Pennsylvania voters disapprove of the Republican efforts to repeal the Affordable Care Act by 17 points (52% to 35%).

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From: Jim Williams, Public Policy Polling To: Interested Parties Subject: Health Care Top Priority Issue for Pennsylvania Voters Date: March 21, 2018 On the 8 th anniversary of passage of the Affordable Care Act, a new Public Policy Polling survey finds that health care is a top priority for Pennsylvania voters when deciding who to vote for in the upcoming election. Health care is ranked as a top for 71% of voters (25% saying it is the most important and another 46% saying it is very important). Only 6% say it is not that important or not important at all. Pennsylvania voters disapprove of the Republican efforts to repeal the Affordable Care Act by 17 points (52% to 35%). Among independent voters, the disparity is even wider with only 24% supporting the GOP s health care repeal efforts to 59% opposing them. 53% of voters believe Republicans are now trying to undermine and sabotage the ACA since they failed to repeal it. Only 33% of voters think the best path forward on health care is to repeal the Affordable Care Act, to 60% who think it should be kept in place with fixes made to it as necessary. On the of health care, voters in Pennsylvania largely trust the Democratic more than they trust the Republican 53-39. Key findings from the survey include: - In a hypothetical US Senate election matchup, voters prefer Democrat Bob Casey over Republican Lou Barletta 54-36. Among voters who say that health care is the most important, Casey s lead grows to 56-29 over Barletta. - 41% of Pennsylvania voters approve of Senator Bob Casey s job performance, while 36% disapprove. PPP surveyed 1,056 Pennsylvania voters from. The margin of error is +/- 3.0%. This poll was conducted by automated telephone interviews. Public Policy Polling Phone: 888 621-6988 Web: www.publicpolicypolling.com Email: information@publicpolicypolling.com

Pennsylvania Survey Results Q1 Q2 Q3 Q4 Do you approve or disapprove of President Donald Trump s job performance? 42%... 53%...... 5% If the election for US Senate were held today, would you vote for the Democratic candidate, or the Republican candidate? 53% Democratic candidate... 41% Republican candidate...... 7% Do you approve or disapprove of Senator Bob Casey s job performance? 41%... 36%...... 24% If the election for US Senate were held today, and the candidates were Democrat Bob Casey and Republican Lou Barletta, who would you vote for? 54% Bob Casey... 36% Lou Barletta... 10%... Q5 Q6 Q7 Q8 How important is the of healthcare when deciding who to vote for in this upcoming election - is it the most important, a very important, a somewhat important, not that important an, or not an important at all? 25% Most important... 46% Very important... 22% Somewhat important... Not that important an... Not an important at all... 5% 1%... 1% Which of the following would you most like to see the Congress do about the Affordable Care Act, given the choices of keeping what works and fixing what doesn t, or repealing it and starting over with a new healthcare law? 60% Keep what works and fix what doesn't... Repeal it and start over with a new healthcare law... 33%... 7% Which party do you trust more on the of health care: the Democratic or the Republican? 53% Democratic... 39% Republican...... Do you approve or disapprove of the Republican efforts to repeal the Affordable Care Act? 7% 35%... 52%... 13%... Survey of 1,056 Pennsylvania voters

Q9 Do you think President Trump and Republicans in Congress are trying to undermine and sabotage the Affordable Care Act since they failed to repeal it outright, or not? Think President Trump and Republicans in Congress are trying to undermine and sabotage the Affordable Care Act since they failed to repeal it outright... 53% Do not think President Trump and Republicans in Congress are trying to undermine and sabotage the Affordable Care Act since they failed to repeal it outright 34% 13%... Q10 In the election for President, did you vote for Republican Donald Trump, Democrat Hillary Clinton, someone else, or did you not vote in the election? 46% Donald Trump... 46% Hillary Clinton... Someone else / Did not vote... 8% Q11 If you are a woman, press 1. If a man, press 2. 53% Woman... 47% Man... Q12 If you are a Democrat, press 1. If a Republican, press 2. If an independent or a member of another party, press 3. 47% Democrat... 41% Repubican... 12%... Q13 If you are white, press 1. If American, press 2. If other, press 3. 85%... 11% American... Other... Q14 If you are 18- years old, press 1. If 46-65, press 2. If older than 65, press 3. 4% 28%... 43% 46 to 65... 30% Older than 65... Survey of 1,056 Pennsylvania voters

Trump Approval 42% 84% 4% 17% 53% 10% 92% 72% 5% 5% 4% 11% Generic US Senate Ballot Democratic candidate Republican candidate 53% 12% 94% 52% 41% 81% 4% 19% 7% 6% 3% 28% Casey Approval 41% 16% 65% 42% 36% 61% 11% 33% 24% 23% 24% 24% Casey / Barletta Bob Casey Lou Barletta 54% 16% 88% 66% 36% 72% 3% 22% 10% 12% 9% 11% Importance of Healthcare When Deciding Vote Most important Very important Somewhat important Not that important an Not an important at all 25% 24% 26% 22% 46% 33% 59% % 22% 32% 11% 25% 5% 7% 3% 7% 1% 2% 0% 1% 1% 1% - - Congressional Action on ACA Keep what works and fix what doesn't Repeal it and start over with a new healthcare law 60% 32% 87% 68% 33% 60% 7% 26% 7% 9% 6% 6%

Trust More on Health Care Democratic Republican 53% 11% 95% 58% 39% 80% 2% 20% 7% 9% 3% 22% Republican ACA Repeal Efforts Approval 35% 68% 4% 18% 52% 15% 87% 63% 13% 17% 8% 19% Trump and Republicans Undermine ACA Since Full Repeal Failure Think President Trump and Republicans in C- ongress are trying to undermine and sabotage the Affordable Care Act since they failed... Do not think President Trump and Republicans in Congress are trying to undermine and sabotage the Affordable Care Act since the... 53% 12% 91% 65% 34% 66% 3% 27% 13% 21% 6% 9% Woman Man Trump Approval 42% 41% 43% 53% 56% 49% 5% 3% 7%

Generic US Senate Ballot Democratic candidate Republican candidate Woman Man 53% 54% 52% 41% 40% 42% 7% 7% 7% Woman Man Casey Approval 41% 38% 44% 36% 33% 38% 24% 29% 18% Woman Man Casey / Barletta Bob Casey 54% 53% 55% Lou Barletta 36% 36% 37% 10% 12% 9% Importance of Healthcare When Deciding Vote Most important Very important Somewhat important Not that important an Not an important at all Woman Man 25% 25% 26% 46% 48% 43% 22% 21% 23% 5% 4% 7% 1% 1% 1% 1% 1% 0%

Congressional Action on ACA Keep what works and fix what doesn't Repeal it and start over with a new healthcare law Woman Man 60% 59% 61% 33% 33% 32% 7% 8% 6% Trust More on Health Care Democratic Republican Woman Man 53% 56% 51% 39% 37% 42% 7% 7% 7% Republican ACA Repeal Efforts Approval Woman Man 35% 31% 39% 52% 52% 52% 13% 18% 9% Trump and Republicans Undermine ACA Since Full Repeal Failure Think President Trump and Republicans in C- ongress are trying to undermine and sabotage the Affordable Care Act since they failed... Do not think President Trump and Republicans in Congress are trying to undermine and sabotage the Affordable Care Act since the... Woman Man 53% 55% 50% 34% 32% 36% 13% 13% 14%

Trump Approval 42% 15% 74% 39% 53% 80% 21% 54% 5% 5% 5% 7% Generic US Senate Ballot Democratic candidate 53% 85% 17% 47% Republican candidate 41% 11% 77% 36% 7% 4% 6% 17% Casey Approval 41% 55% 23% 43% 36% 20% 53% 37% 24% 24% 24% 20% Casey / Barletta Bob Casey Lou Barletta 54% 80% 21% 57% 36% 10% 68% 31% 10% 10% 11% 11% Importance of Healthcare When Deciding Vote Most important 25% 27% 24% 22% Very important 46% 53% 36% 52% Somewhat important Not that important an Not an important at all 22% 17% 30% 16% 5% 3% 8% 7% 1% 1% 1% 3% 1% 0% 1% - Congressional Action on ACA Keep what works and fix what doesn't Repeal it and start over with a new healthcare law 60% 79% 38% 62% 33% 15% 54% 29% 7% 6% 8% 9%

Trust More on Health Care Democratic Republican 53% 82% 21% 51% 39% 12% 74% 30% 7% 6% 5% 19% Republican ACA Repeal Efforts Approval 35% 15% 60% 24% 52% 74% 25% 59% 13% 11% 15% 17% Trump and Republicans Undermine ACA Since Full Repeal Failure Think President Trump and Republicans in C- ongress are trying to undermine and sabotage the Affordable Care Act since they failed... Do not think President Trump and Republicans in Congress are trying to undermine and sabotage the Affordable Care Act since the... 53% 77% 24% 54% 34% 15% 57% 31% 13% 8% 19% 14% Trump Approval 42% 48% 4% 30% 53% 49% 84% 61% 5% 4% 12% 8%

Generic US Senate Ballot Democratic candidate Republican candidate 53% 47% 97% 59% 41% 46% 2% 24% 7% 7% 1% 17% Casey Approval 41% 40% 49% 40% 36% 37% 25% 43% 24% 24% 26% 17% Casey / Barletta Bob Casey Lou Barletta 54% 49% 84% 56% 36% 41% 2% 29% 10% 10% 14% 15% Importance of Healthcare When Deciding Vote Most important Very important Somewhat important Not that important an Not an important at all 25% 25% 28% 17% 46% 44% 55% 57% 22% 23% 15% 12% 5% 6% - 8% 1% 1% 2% 6% 1% 1% - -

Congressional Action on ACA Keep what works and fix what doesn't Repeal it and start over with a new healthcare law 60% 58% 75% 69% 33% 36% 12% 29% 7% 7% 13% 2% Trust More on Health Care Democratic Republican 53% 49% 87% 59% 39% 43% 11% 36% 7% 8% 2% 5% Republican ACA Repeal Efforts Approval 35% 37% 15% 29% 52% 50% 64% 61% 13% 12% 21% 10% Trump and Republicans Undermine ACA Since Full Repeal Failure Think President Trump and Republicans in C- ongress are trying to undermine and sabotage the Affordable Care Act since they failed... Do not think President Trump and Republicans in Congress are trying to undermine and sabotage the Affordable Care Act since the... 53% 49% 77% 56% 34% 37% 11% 35% 13% 14% 12% 9%

Trump Approval 42% 33% % 46% 53% 59% 52% 50% 5% 9% 3% 4% Generic US Senate Ballot Democratic candidate Republican candidate 53% 60% 51% 49% 41% 33% 43% 44% 7% 6% 6% 7% Casey Approval 41% % 39% 39% 36% 32% 37% 36% 24% 23% 23% 25% Casey / Barletta Bob Casey Lou Barletta 54% 63% 50% 50% 36% 29% 39% 38% 10% 8% 10% 12% Importance of Healthcare When Deciding Vote Most important Very important Somewhat important Not that important an Not an important at all 25% 26% 23% 28% 46% 40% 52% 43% 22% 24% 20% 22% 5% 9% 4% 4% 1% 1% 1% 2% 1% 1% 0% 0% Congressional Action on ACA Keep what works and fix what doesn't Repeal it and start over with a new healthcare law 60% 62% 60% 59% 33% 29% 34% 34% 7% 9% 6% 7%

Trust More on Health Care Democratic Republican 53% 61% 52% 49% 39% 34% 42% 41% 7% 5% 7% 10% Republican ACA Repeal Efforts Approval 35% 26% 37% 38% 52% 57% 51% 49% 13% 17% 11% 13% Trump and Republicans Undermine ACA Since Full Repeal Failure Think President Trump and Republicans in C- ongress are trying to undermine and sabotage the Affordable Care Act since they failed... Do not think President Trump and Republicans in Congress are trying to undermine and sabotage the Affordable Care Act since the... 53% 57% 52% 50% 34% 30% 37% 33% 13% 13% 11% 16%