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To describe social needs among low-income adults and estimate the relationship between level of unmet social needs and key indicators of health care access and quality. National survey data from 12 states from the 2017 Behavioral Risk Factor Surveillance System, which added a "Social Determinants of Health" Module in 2017. We examined differences in eight measures of health care access and quality (eg, check-up in last 12months, inability to see doctor due to cost, receipt of eye examination for diabetics) for low-income adults with 0