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Health Reform Monitoring Survey

The Health Reform Monitoring Survey, or HRMS, is a nationally representative, internet-based survey of nonelderly adults launched in 2013 to provide timely information on the Affordable Care Act (ACA) before data from federal surveys become available. Samples for the HRMS are drawn from Ipsos’s KnowledgePanel®, the nation’s largest probability-based online panel. 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 and implementation issues. In the first quarter of 2015, the HRMS shifted from a quarterly fielding schedule to a semiannual schedule, and then to an annual schedule in the first quarter of 2020. The design and content of the HRMS were also modified in the first quarter of 2020 to assess the impact of the coronavirus pandemic on families’ access to health care, well-being, and ability to meet basic needs and support estimates for vulnerable population subgroups.

For each round of the survey, we make the HRMS instruments publicly available on this webpage roughly at the same time that we release new research products that use data from that survey round. In addition, with the support of the Robert Wood Johnson Foundation (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 nine months after each survey is fielded. The public use files contain data for the HRMS samples of approximately 7,500 adults, ages 18 to 64, derived from responses to the core and topical module questions in each round of the survey (the HRMS sample was expanded to 9,500 adults beginning in Q1 2017 and then reduced to 9,000 adults in Q1 2020). We provide documentation to assist users. The data are de-identified, and some variables in each dataset have been excluded or modified to protect the confidentiality of survey respondents.

These fields are compatible with DCAT, an RDF vocabulary designed to facilitate interoperability between data catalogs published on the Web.
Release Date
Homepage URL
Spatial / Geographical Coverage Location
United States
Temporal Coverage
2013-01-01 00:00 to 2019-03-31 00:00
English (United States)
Michael Karpman
Contact Name
Urban Institute
Contact Email
Public Access Level
These fields are specific to Urban Institute.
Related Content
Data Dictionary Files
Geographic Level
Data Value
Units of Observation
Original Data Source
Universe Target Population
Household population ages 18-64
Data Quality or Limitations
  • As of Q1 2020, data are collected annually.

  • From Q1 2013 to Q1 2015, data were collected quarterly.

  • From Q12015 to Q12020, data were collected semiannually.

Additional Notes

The Q3 2018 codebook is provided here on as a data dictionary. Each round of the HRMS will have a separate codebook. Please see the ICPSR repository for the HRMS series for more information at

Urban Publications
Usage Limitations

ICPSR restricted certain variables from general dissemination for reasons of confidentiality. Users interested in obtaining the restricted data must complete a restricted data use agreement with ICPSR, specify the reasons for the request, and obtain institutional board approval or notice of exemption for their research. Apply for access to the restricted data via the ICPSR restricted data contract portal which can be accessed on the study home page.

Citation Requirements

Urban Institute. 2020. Health Reform Monitoring Survey. Accessible from Data originally sourced from Health Reform Monitoring Survey Series, developed at the Urban Institute, and made available under the ODC-BY 1.0 Attribution License.