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ion. Systemic atrioventricular valve replacement/valvuloplasty improved systemic ventricular function for ccTGA with an intact ventricular septum. Physiological repair was not ideal for ccTGA with PS. Severe systemic atrioventricular valve regurgitation and systemic ventricular dysfunction were associated with suboptimal outcomes. Medicaid expansion (ME) under the Affordable Care Act (ACA) has reduced the number of uninsured patients, though its preferential effects on vulnerable populations has been mixed. This study examined whether ME