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Americans are no more familiar with the healthcare law now than they were last August, when Gallup began asking Americans about it. Republicans are more likely than other adults to say they are very or somewhat familiar with the law.

Americans continue to be more likely to disapprove than approve of the Affordable Care Act, 51% to 41%. Nearly six in 10 believe the law, in the long run, will make the healthcare situation in the U.S. worse or will make no difference.

Americans' views of the healthcare law have stabilized, with approval now at about where it was in November, and disapproval is down slightly. Overall attitudes continue to tilt negatively, with 41% approving and 51% disapproving.

Since key provisions of the Affordable Care Act took effect, fewer U.S. adults lack health insurance and have difficulty affording the care or medicines they need, but they remain concerned about the cost and quality of healthcare.

A majority of Americans approve of the Affordable Care Act for the first time since it was enacted in 2010. Still, 40% want significant changes.

Americans say that, in the long run, the Affordable Care Act will make the healthcare situation in the U.S. worse (48%) rather than better (35%). These attitudes have changed little since late November.

As the nation awaits the Supreme Court ruling on the 2010 healthcare law, Gallup assesses Americans' views of it, revealing that they have at best mixed support for the law and widely view the individual mandate as unconstitutional.

Shortly after the Supreme Court turned back another legal challenge to the Affordable Care Act in late June, Americans' views of the law improved. Yet as many still disapprove of the law as approve of it.

A significant number of Democrats nationwide want changes to the Affordable Care Act, giving President Trump bargaining power as he proposes new healthcare legislation.

In a shift from recent years, 51% of Americans now say the federal government should ensure all Americans have health insurance. This is up six percentage points from 2014, and the first time a majority has held this view since 2008.