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89, 95% CI 1.87-1.92, P less then 0.001). On subset analysis of the DCP age group, post-ACA patients were more likely to be uninsured (24.1% versus 17.6%; P less then 0.001). In addition, for the DCP age group, pre-ACA era was not associated with mortality (HR 1.03, 95% CI 0.99-1.06, P = 0.2. CONCLUSIONS Although the ACA provided a survival benefit to PTPs overall, it did not increase insurance coverage for this population. In addition, the DCP of the ACA did not improve insurance access for PTP in the eligible age group. Further efforts