Health Reform Monitoring Survey, United States, Fourth Quarter 2013 (ICPSR 35621)

Version Date: Aug 7, 2019 View help for published

Principal Investigator(s): View help for Principal Investigator(s)
John Holahan, Urban Institute; Sharon K. Long, Urban Institute


Version V4 ()

  • V4 [2019-08-07]
  • V3 [2017-06-07] unpublished

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 fourth round of the survey (fourth quarter 2013) include self-reported health status, type of and satisfaction with current health insurance coverage, access to and use of health care, health care affordability, use of information about the health insurance plans offered through the health insurance exchanges created by the ACA, enrollment in health plans or Medicaid through the ACA exchanges, the importance of various criteria in choosing health insurance plans, whether the respondent received notice that his/her current insurance policy was cancelled or would no longer be offered after 2013, worries about future health insurance coverage, and expectations about one's health insurance coverage in 2014. Additional information collected by the survey includes age, education, race, Hispanic origin, gender, income, household size, housing type, marital status, employment status, United States citizenship, smoking, internet access, home ownership, body mass index, sexual orientation, and whether the respondent reported an ambulatory care sensitive condition or a mental or behavioral condition.

Holahan, John, and Long, Sharon K. Health Reform Monitoring Survey, United States, Fourth Quarter 2013. Inter-university Consortium for Political and Social Research [distributor], 2019-08-07.

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Robert Wood Johnson Foundation (71390), Ford Foundation, Urban Institute

Census region

As explained in the ICPSR Processing notes in the codebook, ICPSR restricted three variables from general dissemination for reasons of confidentiality. Users interested in obtaining the restricted data must complete an Agreement for the Use of Confidential Data, specify the reasons for the request, and obtain IRB approval or notice of exemption for their research. Apply for access to the restricted data through the ICPSR restricted data contract portal, which can be accessed via the study home page.

Inter-university Consortium for Political and Social Research
2013-12-06 -- 2013-12-23
2013-12-06 -- 2013-12-23
  1. The principal investigators did not provide many of the variables collected in the fourth round, specifically, the open-ended response variables (such as question 8b), the variables from the questionnaire module on child health and child health care (Questions QS1 to QS32, a version of the questionnaire that includes these questions is available at the HRMS website), and many variables from the KnowledgePanel profile questionnaire.

  2. Comprehensive information about this survey is available on the HRMS Web site.

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).

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.

Each quarterly HRMS sample is drawn from the KnowledgePanel, a probability-based, nationally representative Internet panel maintained by GfK Custom Research. Beginning with the second quarter of 2013, the HRMS includes oversamples of adults with family incomes at or below 138 percent of the federal poverty level 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 the adults in the general national sample and the income and state group oversamples.


Household population aged 18-64.


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.

The HRMS response rate is roughly five percent each quarter.



2019-08-07 The variable Q7_F has been restricted from public dissemination. ICPSR has removed this variable from the Public Use Data and updated documentation to reflect this change. ICPSR has updated this collection to include fully enhanced variable and value labels. To conform to ICPSR naming conventions, part numbers have been revised in this release. The Public Use Data is now DS1, and the Restricted Use Data is now DS2.

2018-02-15 The citation of this study may have changed due to the new version control system that has been implemented. The previous citation was:
  • Holahan, John, and Sharon K. Long. Health Reform Monitoring Survey, United States, Fourth Quarter 2013. ICPSR35621-v4. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2019-08-07.

2017-06-07 The principal investigators added a new weight variable to the data file and the technical documentation was updated accordingly.

2015-03-17 The principal investigators corrected errors in the variables famsize, _2_famsize, _3_famsize, _4_famsize and _5_famsize. ICPSR revised the codebook accordingly and added to the collection a plain text version of the data with a Stata setup and record layout file.

2014-12-22 ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:

  • Checked for undocumented or out-of-range codes.


  • The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.

  • One or more files in this data collection have special restrictions. Restricted data files are not available for direct download from the website; click on the Restricted Data button to learn more.