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Americans' familiarity with the healthcare law and their assessments of its future impact are little changed since August. Their views of the law's impact remain more negative than positive.

In the U.S., 59% of adults who are familiar with the ACA say they disapprove of the law. Gallup Editor-in-Chief Frank Newport examines how different demographics view the healthcare law.

Americans' views of the healthcare law have soured in recent weeks, with 40% now approving and 55% disapproving -- the most negative reading in the past year. Those who disapprove most commonly cite government interference as the reason.

Fifty-two percent of Americans disapprove of the 2010 Affordable Care Act, which is a slightly more negative evaluation than Gallup found in July. Approval is also down slightly since then.

Overall, 28% of Americans continue to say they are not familiar with the new healthcare law, little changed over the past three months. Americans younger than 30 are the least familiar with the law, as are those with lower incomes.

More than 90% have an opinion about the Affordable Care Act, even though 66% of Americans state that the law has not affected them so far, says Gallup Editor-in-Chief Frank Newport.

Americans are about evenly divided in their opinions of the Affordable Care Act, but fewer than one-third want to see it repealed and replaced.

Gallup Editor-in-Chief Frank Newport compares Americans' approval of the 2010 Affordable Care Act before and after the government shutdown.

Americans remain more negative than positive toward the Affordable Care Act on various measures, including 43% approval and 54% disapproval of the law itself. A clear majority (64%) say the law has not directly affected them.

Sixty-nine percent of Americans say they have been unaffected by the healthcare law so far, with 19% saying they have been hurt and 9% helped. In the long run, twice as many expect to be hurt rather than helped by the law.