WASHINGTON -- Most Americans are aware of the Affordable Care Act's mandate that they have some form of health insurance beginning in 2014, but many don't know there are exceptions, according to a new HuffPost/YouGov poll.


The poll found the vast majority of Americans, 81 percent, know that the health care law requires insurance. But 43 percent of respondents said they think the law requires every American to have insurance, with no exceptions. Slightly less -- 38 percent -- said correctly that the insurance mandate has exceptions. Another 4 percent said they believe the law does not require anyone to have insurance.


The misconception about exceptions to the insurance mandate was highest among Republicans, 52 percent of whom said that there were no exceptions. Among Democrats, a 43 percent said there were no exceptions and 39 percent said there were. Thirty-eight percent of independents said there were no exceptions; 36 percent said there were and 21 percent said they weren't sure.


Obamacare's individual mandate includes a variety of exceptions, including for those with low incomes and other hardships, as well as for American Indians and religious groups that eschew health insurance.


Although the new poll shows some confusion persists about details of the individual mandate, knowledge of its existence is widespread. A Kaiser Family Foundation poll in September found 79 percent of respondents said they thought the law included an individual mandate -- the highest awareness for the mandate since the foundation began tracking the question in April 2010. Only 62 percent were aware of the mandate two years ago.


The new poll found 35 percent favored requiring most Americans to buy insurance, with some exceptions such as for income and other hardships, while 47 percent were opposed.



The poll found Democrats and Republicans deeply divided on the issue, with 62 percent of Democrats in favor of the mandate and 77 percent of Republicans opposed. Still, opposition among Republicans ran stronger than support among Democrats. Independents said they opposed the mandate by a 51 percent to 26 percent margin.


Relatively few Americans said they think the mandate will affect them directly. Fifty-seven percent of respondents said they would have health insurance regardless of the law. Another 12 percent said they would have to buy insurance they would not otherwise purchase, and 7 percent said they would go without insurance and pay a penalty. Two percent said they believed they would receive an exemption to go without insurance. Another 23 percent said they weren't sure how the requirement would affect them.


According to the Census Bureau, about 15 percent of Americans were without insurance in 2012.


The poll found confusion about when the individual mandate takes effect. Twenty-two percent of respondents believed the mandate was already in effect, 31 percent said it will go into effect on the next few months, and 27 percent said it will be in the next year. Only 5 percent said they think it will be longer than that.


The mandate takes effect on Jan. 1, although consumers have until March 31 to choose a plan and avoid penalties. The mandate allows individuals to be uninsured for up to three months in a year without a penalty.


The HuffPost/YouGov poll was conducted Nov. 19 and Nov. 20 among 1,000 U.S. adults using a sample selected from YouGov's opt-in online panel to match the demographics and other characteristics of the adult U.S. population. Factors considered include age, race, gender, education, employment, income, marital status, number of children, voter registration, time and location of Internet access, interest in politics, religion and church attendance.


The Huffington Post has teamed up with YouGov to conduct daily opinion polls. You can learn more about this project and take part in YouGov's nationally representative opinion polling.



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  • 1912


    Former President Theodore Roosevelt champions national health insurance as he unsuccessfully tries to ride his progressive Bull Moose Party back to the White House. (Photo by Topical Press Agency/Getty Images)




  • 1935


    President Franklin D. Roosevelt favors creating national health insurance amid the Great Depression but decides to push for Social Security first. (Photo by Keystone/Getty Images)




  • 1942


    Roosevelt establishes wage and price controls during World War II. Businesses can't attract workers with higher pay so they compete through added benefits, including health insurance, which grows into a workplace perk. (Photo by Hulton Archive/Getty Images)




  • 1945


    President Harry Truman calls on Congress to create a national insurance program for those who pay voluntary fees. The American Medical Association denounces the idea as "socialized medicine" and it goes nowhere. (Photo by Keystone/Getty Images)




  • 1960


    John F. Kennedy makes health care a major campaign issue but as president can't get a plan for the elderly through Congress. (Photo by Keystone/Getty Images)




  • 1965


    President Lyndon B. Johnson's legendary arm-twisting and a Congress dominated by his fellow Democrats lead to creation of two landmark government health programs: Medicare for the elderly and Medicaid for the poor. (AFP/AFP/Getty Images)




  • 1974


    President Richard Nixon wants to require employers to cover their workers and create federal subsidies to help everyone else buy private insurance. The Watergate scandal intervenes. (Photo by Keystone/Getty Images)




  • 1976


    President Jimmy Carter pushes a mandatory national health plan, but economic recession helps push it aside. (Photo by Central Press/Getty Images)




  • 1986


    President Ronald Reagan signs COBRA, a requirement that employers let former workers stay on the company health plan for 18 months after leaving a job, with workers bearing the cost. (MIKE SARGENT/AFP/Getty Images)




  • 1988


    Congress expands Medicare by adding a prescription drug benefit and catastrophic care coverage. It doesn't last long. Barraged by protests from older Americans upset about paying a tax to finance the additional coverage, Congress repeals the law the next year. (TIM SLOAN/AFP/Getty Images)




  • 1993


    President Bill Clinton puts first lady Hillary Rodham Clinton in charge of developing what becomes a 1,300-page plan for universal coverage. It requires businesses to cover their workers and mandates that everyone have health insurance. The plan meets Republican opposition, divides Democrats and comes under a firestorm of lobbying from businesses and the health care industry. It dies in the Senate. (PAUL J. RICHARDS/AFP/Getty Images)




  • 1997


    Clinton signs bipartisan legislation creating a state-federal program to provide coverage for millions of children in families of modest means whose incomes are too high to qualify for Medicaid. (JAMAL A. WILSON/AFP/Getty Images)




  • 2003


    President George W. Bush persuades Congress to add prescription drug coverage to Medicare in a major expansion of the program for older people. (STEPHEN JAFFE/AFP/Getty Images)




  • 2008


    Hillary Rodham Clinton promotes a sweeping health care plan in her bid for the Democratic presidential nomination. She loses to Obama, who has a less comprehensive plan. (PAUL RICHARDS/AFP/Getty Images)




  • 2009


    President Barack Obama and the Democratic-controlled Congress spend an intense year ironing out legislation to require most companies to cover their workers; mandate that everyone have coverage or pay a fine; require insurance companies to accept all comers, regardless of any pre-existing conditions; and assist people who can't afford insurance. (Alex Wong/Getty Images)




  • 2010


    With no Republican support, Congress passes the measure, designed to extend health care coverage to more than 30 million uninsured people. Republican opponents scorned the law as "Obamacare." (Mark Wilson/Getty Images)




  • 2012


    On a campaign tour in the Midwest, Obama himself embraces the term "Obamacare" and says the law shows "I do care." (BRENDAN SMIALOWSKI/AFP/Getty Images)