Figure. Change in Stage of Breast Cancer by State and Insurance Type.

Expansion states are Arizona, California, Colorado, Connecticut, Hawaii, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Montana, Nevada, New Hampshire, New Jersey, North Dakota, Ohio, Oregon, Pennsylvania, Rhode Island, Virginia, Washington, and West Virginia. Nonexpansion states are Alabama, Florida, Georgia, Idaho, Kansas, Mississippi, Missouri, Nebraska, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah, and Wisconsin. ACA indicates Patient Protection and Affordable Care Act.