Table presents regression results for medical care expenditures, focusing on total, outpatient, inpatient, ED, and pharmaceutical spending. The first panel of Table , which includes social and economic controls, but not health indicators, clearly shows that level of household food insecurity is positively associated with having any health care expenditures, as well as total expenditures conditional upon having any utilization. Households with marginal, low, and very low food security are increasingly more likely than food secure households to have any health care expenditures (P = .006 for marginal food security, P = .021 for low food security, P < .001 very low food security), and have higher levels of total health care expenditures (P = .044 for marginal food security, P = .003 for low food security, P = .011 for very low food security). These differences are not driven exclusively by inpatient or outpatient expenditures, however, as outpatient and inpatient spending are rarely significantly different across households with different levels of food insecurity. The exception is very low food secure households, which have a higher likelihood of any outpatient expenses (P = .041) compared to food secure households. Large quantitative differences are seen for ED and pharmaceutical expenditures. As household food insecurity increases, the likelihood of any ED expenditure rises significantly, though ED spending conditional on any usage is not significantly different across groups. Any pharmaceutical spending (P < .001 for all three levels of food insecurity) along with conditional expenditures (P = .047 for marginal food security, P < .001 for low food security, P < .001 for very low food security) rises significantly as household food insecurity increases., With these controls now in the models, the significant differences in total health care spending across the food security groups largely disappear. The likelihood of any and conditional health care expenditures is now statistically similar across levels of household food security., Food Budget Shortfall among Food-Insecure Individuals Neighborsn tell us that the high cost of food and other essentials is one of the top reasons why it’s increasingly difficult to afford and access the food they need to thrive. The cost of essentials like food, housing, health care, utilities and child and dependent care can stretch already .