DOI: 10.3886/icpsr36208.v3
title: Health Reform Monitoring Survey, United States, Third Quarter 2014
title: Version 3

description: In January 2013, the Urban Institute launched the Health Reform Monitoring Survey (HRMS), a quarterly 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 seventh round of the survey (third quarter 2014) include self-reported health status, health insurance coverage, access to and use of health care, health care affordability, and awareness of various provisions of the ACA. Additional information collected by the survey includes income, employment status, age, education, race, Hispanic origin, United States citizenship, gender, housing type, marital status, home ownership, internet access, and sexual orientation.
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).
description: The Health Reform Monitoring survey (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.
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 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 the Pew Hispanic Center 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 FPL, homeownership status, internet access, urban or rural status, state group, and census region.
description: Response Rates: The HRMS response rate is roughly five percent each quarter.
description: Each quarter, a stratified random sample of adults ages 18-64 is drawn from the KnowledgePanel, a probability-based, nationally represented Internet panel maintained by GfK Custom Research. The approximately 55,000 adults in the panel include households with and without Internet access. Panel members are 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 HRMS sample includes a random sample of approximately 7,500 nonelderly adults per quarter, including oversamples of adults with family incomes at or below 138 percent of the federal poverty line and adults from selected state groups based on (1) the potential for gains in insurance coverage in the state under the ACA as estimated by the Urban Institute's microsimulation model and (2) states of specific interest to the HRMS funders. Additional funders have supported oversamples of adults from individual states or subgroups of interest including children. However, ICPSR received data only for adults in the general national sample and the income and state group oversamples.
description: Datasets: 
DS0: Study-Level Files
DS1: Public-Use Data
DS2: Restricted-Use Data
description: Household population aged 18-64. Smallest Geographic Unit: Census region
description: web-based surveyThe principal investigators did not provide many of the variables collected in the seventh round, specifically, the open-ended response variables, the variables for the Questions TQ4E to TQ4H, the variables from the questionnaire module on child health care (Questions QS1 to QS31), and many variables from the KnowledgePanel profile questionnaire.More information about this survey is available on the HRMS Web site.Demographic variables are provided by the KnowledgePanel.