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Based on these data, we conclude federal step-therapy legislation is needed. Sugar-sweetened beverage (SS consumption has declined steadily. This study uses the latest national data to examine trends in SSB consumption among children and adults by race and/or ethnicity and to document whether long-standing disparities in intake remain. Trend analyses of demographic and dietary data measured by 24-h dietary recall from the National Health and Nutrition Examination Survey (NHANES). Data from the 2003-2004 through 2017-2018 NHANES survey cycles were