Context
PolicyEngine/policyengine-us#8076 adds federal/state cost attribution for Medicaid (FMAP) and CHIP (eFMAP), plus cross-program aggregates federal_benefit_cost / state_benefit_cost. The variables are there; a demonstration on real reforms makes the capability discoverable.
Proposal
Add a notebook to analysis-notebooks that walks through a realistic Medicaid reform (e.g., ACA expansion rollback, or raising the expansion FMAP from 90% back to a pre-ACA split) and shows:
- Baseline vs. reform aggregate Medicaid cost
- Breakdown into federal vs. state cost, at the national level and by state
- Comparison with the single-number
budgetary_impact — showing how the aggregate hides the state-level fiscal shift
- Per-state choropleth of state-borne cost change under the reform
This surfaces the new variables to analysts and establishes a pattern for future fed/state reform scoring (OBBBA SNAP state match starting FY2028, etc.).
Related
Context
PolicyEngine/policyengine-us#8076 adds federal/state cost attribution for Medicaid (FMAP) and CHIP (eFMAP), plus cross-program aggregates
federal_benefit_cost/state_benefit_cost. The variables are there; a demonstration on real reforms makes the capability discoverable.Proposal
Add a notebook to
analysis-notebooksthat walks through a realistic Medicaid reform (e.g., ACA expansion rollback, or raising the expansion FMAP from 90% back to a pre-ACA split) and shows:budgetary_impact— showing how the aggregate hides the state-level fiscal shiftThis surfaces the new variables to analysts and establishes a pattern for future fed/state reform scoring (OBBBA SNAP state match starting FY2028, etc.).
Related