable Care Act” – 39% disagree.
    6. 6. Improve the law, don’t repeal it. 6 Q: Here are two statements about the Affordable Care Act. Please choose the one you agree with most. N=1,005 “The healthcare law is here to stay, so it's time for repeal efforts to end. Elected officials should focus on improving the law, not repealing it.” 40% 58% “Elected officials should continue efforts to repeal the Affordable Care Act. They should not stop until the law is repealed.” Vs. 71% Agree strongly (48%) or somewhat (23%) that “Congress should work to improve the ACA” – 26% disagree. Is it working? Voters are torn: 46% agree the law is working but 49% do not agree it is working. This is likely driving their support for improving the law. Keep/Improve Repeal
    7. 7. They prefer a candidate who will keep/improve the ACA. 7 Q: All other things being equal, would you want a candidate who would work to: N=1,005 55% Keep the Affordable Care Act and try to improve it. 40% Try to repeal the Affordable Care Act and start all over. Vs.
    8. 8. What is one word that describes how you feel about the ongoing political debate about the Affordable Care Act? Frustrated by the debate.
    9. 9. They feel the law has led to important outcomes. 9 Q: Please tell me if you think each is an important or not important outcome of the law. N=1,005 Very Important Somewhat Important People with pre-existing conditions no longer have to worry about being denied insurance because of their health. 74% 19% Some states are reporting that more people are now getting preventive services like physical exams and breast cancer screenings. 73% 20% Now if you lose a job, become pregnant, get married, or have another life- changing event, you can get health insurance right away without waiting. 69% 21% More women now have maternity coverage and are able to get cancer screenings, annual check-ups, and birth control with no copayments. 64% 23% More than sixteen million uninsured people have now been able to get heath insurance. 60% 23% Studies are starting to show that fewer uninsured people are using hospital ERs for their care. 52% 29% Parents now have the option of keeping their children on their health insurance until age 26. 52% 24%
    10. 10. They support many changes to the law. 10 Q: I am going to read some ideas to improve the Affordable Care Act. Regardless of how you feel about the law, please indicate whether you support or oppose the idea. N=1,005 Strongly Support Somewhat Support Require hospitals, doctor practices, and other health care providers to be more upfront about their charges so that people know what they are spending before they use a health service. 75% 16% Prevent insurance companies from charging high co-payments for medications that are necessary for people with cancer and other serious illnesses. 70% 17% Change the way insurance companies pay doctors and hospitals so that there are more incentives to keep people healthy rather than paying them based on the number of procedures and tests they give. 64% 23% Give Medicare more power to negotiate prices for prescription drugs to lower prices. 63% 25%
    11. 11. They support many changes to the law. (cont’d) 11 Q: I am going to read some ideas to improve the Affordable Care Act. Regardless of how you feel about the law, please indicate whether you support or oppose the idea. N=1,005 Strongly Support Somewhat Support Expand tax credits to more small businesses to help them afford health insurance for their employees. 61% 27% Take steps to reduce health plan deductibles to lower out of pocket costs people pay for using health care services. Out of pocket costs might include things like co-pays, deductibles, and other costs. 57% 28% Give state insurance commissioners more authority to push back on insurance companies that want to hike up insurance premiums. 57% 23%
    12. 12. They support their state’s decision to expand Medicaid (NV, OH, and PA). 12 Q: Nevada/Ohio/Pennsylvania accepted federal dollars that were set aside to cover more uninsured state residents through the Medicaid program. Most of these individuals are working and cannot get or afford health insurance through their jobs. Do you agree or disagree with Nevada’s/Ohio’s/Pennsylvania’s decision to accept these dollars and expand health coverage to more uninsured state residents? 38% 59% 83% 81% 80% 14% 15% 18% Nevada (n=201) Ohio (n=200) Pennsylvania (n=201) Agree Disagree
    13. 13. They want their state to expand Medicaid (FL and VA). 13 Q: Florida/Virginia has turned down federal dollars that were set aside to cover uninsured state residents through the Medicaid program. Most of these individuals are working and cannot get or afford health insurance through their jobs. Do you think Florida/Virginia should accept this money to cover more uninsured state residents or turn the money down and leave them uninsured? 38% 59% 72% 74% 20% 19% Florida (n=201) Virgina (n=201) Accept money Turn money down
    14. 14. Questions? Contact Mike Perry at mike@perryundem.com.

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