Our analysis shows improvements in several measures of health care affordability for 50- to 64-year-olds over the first two open enrollment periods of the ACA. Between December 2013 and March 2015, the number of 50- to 64-year-olds reporting difficulty paying family medical bills or unmet health needs due to cost dropped. Despite these improvements, in March 2015, over 1 in 10 people ages 50 to 64 reported difficulty paying family medical bills, and nearly 1 in 3 experienced an unmet health need due to cost. Affordability problems are more prevalent among some vulnerable subgroups, even among those with insurance coverage.

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