Health Reform Monitoring Survey (HRMS)

A quarterly household survey tracking a variety of health and health care factors


HRMS is exploring the value of cutting-edge Internet-based survey methods to address issues related to health reform.

Based on a nationally representative sample of nonelderly adults, the HRMS assesses a variety of health and health care factors. These factors include health insurance coverage, health care access and affordability, and health status, among others—all of which will provide valuable insight into the implementation of the ACA.

In many instances, the questions utilized in the HRMS are based on those used in federal government surveys. In addition to a core set of questions that are asked each quarter, each round of the HRMS, starting with the second quarter of 2013, includes supplemental questions on particular ACA policy issues. Reports, policy briefs and infographics associated with the HRMS are available on the Urban Institute's website.


The Urban Institute, with funding from the Robert Wood Johnson Foundation and the Ford Foundation, launched the Health Reform Monitoring Survey (HRMS) in 2013. 




Monitoring & Tracking Series

The Urban Institute monitors, tracks and analyzes trends across diverse states on key health reform implementation issues.

Read more

Quick Strike Series

Urban Institute Quick Strikes are a series of timely briefs that examine a variety of health insurance coverage issues in the United States.  

Read more

State Health Access Data Assistance Center

SHADAC helps states to monitor rates of health insurance coverage and provides technical assistance.

Read more

Most Requested