DOI: 10.3886/icpsr38774
title: Health Reform Monitoring Survey, United States, June 2022
title: Archival Version

description: In January 2013, the Urban Institute launched the Health Reform Monitoring Survey (HRMS), a survey of the nonelderly population, to explore the value of cutting-edge, Internet-based survey methods to monitor the Affordable Care Act (ACA) before data from federal government surveys are available. Topics covered by the 21st round of the survey (June 2022) include self-reported health status, health insurance coverage, access to health care, disability, COVID-19, awareness of the Medicaid continuous coverage requirement, past-due medical debt, unfair treatment in health care settings, food security, and access to transportation. Additional information collected by the survey includes age, gender, sexual orientation, marital status, education, race and ethnicity, United States citizenship, housing type, home ownership, internet access, income, and employment status.
description: This study was conducted to provide information on health insurance coverage, access to and use of health care, health care affordability, and self-reported health status, as well as timely data on important implementation issues under the Affordable Care Act (ACA), impacts of the COVID-19 pandemic, and other health topics.
description: Panel members were contacted through email and invited to participate in the HRMS. Participants are directed to follow a link to the online, self-administered survey. To encourage participation, the study team used an incentive system that allowed panel members to accrue points based on the number of surveys they completed. 
The survey for this study was administered online in both English and Spanish and took a median time of 12-15 minutes to complete. Internet access and web-enabled devices were provided to panel members if needed.
description: The variables include original survey questions, household demographic profile data, and constructed variables which can be used to link panel members who participated in multiple rounds.
description: The Health Reform Monitoring Survey (HRMS) weights reflect the probability of sample selection from the KnowledgePanel and post-stratification to the characteristics of nonelderly adults in the United States based on benchmarks from the Current Population Survey and American Community Survey. Variables used in the post-stratification weighting of the KnowledgePanel and the post stratification weighting of the HRMS include sex, age, race and ethnicity, primary language, education, presence of children in households, household income, family income as a percentage of federal poverty levels (FPL), homeownership status, internet access, urban or rural status, state group, and census region. In January 2017, all rounds of the HRMS were reweighted due to a change in the Current Population Survey question on Internet access that was being used to create benchmarks for the construction of the post stratification weights.
description: Response Rates: The cumulative response rate for the June 2022 HRMS was 2.5%.
description: For each HRMS round, a stratified random sample of adults ages 18-64 were drawn from the Knowledge Panel, a probability-based, nationally representative Internet panel maintained by Ipsos. The approximately 55,000 adults in the panel included households with and without Internet access. Panel members were recruited from an address-based sample frame derived from the United States Postal Service Delivery Sequence File, which covers 97 percent of United States households. The 2022 HRMS sample included 9,494 nonelderly adults, including oversamples of low-and moderate-income adults by race and ethnicity and an oversample of adults ages 18 to 29.
description: Datasets: 
DS0: Study-Level Files
DS1: Public-Use Data
DS2: Restricted-Use Data
description: United States population aged 18-64. Smallest Geographic Unit: Census Region
description: web-based surveyDemographic variables are provided by the KnowledgePanel.More information about this study is available on the HRMS website.The public-use and restricted-use data files are exactly the same with the exception of the variable PPREG4. The valid data for this variable has been set to missing in the public-use version of the dataset. Everything else (data, labels, open-ended responses) will be the same between the public-use and restricted-use versions. Please review the processing notes at the front of each codebook for additional information regarding the data.