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Keeping Coverage Affordable: Addressing Chip 'Premium Stacking' (PDF)
Families USA 
Apr. 5, 2013
"The [ACA] limits the amount of income a family can be expected to pay for coverage purchased in their state's new marketplace if their income is 400 percent of the federal poverty level or below. However, the premiums that families in some states pay for CHIP coverage will not be taken into account in the overall calculation of coverage affordability. For these families, the combined cost of coverage for parents and children could be too high -- and higher than the thresholds set by the [ACA]."
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