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This increase was statistically significant (P less then .001) in 2015 and 2016, but marginally significant (P = .016) in 2014. Hospital-wide readmission rates statistically significantly decreased by 9, 16, and 18 per 10 000 patients (P less then .001) in 2014, 2015, and 2016, respectively, in expansion vs nonexpansion states hospitals after expansion. CONCLUSIONS Medicaid expansion was associated with gradually improved hospitals' nurse staffing ratios and hospital-wide readmission rates from 2014 through 2016. The continu