Affordable Care Act Remains Popular Among Voters as Health Law Hits New Milestone

Heading into its 10th open enrollment period, support for the 2010 health care law still remains starkly divided along party lines
November 02, 2022 at 6:00 am UTC

As the 10th enrollment period for Affordable Care Act insurance coverage begins this week, a new Morning Consult/Politico survey shows that a slim majority of registered voters still approve of the landmark health care legislation.

Slim Majority of Voters Approve of ACA, Though Partisan Divides Remain

U.S. voters were asked whether they approve or disapprove of the Affordable Care Act
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Survey conducted Oct. 28-31, 2022, among a representative sample of 2,005 registered voters, with an unweighted margin of error of +/-2 percentage points. Figures may not add up to 100% due to rounding.

Democrats overwhelmingly back the ACA, while over two-thirds of Republicans disapprove

  • The survey shows that 52% of registered voters support the ACA. Voter approval of Obamacare has remained relatively stable now for years.
  • Support remains divided along party lines. Among Democrats, 83% approve of the ACA, compared with 22% of Republicans. Half of independents said that they approve of the law, while 34% said that they do not approve of it.
  • There has been a slight decline in disapproval among Republicans, with 69% saying that they do not support the ACA, down from 74% who said the same in a June 2021 survey.
  • Meanwhile, 30% of voters said the ACA should be expanded, while 18% said it should be kept as is. Another 38% said the health law should be repealed completely or in part.

ACA open enrollment begins after extension of premium subsidies secured by Biden, Democrats

Open enrollment for 2023 coverage plans began Tuesday, and the majority of enrollees are likely to see little change in premiums due to recent legislation. In August, President Joe Biden signed the Inflation Reduction Act into law, which extended increased premium subsidies for insurance plans in the ACA marketplace through 2025. The subsidies were originally put in place as part of the American Rescue Plan Act of 2021, a $1.9 trillion COVID-19 stimulus package.

The Commonwealth Fund said that the extension of subsidies in the IRA will “prevent an estimated 2 million people from losing coverage and help millions of others avoid premium increases as they grapple with rising prices elsewhere.”

Meanwhile, premiums for employer-sponsored insurance remained stable this year compared with 2021 as wages and inflation increased, according to a recent survey from the Kaiser Family Foundation. The average cost for family and individual coverage was $22,463 and $7,911, respectively.

While premium prices remained relatively flat this year, this has not always been the case. KFF said the average premium for family coverage has increased by 20% over the past five years and 43% over the past 10 years. Experts are now warning that insurance costs for employer-sponsored plans may increase in 2023 as inflation persists.

The latest Morning Consult/Politico survey was conducted Oct. 28-31, 2022, among a representative sample of 2,005 registered voters, with an unweighted margin of error of plus or minus 2 percentage points.

A headshot photograph of Ricky Zipp
Ricky Zipp
Health Care Analyst

Ricky Zipp previously worked at Morning Consult as a health care analyst on the Industry Intelligence team.

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