Support for the Affordable Care Act has dropped to its lowest level in years, according the latest Kaiser Family Foundation tracking poll. The poll found only 35 percent have a favorable opinion of the law, while 40 percent have an unfavorable opinion. This is the lowest level of support since 2011. From Kaiser:

At least part of the reason the law has seen such a drop in support is the fact it has been almost four years since it was passed. The law has yet to do much of anything. This incredibly long “implementation” delay has only added to the confusion about what is and is not in the law. This has significantly increased the number of people with no opinion about the law.

In fact, after so many years of seeing no results from the law many aren’t even aware that it’s still on the books. The poll found a remarkable 42 percent of Americans aren’t sure if the law is still in place. The poll found 12 percent actually think Congress repealed the law and another 7 percent think the Supreme Court struck it down.

Allowing such a long gap between when the law was first debated and when it will actually take effect means that people have become significantly less knowledgeable about it. According to the poll, 49 percent don’t feel they know enough about the law to understand how it will impact them. The administration has not started its awareness campaign to get people to sign up for the law, but it is clear they have a lot of work to do on the education front.