Over the past decade, the Fund’s biennial health insurance surveys have garnered a national reputation for providing an accurate portrayal of the state of health insurance coverage in the United States. In reports and journal articles based on data from the six surveys conducted since 1999, Fund staff have been able to assess the stability and quality of U.S. adults’ health insurance coverage, their cost-related difficulties in getting needed care, and their problems paying medical bills. Fielded in the midst of a severe economic recession, the 2009 survey will yield key information about trends in employer-based coverage, including premiums and out-of-pocket costs, the number of adults with gaps in their insurance coverage, and changes in the number who are underinsured. It will also ask whether people have a medical home, whether they receive timely preventive care and chronic disease care, and whether their chronic conditions are under control.