Notes: Outcomes include: private, Medicaid, self-pay, and states and localities. Payment source state sample includes the following states: AK, AR, CO, DC, HI, IA, ID, KS, KY, MO, MS, MT, ND, NE, NH, NJ, NV, OH, PA, RI, SC, SD, TX, UT, and VT. Early expanding states excluded from the sample.