The impact of the affordable care act on access to bariatric surgery in Maryland

•The implementation of the Affordable Care Act led to increased utilization and access to bariatric surgery, specifically Roux-en-Y gastric bypass, among minority groups in Maryland•Despite a higher proportion of higher-risk surgical patients, including elderly, Medicaid beneficiaries, and low-income patients, postoperative outcomes improved in the post-ACA period in Maryland.