In five biennial surveys since 1999, the Fund has assessed the stability and quality of adults' health insurance coverage in the United States, cost-related difficulties in accessing care, and medical bill problems. Policymakers have learned about these important surveys through widely cited media reports and journal articles, as well as through testimony to Congress. A new survey will update information on coverage and access trends and explore emerging areas of concern, including the effect of high-deductible health plans on the out-of-pocket spending of those enrolled. A Small Grant to review questions from past surveys on public attitudes about coverage expansions and financing strategies will inform development of the 2007 survey. The release of the survey findings in late 2007 will be timely, given that rising health care costs and declining coverage will likely be a major issue in the presidential election.