Survey Text

2022
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2022
Survey form view entire document:  text  image
Question ID: INS.0520.00.1
Variable: CHXCHNG_A
Interview Module: Adult
Content Type: Annual Core

Question text:

?[F1]
Was your CHIP plan obtained through Healthcare.gov or the ^MARKETPLACE?
Fills:
^MARKETPLACE
Description: Health Insurance marketplace names
Instruction:
If no state specified below, fill "Health Insurance Marketplace"
If state specified below fill:
If CA then fill "Health Insurance Marketplace, such as
Covered California"
If CO then fill "Health Insurance Marketplace, such as
Connect for Health Colorado"
If CT then fill "Health Insurance Marketplace, such as
Access Health CT"
If DC then fill "Health Insurance Marketplace, such as DC
Health Link"
If ID then fill "Health Insurance Marketplace, such as
Your Health Idaho"
If MA then fill "Health Insurance Marketplace, such as
Massachusetts Health Connector"
If MD then fill "Health Insurance Marketplace, such as
Maryland Health Connection"
If MN then fill "Health Insurance Marketplace, such as
MNsure"
If NJ then fill "Health Insurance Marketplace, such as
GetCoveredNJ"
If NV then fill "Health Insurance Marketplace, such as
Nevada Health Link"
If NY then fill "Health Insurance Marketplace, such as NY
State of Health"
If PA then fill "Health Insurance Marketplace, such as
Pennie"
If RI then fill "Health Insurance Marketplace, such as
HealthSource RI"
If VT then fill "Health Insurance Marketplace, such as
Vermont Health Connect"
If WA then fill "Health Insurance Marketplace, such as
Washington Health Plan Finder"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHPREM_A]

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2021
Survey form view entire document:  text  image
Question ID: INS.0520.00.1
Variable: CHXCHNG_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
Was your CHIP plan obtained through Healthcare.gov or the ^MARKETPLACE?
Fills:
^MARKETPLACE
Description: Health Insurance marketplace names
Instruction:
If no state specified below, fill "Health Insurance Marketplace"
If state specified below fill:
If CA then fill "Health Insurance Marketplace, such as
Covered California"
If CO then fill "Health Insurance Marketplace, such as
Connect for Health Colorado"
If CT then fill "Health Insurance Marketplace, such as
Access Health CT"
If DC then fill "Health Insurance Marketplace, such as DC
Health Link"
If ID then fill "Health Insurance Marketplace, such as
Your Health Idaho"
If MA then fill "Health Insurance Marketplace, such as
Massachusetts Health Connector"
If MD then fill "Health Insurance Marketplace, such as
Maryland Health Connection"
If MN then fill "Health Insurance Marketplace, such as
MNsure"
If NJ then fill "Health Insurance Marketplace, such as
GetCoveredNJ"
If NV then fill "Health Insurance Marketplace, such as
Nevada Health Link"
If NY then fill "Health Insurance Marketplace, such as NY
State of Health"
If PA then fill "Health Insurance Marketplace, such as
Pennie"
If RI then fill "Health Insurance Marketplace, such as
HealthSource RI"
If VT then fill "Health Insurance Marketplace, such as
Vermont Health Connect"
If WA then fill "Health Insurance Marketplace, such as
Washington Health Plan Finder"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHPREM_A]
Question ID: INS.0480.00.1
Variable: CHXCHNG_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
Was ^SCNAME's CHIP plan obtained through Healthcare.gov or the ^MARKETPLACE?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^MARKETPLACE
Description: Health Insurance marketplace names
Instruction:
If no state specified below, fill "Health Insurance Marketplace"
If state specified below fill:
If CA then fill "Health Insurance Marketplace, such as
Covered California"
If CO then fill "Health Insurance Marketplace, such as
Connect for Health Colorado"
If CT then fill "Health Insurance Marketplace, such as
Access Health CT"
If DC then fill "Health Insurance Marketplace, such as DC
Health Link"
If ID then fill "Health Insurance Marketplace, such as
Your Health Idaho"
If MA then fill "Health Insurance Marketplace, such as
Massachusetts Health Connector"
If MD then fill "Health Insurance Marketplace, such as
Maryland Health Connection"
If MN then fill "Health Insurance Marketplace, such as
MNsure"
If NJ then fill "Health Insurance Marketplace, such as
GetCoveredNJ"
If NV then fill "Health Insurance Marketplace, such as
Nevada Health Link"
If NY then fill "Health Insurance Marketplace, such as NY
State of Health"
If PA then fill "Health Insurance Marketplace, such as
Pennie"
If RI then fill "Health Insurance Marketplace, such as
HealthSource RI"
If VT then fill "Health Insurance Marketplace, such as
Vermont Health Connect"
If WA then fill "Health Insurance Marketplace, such as
Washington Health Plan Finder"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHPREM_C]

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2020
Survey form view entire document:  text  image
Question ID: INS.0520.00.1
Variable: CHXCHNG_A
Interview Module: Adult
Content Type: Annual Core
Question text:
?[F1]
Was your CHIP plan obtained through Healthcare.gov or the ^MARKETPLACE?
Fills:
^MARKETPLACE
Description: Health Insurance marketplace names
Instruction:
If no state specified below, fill "Health Insurance Marketplace"
If state specified below fill:
If CA then fill "Health Insurance Marketplace, such as
Covered California"
If CO then fill "Health Insurance Marketplace, such as
Connect for Health Colorado"
If CT then fill "Health Insurance Marketplace, such as
Access Health CT"
If DC then fill "Health Insurance Marketplace, such as DC
Health Link"
If ID then fill "Health Insurance Marketplace, such as
Your Health Idaho"
If KY then fill "Health Insurance Marketplace, such as
Kentucky Health Benefit Exchange"
If MA then fill "Health Insurance Marketplace, such as
Massachusetts Health Connector"
If MD then fill "Health Insurance Marketplace, such as
Maryland Health Connection"
If MN then fill "Health Insurance Marketplace, such as
MNsure"
If NM then fill "Health Insurance Marketplace, such as
BeWellNM"
If NV then fill "Health Insurance Marketplace, such as
Nevada Health Link"
If NY then fill "Health Insurance Marketplace, such as New
York State of Health"
If RI then fill "Health Insurance Marketplace, such as
HealthSource RI"
If VT then fill "Health Insurance Marketplace, such as
Vermont Health Connect"
If WA then fill "Health Insurance Marketplace, such as
Washington Health Plan Finder"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Adults 18+ with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHPREM_A]
Question ID: INS.0480.00.1
Variable: CHXCHNG_C
Interview Module: Child
Content Type: Annual Core
Question text:
?[F1]
Was ^SCNAME's CHIP plan obtained through Healthcare.gov or the ^MARKETPLACE?
Fills:
^SCNAME
Description: Sample child's name
Instruction:
Fill ALIAS of HHSTAT_C=1
^MARKETPLACE
Description: Health Insurance marketplace names
Instruction:
If no state specified below, fill "Health Insurance Marketplace"
If state specified below fill:
If CA then fill "Health Insurance Marketplace, such as
Covered California"
If CO then fill "Health Insurance Marketplace, such as
Connect for Health Colorado"
If CT then fill "Health Insurance Marketplace, such as
Access Health CT"
If DC then fill "Health Insurance Marketplace, such as DC
Health Link"
If ID then fill "Health Insurance Marketplace, such as
Your Health Idaho"
If KY then fill "Health Insurance Marketplace, such as
Kentucky Health Benefit Exchange"
If MA then fill "Health Insurance Marketplace, such as
Massachusetts Health Connector"
If MD then fill "Health Insurance Marketplace, such as
Maryland Health Connection"
If MN then fill "Health Insurance Marketplace, such as
MNsure"
If NM then fill "Health Insurance Marketplace, such as
BeWellNM"
If NV then fill "Health Insurance Marketplace, such as
Nevada Health Link"
If NY then fill "Health Insurance Marketplace, such as New
York State of Health"
If RI then fill "Health Insurance Marketplace, such as
HealthSource RI"
If VT then fill "Health Insurance Marketplace, such as
Vermont Health Connect"
If WA then fill "Health Insurance Marketplace, such as
Washington Health Plan Finder"
Response:
1 - Yes
2 - No
7 - Refused
9 - Don't Know
Universe:
Sample Children 0-17 with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHPREM_C]

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2019
Survey form view entire document:  text  image
Question ID: INS.0520.00.1
Variable: CHXCHNG_A
Interview Module: Adult
Content Type: Annual Core

Question Text:

Was your CHIP plan obtained through Healthcare.gov or the ^MARKETPLACE?
Fills:
^MARKETPLACE

Description: Health insurance marketplace names
Instruction:
If no state specified below, fill "Health Insurance Marketplace"
If state specified below fill:

If CA then fill "Health Insurance Marketplace, such as Covered California"
If CO then fill "Health Insurance Marketplace, such as Connect for Health Colorado"
If CT then fill "Health Insurance Marketplace, such as Access Health CT"
If DC then fill "Health Insurance Marketplace, such as DC Health Link"
If ID then fill "Health Insurance Marketplace, such as Your Health Idaho"
If MA then fill "Health Insurance Marketplace, such as Health Connector"
If MD then fill "Health Insurance Marketplace, such as Maryland Health Connection"
If MN then fill "Health Insurance Marketplace, such as MNsure"
If NY then fill "Health Insurance Marketplace, such as New York State of Health"
If RI then fill "Health Insurance Marketplace, such as HealthSource RI"
If VT then fill "Health Insurance Marketplace, such as Vermont Health Connect"
If WA then fill "Health Insurance Marketplace, such as Washington Healthplanfinder"
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Adults 18+ with a CHIP plan
Skip Instructions:
1,2,RF,DK [goto CHPREM_A]
Question ID: INS.0480.00.1
Variable: CHXCHNG_C
Interview Module: Child
Content Type: Annual Core

Question Text:

Was ^SCNAME's CHIP plan obtained through Healthcare.gov or the ^MARKETPLACE?
Fills:
^SCNAME

Description Sample child's name
Instruction Fill ALIAS of HHSTAT_C=1

^MARKETPLACE

Description Health insurance marketplace names
Instruction If no state specified below, fill "Health Insurance Marketplace"
If state specified below fill:

If CA then fill "Health Insurance Marketplace, such as Covered California"
If CO then fill "Health Insurance Marketplace, such as Connect for Health Colorado"
If CT then fill "Health Insurance Marketplace, such as Access Health CT"
If DC then fill "Health Insurance Marketplace, such as DC Health Link"
If ID then fill "Health Insurance Marketplace, such as Your Health Idaho"
If MA then fill "Health Insurance Marketplace, such as Health Connector"
If MD then fill "Health Insurance Marketplace, such as Maryland Health Connection"
If MN then fill "Health Insurance Marketplace, such as MNsure"
If NY then fill "Health Insurance Marketplace, such as New York State of Health"
If RI then fill "Health Insurance Marketplace, such as HealthSource RI"
If VT then fill "Health Insurance Marketplace, such as Vermont Health Connect"
If WA then fill "Health Insurance Marketplace, such as Washington Healthplanfinder"
Response:
1 Yes
2 No
7 Refused
9 Do not Know
Universe:
Sample Children 0-17 with a CHIP plan
Skip Instructions:
1,2,RF,DK = [goto CHPREM_C]

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2018
Survey form view entire document:  text  image
Question ID: FHI.250_00.010

Instrument Variable Name: CHXCHNG
QuestionText:
Was [fill 1: your/ALIAS's] CHIP plan obtained through Healthcare.gov or the [Health Insurance Marketplace/Health Insurance Marketplace, such as (fill: state name)]?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with CHIP
SkipInstructions: (1,2,R,D) goto STRFPRM1

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2017
Survey form view entire document:  text  image
Question ID: FHI.250_00.010

Instrument Variable Name: CHXCHNG
QuestionText:
Was [fill 1: your/ALIAS's] CHIP plan obtained through Healthcare.gov or the [Health Insurance Marketplace/Health Insurance Marketplace, such as (fill: state name)]?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with CHIP
SkipInstructions: (1,2,R,D) goto STRFPRM1

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2016
Survey form view entire document:  text  image
Question ID: FHI.250_00.010

Instrument Variable Name: CHXCHNG
QuestionText:
Was [fill 1: your/ALIAS's] CHIP plan obtained through Healthcare.gov or the [Health Insurance Marketplace/Health Insurance Marketplace, such as (fill: state name)]?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with CHIP
SkipInstructions: (1,2,R,D) goto STRFPRM1

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2015
Survey form view entire document:  text  image
Question ID: FHI.250_00.010

Instrument Variable Name: CHXCHNG
QuestionText:
Was [fill 1: your/ALIAS's] CHIP plan obtained through Healthcare.gov or the [Health Insurance Marketplace/Health Insurance Marketplace, such as (fill: state name)]?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with CHIP
SkipInstructions: (1,2,R,D) goto STRFPRM1

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2014
Survey form view entire document:  text  image
Question ID: FHI.250_00.010

Instrument Variable Name: CHXCHNG
QuestionText:
Was [fill 1: your/ALIAS's] CHIP plan obtained through Healthcare.gov or the [Health Insurance Marketplace/Health Insurance Marketplace, such as (fill: state name)]?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: All persons with CHIP
SkipInstructions: (1,2,R,D) goto STRFPRM1