Update NY Essential Plan expansion after 2026 waiver termination

changelog.d/added/8349.md

@@ -0,0 +1 @@
+End New York's expanded Basic Health Program income limit after the 2026 waiver termination.

policyengine_us/parameters/gov/hhs/basic_health_program/eligibility/expanded_income_limit_states.yaml

@@ -5,10 +5,14 @@ values:
     []
   # New York's 250% FPL Essential Plan expansion launched 2024-04-01 under
   # the approved section 1332 waiver; first full coverage year is 2025.
-  # The model carries that expanded ceiling forward in this BHP-like path,
-  # even though the formal BHP restarts later.
   2025-01-01:
     - NY
+  # CMS approved termination of New York's section 1332 waiver effective
+  # 2026-07-01. Because this eligibility variable is annual, we keep NY on
+  # the 250% FPL expanded ceiling through 2026 (the waiver still applies for
+  # H1 2026) and revert to the standard 200% FPL BHP ceiling starting 2027.
+  2027-01-01:
+    []
 
 metadata:
   unit: list
@@ -23,3 +27,5 @@ metadata:
       href: https://www.medicaid.gov/basic-health-program/downloads/ny-bhp-suspension-appvl-ltr-mar-2024.pdf
     - title: New York BHP Blueprint revision | CMS
       href: https://www.medicaid.gov/basic-health-program/downloads/ny-bhp-blueprint-revision-feb2026.pdf
+    - title: New York State Department of Health Provides Update on Federal Approval to Preserve Health Coverage for 1.3 Million New Yorkers
+      href: https://www.health.ny.gov/press/releases/2026/2026-03-23_federal_approval_to_preserve_health_coverage.htm

policyengine_us/tests/policy/baseline/gov/aca/eligibility/is_aca_ptc_eligible.yaml

@@ -391,3 +391,28 @@
         aca_magi_fraction: 2.50
   output:
      is_aca_ptc_eligible: [true, true, true, true, false]
+
+- name: New York Essential Plan expansion group can qualify for ACA PTC in 2027
+  period: 2027
+  input:
+    people:
+      person1:
+        age: 40
+        immigration_status: CITIZEN
+        medicaid_income_level: 2.3
+        is_aca_eshi_eligible: false
+        is_medicare_eligible: false
+        is_chip_eligible: false
+    tax_units:
+      tax_unit:
+        members: [person1]
+        aca_magi_fraction: 2.3
+        filing_status: SINGLE
+    households:
+      household:
+        members: [person1]
+        state_code: NY
+  output:
+     is_medicaid_eligible: [false]
+     is_basic_health_program_eligible: [false]
+     is_aca_ptc_eligible: [true]

policyengine_us/tests/policy/baseline/gov/hhs/basic_health_program/is_basic_health_program_eligible.yaml

@@ -350,3 +350,60 @@
         state_code: NY
   output:
     is_basic_health_program_eligible: [false]
+
+- name: New York expanded 250 percent FPL ceiling remains effective in 2026 annual simulation
+  period: 2026
+  input:
+    people:
+      person:
+        age: 40
+        immigration_status: CITIZEN
+        medicaid_income_level: 2.3
+        is_medicaid_eligible: false
+        is_chip_eligible: false
+        is_aca_eshi_eligible: false
+        is_medicare_eligible: false
+    households:
+      household:
+        members: [person]
+        state_code: NY
+  output:
+    is_basic_health_program_eligible: [true]
+
+- name: New York at 230 percent FPL in 2027 is above the standard 200 percent BHP limit
+  period: 2027
+  input:
+    people:
+      person:
+        age: 40
+        immigration_status: CITIZEN
+        medicaid_income_level: 2.3
+        is_medicaid_eligible: false
+        is_chip_eligible: false
+        is_aca_eshi_eligible: false
+        is_medicare_eligible: false
+    households:
+      household:
+        members: [person]
+        state_code: NY
+  output:
+    is_basic_health_program_eligible: [false]
+
+- name: New York at 190 percent FPL in 2027 remains within the standard BHP limit
+  period: 2027
+  input:
+    people:
+      person:
+        age: 40
+        immigration_status: CITIZEN
+        medicaid_income_level: 1.9
+        is_medicaid_eligible: false
+        is_chip_eligible: false
+        is_aca_eshi_eligible: false
+        is_medicare_eligible: false
+    households:
+      household:
+        members: [person]
+        state_code: NY
+  output:
+    is_basic_health_program_eligible: [true]