Yes, I think my son will need to make a good score on the SAT or ACT if he wants to go out of state to college like his sister wants him to but I think it might be difficult for him to get through a really long test now because of the pain and fatigue issues, especially in his brace. I like the idea of having him take CLEP tests to get college credit while he is high school age, take community college classes while living at home for the first few years, then transfer to a state college about 45 minutes away from home. I don't want him to have any student loan debt and this is the only way I know to do it.