a significant trendP < .001
Interrupted time-series analysis did not detect an immediate shift in Medi-Cal or uninsured visits at the quarter of unwinding, but indicated a significant trend change, showing a decline of 0.37 pp per quarter ( P < .001) in Medi-Cal visits and an increase of 0.16 pp per quarter ( P < .001) in uninsured visits relative to the pre-unwinding period ( Table 1 , Figure 1 ).