Health Reform Monitoring Survey, United States, First Quarter 2017 (ICPSR 37031)

Version Date: Jul 1, 2019 View help for published

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


Version V2 ()

  • V2 [2019-07-01]
  • V1 [2018-06-11] unpublished

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 13th round of the survey (first quarter 2017) include self-reported health status, health insurance coverage, access to and use of health care, out-of-pocket health care costs, health care affordability, health insurance literacy, dental care, opinions of the ACA, and rating of neighborhood characteristics. Additional information collected by the survey includes age, gender, sexual orientation, marital status, education, race, Hispanic origin, United States citizenship, housing type, home ownership, internet access, income, employment status, and employer size.

Holahan, John, and Long, Sharon K. Health Reform Monitoring Survey, United States, First Quarter 2017. [distributor], 2019-07-01.

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Robert Wood Johnson Foundation

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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 IRB 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.

2017-01 -- 2017-03
2017-03-01 -- 2017-03-21
  1. At this time, the principal investigators have not provided some of the variables collected in the 13th round, such as the open-ended textual response variables (e.g., the variable for Question Q8b) and some variables from the KnowledgePanel profile questionnaire.

  2. Additional information about this study is available on the HRMS website.

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.

For each HRMS round 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. Additional funders have supported oversamples of adults from individual states or subgroups of interest. However, the data file only includes data for adults in the general national sample and the income oversample. Beginning in the first quarter of 2015, the HRMS shifted from a quarterly fielding schedule to a semiannual schedule.


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 round.




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.

2018-06-11 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:

  • Created online analysis version with question text.
  • Checked for undocumented or out-of-range codes.

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, American Community Survey, and 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. 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.



  • 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.