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Patient characteristics To describe patients living in expansion and non-expansion states and to develop weights to control for differences in expansion groups, we used the following, EHR-derived pre-ACA covariates: sex, age as of 1/1/2014, race/ethnicity (Hispanic, non-Hispanic white, Non-Hispanic black, Non-Hispanic other, Missing), household income as percent of FPL as of 1/1/2014, location of patients primary clinic (urban/rural), number of ambulatory visits in 2013, insurance status at visits in 2013 (all private insurance

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