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ow-income patients in both states. These data suggest that ACA implementation is associated with earlier RCC detection among lower-income patients. Among patients with RCC, ACA implementation was associated with an increase in insurance coverage status in both expansion and nonexpansion states for all income groups, but to a greater degree in expansion states. The proportion of patients with localized disease increased among low-income patients in both states. These data suggest that ACA implementation is associated with earlier RCC detect
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