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Example notebook: federal vs. state Medicaid fiscal impact #131

@MaxGhenis

Description

@MaxGhenis

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:

  1. Baseline vs. reform aggregate Medicaid cost
  2. Breakdown into federal vs. state cost, at the national level and by state
  3. Comparison with the single-number budgetary_impact — showing how the aggregate hides the state-level fiscal shift
  4. 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.).

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