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About the ACA 411

The Affordable Care Act (ACA) will have far-reaching effects on health insurance coverage for Californians. This data tool, ACA 411, tracks health care reform's effects in three areas: access to health care services, medical insurance coverage, and affordability.

To monitor the impact of the ACA, the California Health Care Foundation (CHCF) asked the State Health Access Data Assistance Center (SHADAC) to identify measures to provide policymakers and stakeholders with the means to readily track progress on the law's three major goals:

  1. Coverage: The ACA aims to increase the number of Americans who have health insurance by expanding public program eligibility and by making private health insurance more affordable and accessible. The data here will track trends in coverage, sources of coverage, and use of the health insurance marketplace.
  2. Access to Care: The ACA includes provisions aimed at ensuring adequate access to health care services. The data here will track trends in service use, barriers to care, and availability of safety-net services.
  3. Affordability: Keeping health insurance premiums affordable is a key goal of the ACA. The data here will track trends in health insurance premiums, the number of people receiving premium and cost-sharing subsidies, and the burden of health care costs on families, among other indicators.

The data for ACA 411 are periodically updated as new data become available.