A fair number of Americans are paying attention to the government's plan to reform the country's healthcare system. However, research reveals that misconceptions about new laws and provisions exist.

A survey by the National Association of Insurance Commissioners found that only 14 percent of respondents were aware that the first round of healthcare reform provisions take effect at the end of this month.

However, more than 70 percent were aware that insurers cannot deny cover to children with pre-existing conditions and must extend coverage to adult children up to age 26 on their parents' plan.

NAIC president and West Virginia insurance commissioner Jane Cline says it's important for consumers to understand what policies will soon take affect.

"The results show that while most consumers are well-attuned to provisions specifically affecting their children's healthcare, they do not grasp the overall reform framework," says Cline. "It's promising to see this, but we feel it necessary for consumers to fully understand the changes and get informed about what to expect."

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Implementation of various provisions will take place in the upcoming years.

When it comes to healthcare, many lower-income adults report being unsure how they will be able to pay their medical expenses. A large number of those surveyed are not confident in their ability to juggle bills, according to an AARP survey.

The survey reveals that more than 40 percent of low-income adults over the age of 45 say their health is "fair" to "poor," whereas less than 20 percent with an annual salary exceeding $25,000 reported the same feeling.

The study also revealed that almost 40 percent of respondents had to delay or even cancel a healthcare appointment within the last six months. AARP Foundation president Jo Ann Jenkins says tough economic times are hitting low-income Americans hard.

"Each day, millions are choosing between essentials like buying groceries or paying for prescriptions. It's a devastating choice that no one should have to make," says Jenkins.

Going without adequate healthcare can result in greater expenses down the road. Those who struggle to pay for their healthcare may want to consider researching insurance plans. People can go online to get health insurance quotes and to find a policy with premiums that fit into their budget.