Adjusted changes from 2013–2017 in health care access for young adults under the ACA, by state Medicaid expansion status

Medicaid Expansion Status	Uninsured				No personal doctor				Avoided care due to cost
	Change 2013–2016		Change 2016–2017		Change 2013–2016		Change 2016–2017		Change 2013–2016		Change 2016–2017
	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
No	−8.5***	(−9.7, −7.4)	3.9***	(2.7, 5.2)	−3 4***	(−4.7, −2.0)	1.3	(−1.3, 2.8)	−2.5***	(−3.6, −1.5)	0.6	(−0.6, 1.7)
Yes	−8.7***	(−9.5, −7.9)	−0.4	(−1.3, 0.5)	−4.9***	(−5.9, −3.8)	1.0	(−0.2, 2.1)	−4.1***	(−4.9, −3.3)	1.3**	(0.4, 2.1)
Differencea	0.0	(−2.1, 2.0)	4 4***	(2.0, 6.7)	0.0	(−0.04, 0.02)	0.4	(−1.4, 2.2)	−1.5*	(−2.9, 0.0)	−0.7	(−1.9, 0.6)

Source: Authors' analysis of data for 2011–17 from the Behavioral Risk Factor Surveillance System (BRFSS). Data for years 2011–2012 were included to control for baseline trends. Notes: The exhibit displays changes in the percentage of noninstitutionalized US adults aged 18–24 who reported that they had insurance coverage, had a primary care provider, or avoided care due to cost associated with the Affordable Care Act (ACA) rollout. All columns show regression estimates adjusted for covariates described in the text.

^aDifference between expansion and non-expansion states in changes over time, adjusted for covariates.

^*p <0.05

^**p<.01

^***p<.001