Exhibit 5:

Changes in health status among Southern Community Cohort Study participants in Medicaid nonexpansion states from before to after expansion, by state

	Health status (%)
	No change	Improvement	Decline	State rank in declining health
South Carolina	43.3	23.3	33.4	1
North Carolina	42.4	22.9	34.7	2
Virginia	42.1	23.3	34.7	3
Mississippi	40.8	24	35.2	4
Florida	40.5	23.4	36.1	5
Georgia	40.6	22.6	36.8	6
Alabama	38.3	24.3	37.3	7
Tennessee	39.4	23.1	37.5	8

SOURCE Authors’ analysis of Southern Community Cohort Study data. NOTES Virginia had not yet expanded its Medicaid program during our study period, so it is included as a nonexpansion state here. As noted in the text, mortality was included in the category of declining health. Separate results for mortality are reported in the appendix (see note 23 in text).