LAUSR

Mortality rates for the leading drivers of premature death (< 65 years), cancer and cardiovascular disease (CVD), have remained stagnant over the past decade in the United States (US).1 Socioeconomic disparities in premature mortality persist, which may be partially related to limited healthcare access.2 The Affordable Care Act (ACA) legislation expanded Medicaid coverage for adults < 65 years with income < 138% of the federal poverty level (FPL). While health insurance coverage increased for > 13 million, approximately 3 million eligible people live in states that opted out of Medicaid expansion. There remains limited data on the impact of Medicaid expansion on premature mortality and if any observed benefits are similar across leading causes of death.