Table A1.

Financial Strain, Health Care Access and Utilization by Time and FPL, NHIS 2011-2016 (N = 133°672).

Outcome	Pre-ACA						Post-ACA
	≥400%	300%-399%	200%-299%	125%-199%	0%-124%	P value	≥400%	300%-399%	200%-299%	125%-199%	0%-124%	P value
Financial strain
Couldn’t afford prescription medication in past 12 months due to cost	0.030	0.030	0.111	0.168	0.192	<.001	0.025	0.025	0.086	0.125	0.146	<.001
Delayed care due to cost in past 12 months	0.061	0.121	0.183	0.248	0.229	<.001	0.053	0.110	0.148	0.181	0.174	<.001
Didn’t get needed care due to cost in past 12 months	0.032	0.079	0.128	0.198	0.203	<.001	0.027	0.062	0.103	0.152	0.152	<.001
Problems paying medical bills in past 12 months	0.078	0.182	0.249	0.331	0.617	<.001	0.067	0.157	0.210	0.331	0.547	<.001
Worried about paying medical bills in past 12 months	0.399	0.036	0.623	0.700	0.617	<.001	0.372	0.030	0.577	0.630	0.547	<.001
Access
Currently uninsured	0.049	0.127	0.237	0.373	0.354	<.001	0.036	0.095	0.161	0.234	0.236	<.001
Waited too long in physician’s office in past 12 months	0.035	0.021	0.037	0.053	0.067	<.001	0.029	0.017	0.040	0.050	0.060	.035
Utilization
≥1 Physician visit in past 12 months	0.856	0.809	0.754	0.710	0.727	<.001	0.860	0.806	0.768	0.742	0.758	<.001
≥1 ED visit in past 12 months	0.137	0.157	0.187	0.233	0.303	<.001	0.130	0.160	0.172	0.240	0.299	<.001

Note. Pre-ACA is an indicator for the years 2011-2013. Post-ACA is an indicator for the years 2014-2016. All P values are shown for chi-squared analyses. All statistics represent proportions. FPL = Federal Poverty Level; NHIS = National Health Interview Survey; ACA = Patient Protection and Affordable Care Act; ED = emergency department.