About the Survey


The Health Reform Monitoring Survey, or HRMS, is a survey of the nonelderly that began in 2013. It is designed to provide timely information on implementation issues under the Affordable Care Act (ACA) and changes in health insurance coverage and related health outcomes.


The HRMS relies on GfK’s KnowledgePanel® to assess ACA implementation and identify trends in key outcomes related to the ACA. The HRMS provides data on health insurance coverage, access to and use of health care, health care affordability, and self-reported health status. Beginning in the second quarter of 2013, each round of the HRMS also contains topical questions focusing on timely ACA policy issues. In the first quarter of 2015, the HRMS shifted from a quarterly fielding schedule to a semiannual schedule.


Where possible, HRMS questions are based on questions used in federal government surveys
—including the American Community Survey, the Behavioral Risk Factor Surveillance System, the Annual Social and Economic Supplement to the Current Population Survey, and the National Health Interview Survey—and the data collected are benchmarked against those federal data.


Core funding for the HRMS is provided by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute. The Ford Foundation provided core funding during 2014. The Child Supplement has been supported by The Atlantic Philanthropies, the David and Lucile Packard Foundation, and an anonymous donor and has been conducted in partnership with the Center for Children and Families at Georgetown University. Other donors provide supplemental funding to support targeted oversamples and special analyses.


With the support of RWJF, the Urban Institute is partnering with the Inter-university Consortium for Political and Social Research (ICPSR) at the University of Michigan to make HRMS data available for public use through RWJF’s Health and Medical Archive on the ICPSR website. Visit the Survey Resources page to learn more.


Visit the Frequently Asked Questions page for detailed information about the HRMS methodology.


The HRMS, which began in 2013, has benefited from many internal and external reviewers for the quarterly survey instruments and the policy briefs. In addition, the work has been supported by Doug Wissoker; a strong group of editors, including Felicity Skidmore, Fiona Blackshaw, and Michael Marazzi; and a strong digital team, led by David Connell, Timothy Meko, Jerry Ta, and Bonnie Turpen.


Urban Institute Robert Wood Johnson Foundation