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Out-of-Pocket Spending for Children in Separate CHIP versus Exchange Coverage

This presentation compares out-of-pocket health care spending in subsidized exchange coverage —both cost sharing and premiums—for children in the 36 states that have separate CHIP programs for children age 0–18. It also provides estimates of the share of children in each state, separated by income group, whose out-of-pocket spending would exceed various thresholds in CHIP and subsidized exchange coverage.

These estimates are based on modeling by the Actuarial Research Corporation and are consistent with the Commission’s earlier findings that children would face greater out-of-pocket spending in exchange coverage than they would in separate CHIP.