JAMA Network May 16, 2024
In a February KFF poll, just 39% of adults said they were aware that the Affordable Care Act (ACA) prohibits insurance companies from denying coverage to people with preexisting conditions, and only 31% knew that the ACA also prevents sick people from being charged higher premiums than healthy people. Awareness of the ACA’s consumer protections has diminished substantially over time. Shortly after the ACA was enacted in 2010, 70% of adults knew that the law prohibited discrimination based on a person’s medical history.
This waning awareness of the ACA’s protections should not be surprising. No one is experiencing insurance denials based on preexisting conditions anymore, so denials because of prior or current illness is not something people think or worry...