Fig. 1

Adjusted monthly perinatal mood and anxiety disorder (PMAD) diagnosis rates among birthing Medicaid enrollees 2012–2018^a,b. ^aAdjusted for: time, ACA implementation, time since ACA implementation, percent of enrollees ≥ 26, percent of non-white enrollees, and percent of enrollees with OBCMI score > 2. ^bLight blue shading and dashed line indicate model with ACA implementation set to 0; this represents a counterfactual projection of rates had the ACA not been implemented