use “Hispanic/Latinx” throughout this brief to reflect the different ways people self-identify. Also, we use the terms “white” and “Black” to refer to adults who do not identify as Hispanic/Latinx. January 2021 The views expressed are those of the authors and should not be attributed to the Robert Wood Johnson Foundation or the Urban Institute, its trustees, or its funders. Laura Barrie Smith and Fredric Blavin FROM SAFETY NET TO SOLID GROUND 2 | Telehealth and Unmet Health Care Needs During the Pandemic › More than three-quarters of adults who used telehealth services were satisfied with their telehealth experiences, but adults in excellent or very good health were more likely to be satisfied than adults in fair or poor health. › Adults in fair or poor health, adults with chronic conditions, and Hispanic/Latinx adults were more likely to have wanted a telehealth visit but not received one than their counterparts (adults in excellent or very good health, adults with no chronic conditions, and white adults). › Compared with all other adults, adults who wanted a telehealth visit but had not had one since the coronavirus outbreak began were more likely to have an unmet need for care because of the pandemic. › Less than 10 percent of adults did not see a provider because their provider was only taking telehealth visits, and they did not want that type of visit. Adults in fair or poor health and adults with chronic conditions were more likely to have this experience than adults in excellent health and adults without chronic conditions. Adults with public health insurance coverage were more likely to have this experience than adults with employer-sponsored insurance (ESI) coverage. Data and Methods This brief uses data from the second wave of the Urban Institute’s Coronavirus Tracking Survey, a nationally representative internet-based survey of nonelderly adults designed to assess how the pandemic is affecting adults and their families and how those effects change over time. A total of 4,007 adults ages 18 to 64 participated in the second wave, fielded September 11 through 28, 2020; 91 percent of respondents completed the survey by September 17. The first wave of the tracking survey was fielded May 14 through 27. Respondents for both waves were sampled from the 9,032 adults who participated in the most recent round of the Health Reform Monitoring Survey (HRMS), fielded March 25 through April 10, 2020. The HRMS sample is drawn from Ipsos’s KnowledgePanel, the nation’s largest probability-based online panel. The panel is recruited from an address-based sampling frame covering 97 percent of US households and includes households with and without internet access. Participants can take the survey in English or Spanish. The Coronavirus Tracking Survey includes an oversample of Black and Hispanic/Latinx HRMS participants. Survey weights adjust for unequal selection probabilities and are poststratified to the characteristics of the national nonelderly adult population based on benchmarks from the Current Population Survey and American Community Survey. We also adjust the September tracking survey weights to address differential nonresponse among participants in the March/April HRMS. Nonresponse in the September survey is greater among March/April HRMS participants experiencing negative employment effects and material hardship during the pandemic, and these effects differ based on demographic characteristics. Therefore, we adjust the weights so work status and employment and hardship outcomes reported in March/April among the September sample align with the outcomes reported among the full March/ April HRMS sample, both overall and within key demographic subgroups. These adjustments make the September tracking survey sample better represent the sample initially drawn in March/April and mitigate nonresponse bias in estimated changes in the pandemic’s effects over time. The margin of sampling error, including the design effect, for the full sample of adults in the second wave of the tracking survey is plus or minus 2.0 percentage points for a 50 percent statistic at the 95 percent confidence level. Additional information about the March/April 2020 HRMS and the questionnaires for the HRMS and first and second waves of the Coronavirus Tracking Survey can be found at hrms.urban.org. The survey contained several questions regarding respondents’ use of telehealth. The first question was, “Since the coronavirus outbreak began, have you had a phone or video visit with a doctor, nurse, or other health care provider to talk about your own health? These types of visits are sometimes called telehealth visits.” Importantly, this question includes both phone calls and video visits in the definition of telehealth without distinguishing between the two. We therefore use telehealth “use” and “visits” synonymously throughout this brief. The survey questions also did not specify whether telehealth visits were with clinicians with whom respondents had an established relationship or with third-party vendors with whom they lacked an established relationship. Thus, both are included in our definition of telehealth use. Survey respondents who did not have internet access were provided tablets and internet access to complete the survey. These respondents could also use this technology for