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Block ACA eligibility after Medicaid work requirement failure#8722

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daphnehanse11 wants to merge 3 commits into
PolicyEngine:mainfrom
daphnehanse11:codex/issue-6174-medicaid-ce-aca
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Block ACA eligibility after Medicaid work requirement failure#8722
daphnehanse11 wants to merge 3 commits into
PolicyEngine:mainfrom
daphnehanse11:codex/issue-6174-medicaid-ce-aca

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@daphnehanse11

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Fixes #6174.

Summary

  • Adds a Medicaid-side indicator for people otherwise Medicaid-eligible but denied by work requirements.
  • Treats that work-requirement denial as ACA marketplace premium/PTC blocking coverage.
  • Adds ACA premium/PTC regressions for Medicaid work-requirement failure and a non-Medicaid control case.

Tests

  • uv run python -m policyengine_core.scripts.policyengine_command test policyengine_us/tests/policy/baseline/gov/aca/eligibility/pays_aca_premium.yaml -c policyengine_us
  • git diff --check

@codecov

codecov Bot commented Jun 22, 2026

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Codecov Report

✅ All modified and coverable lines are covered by tests.
✅ Project coverage is 100.00%. Comparing base (47cb26b) to head (ef40f86).
⚠️ Report is 13 commits behind head on main.

Additional details and impacted files
@@            Coverage Diff            @@
##              main     #8722   +/-   ##
=========================================
  Coverage   100.00%   100.00%           
=========================================
  Files            3         2    -1     
  Lines           47        39    -8     
  Branches         0         2    +2     
=========================================
- Hits            47        39    -8     
Flag Coverage Δ
unittests 100.00% <100.00%> (ø)

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Make people who fail Medicaid work requirements ineligible for ACA

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