Which U.S. states are seeing a spike in emergency department visits?

Ambulances are the nation’s second-most-used service, according to data released Tuesday by the American Hospital Association.

The association’s data show ambulance trips to hospitals have increased in many states since last year, when they dropped.

The numbers include visits to the emergency room, where most of the deaths occur, as well as hospitalizations and deaths from other causes.

The data also show an increase in hospitalizations for children under 18, the first time that trend has occurred since the ACA expanded coverage.

Here are some of the states seeing a surge in emergency room visits this year.

Alaska, Arkansas, California, Colorado, Georgia, Hawaii, Idaho, Illinois, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

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