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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 first quarter 2015 survey (the ninth round of the HRMS) include self-reported health status, awareness of key provisions of the ACA, sources of information about the health plans offered in the ACA marketplace, whether health insurance was purchased through the ACA marketplace, difficulties with access to health care and paying for medical bills and housing costs, out-of-pocket health care costs, type of health insurance coverage if any, and reasons for not having health insurance. Respondents who enrolled in a health insurance plan through the ACA marketplace in 2014 were asked if and why they renewed or changed their plan in 2015. Additional information collected by the survey includes age, gender, sexual orientation, marital status, family size, education, race, Hispanic origin, United States citizenship, housing type, home ownership, internet access, income, employment status, and employer size. The data file also records whether the respondent reported an ambulatory care sensitive condition or a mental or behavioral health condition and whether the respondent or a family member received Social Security, Supplemental Security Income, unemployment insurance benefits or benefits though the Supplement Nutrition Assistance Program, Earned Income Tax Credit, Temporary Assistance for Needy Families, or child care services or child care assistance from a local welfare agency or case manager.