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1 change: 1 addition & 0 deletions changelog.d/nj-njhps-py2026-citations.fixed.md
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@@ -0,0 +1 @@
NJ Health Plan Savings: cite the DOBI FY2026-2027 budget response for the program's continuation to 600% FPL in plan year 2026 after the enhanced federal credits lapsed, and the Department's 2026-08-18 letter for the 2025 poverty-guideline vintage; correct the Treasury addendum page anchor.
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Expand Up @@ -3,7 +3,15 @@ values:
# NJHPS extends premium assistance up to 600% FPL, applied as a "<=" comparison.
# The dollar ceilings ($93,900 individual / $192,900 family of four in 2026)
# auto-derive from the federal poverty line and are not hard-coded. The DOBI
# FY2026 budget confirms the program continues "up to 600% FPL" for PY2026.
# FY2025-2026 budget response said the Department "intends to continue"
# NJHPS to 600% FPL if the enhanced federal credits were extended; they were
# not, and the FY2026-2027 response (p.4) states the outcome: "While the
# enhanced APTCs were not extended by the federal government in 2026, the
# Department continued providing NJ Health Plan Savings subsidies up to 600%
# FPL." The 2026-08-18 letter to the Assembly Budget Committee (p.5) fixes the
# poverty-guideline vintage: "For plan year 2026 (using 2025 FPL levels), for
# a family of four, the 400 percent of FPL is $128,600, and 600 percent of
# FPL is $192,900".
2026-01-01: 6

metadata:
Expand All @@ -15,5 +23,9 @@ metadata:
href: https://www.cms.gov/files/document/1332-ota-methodology-addendum-nj-pass-through.pdf#page=12
- title: NJ DOBI FY2025-2026 Budget Discussion Points
href: https://pub.njleg.state.nj.us/publications/budget/governors-budget/2026/dobi_response_2026.pdf#page=6
- title: NJ DOBI FY2026-2027 Budget Discussion Points, p.4 ("continued providing NJ Health Plan Savings subsidies up to 600% FPL" in 2026)
href: https://pub.njleg.state.nj.us/publications/budget/governors-budget/2027/dobi_response_2027.pdf#page=4
- title: NJ DOBI follow-up response to the Assembly Budget Committee, 2026-08-18, p.5 (plan year 2026 uses the 2025 poverty guidelines; 600% FPL is $192,900 for four)
href: https://pub.njleg.state.nj.us/publications/budget/governors-budget/2027/dobi_follow_up_response_abu.pdf#page=5
- title: Get Covered NJ - New Jersey Health Plan Savings
href: https://www.nj.gov/getcoverednj/financialhelp/premiums/
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Expand Up @@ -9,9 +9,12 @@ values:
# false before 2026-01-01. The pre-2026 enhanced schedule is left unmodeled and
# carried as a backdating backlog item.
# No end date: the program is permanent law, so PY2027+ carries the PY2026 design
# forward as a current-law assumption. The DOBI FY2026 budget confirms NJHPS
# continues "up to 600% FPL" with expenditures projected to remain flat at
# $212.2M in FY2026.
# forward as a current-law assumption. The DOBI FY2026-2027 budget response
# (p.4) confirms NJHPS "continued ... up to 600% FPL" in 2026, puts PY2026
# spending at an estimated $238.1M (against $224.9M actual for PY2025), and
# projects $200.0M for FY2027 with the Health Insurance Affordability Fund's
# FY2027 closing balance at $0.0M — the 2027 allocation "has not [been]
# determined". Re-verify the schedule and the ceiling for PY2027.
0000-01-01: false
2026-01-01: true

Expand All @@ -24,5 +27,7 @@ metadata:
href: https://pub.njleg.gov/bills/2020/AL20/61_.HTM
- title: NJ DOBI FY2025-2026 Budget Discussion Points
href: https://pub.njleg.state.nj.us/publications/budget/governors-budget/2026/dobi_response_2026.pdf#page=8
- title: NJ DOBI FY2026-2027 Budget Discussion Points, p.4 (2026 outcome, PY2025 actual and PY2026 estimated NJHPS spending, FY2027 projection)
href: https://pub.njleg.state.nj.us/publications/budget/governors-budget/2027/dobi_response_2027.pdf#page=4

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Minor nit: the newly added $200.0M FY2027 expenditure projection and $0.0M closing balance are on page 11. Could you add that reference and update the comment/title to distinguish it from page 4, which supports the 2026 continuation and PY2025/PY2026 spending figures?

- title: Get Covered NJ - New Jersey Health Plan Savings
href: https://www.nj.gov/getcoverednj/financialhelp/premiums/
30 changes: 20 additions & 10 deletions policyengine_us/parameters/gov/states/nj/dobi/njhps/pmpm.yaml
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Expand Up @@ -8,8 +8,10 @@ metadata:
reference:
- title: Treasury Office of Tax Analysis Section 1332 methodology addendum, Table 2 (Enhanced subsidy schedule)
href: https://www.cms.gov/files/document/1332-ota-methodology-addendum-nj-pass-through.pdf#page=12
- title: NJ DOBI FY2025-2026 Budget Discussion Points
- title: NJ DOBI FY2025-2026 Budget Discussion Points, p.8 ("lowest ... $20 and the maximum is $100")
href: https://pub.njleg.state.nj.us/publications/budget/governors-budget/2026/dobi_response_2026.pdf#page=8
- title: NJ DOBI FY2026-2027 Budget Discussion Points, p.4 (schedule continued to 600% FPL in 2026; PY2025 cohort averages by FPL band)
href: https://pub.njleg.state.nj.us/publications/budget/governors-budget/2027/dobi_response_2027.pdf#page=4

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Minor nit: the newly cited PY2025 income-band averages ($16/$43/$91/$96/$40) are on page 5. Page 4 supports the continuation to 600% FPL. Could you retain the page-4 reference for continuation and add a page-5 reference for the averages, updating the explanatory comment accordingly?

- title: P.L. 2020 c.61
href: https://pub.njleg.gov/bills/2020/AL20/61_.HTM
- title: Get Covered NJ - New Jersey Health Plan Savings
Expand All @@ -20,19 +22,27 @@ brackets:
# CORROBORATION CHAIN: the exact per-member-per-month (PMPM) values below are
# the ENHANCED schedule (post-ARP, effective mid-2021) from the U.S. Treasury
# Office of Tax Analysis Section 1332 methodology addendum (Nov 2021). These
# values appear both as body-text bullets on file p.8 and, more cleanly, in the
# side-by-side Table 2 ("Enhanced" column) on file p.12 (the href points at
# Table 2). The enhanced schedule states:
# values appear both as body-text bullets on printed page 8 (PDF page 9) and,
# more cleanly, in the side-by-side Table 2 ("Enhanced" column) on PDF page 12
# (the href points at Table 2). The enhanced schedule states:
# "From 138% through 150% of FPL: $20 PMPM"; "From 150% through 200%: $40 PMPM";
# "From 200% through 250%: $50 PMPM"; "From 250% through 400%: $100 PMPM";
# "From 400% through 600%: $50 PMPM". This is NOT the superseded INITIAL schedule
# (Feb 2021: $20/$30/$40/$95, covering only 138-400% FPL) printed in Table 1 on
# file p.5, which the model deliberately does not use. The DOBI FY2025-2026
# Budget Discussion Points confirm the enhanced schedule remains unchanged/flat
# for PY2026 (NJHPS expenditures "projected to remain flat at $212.2" million in
# FY2026, continuing "up to 600% FPL"). Neither source alone both states the
# values and confirms PY2026 currency, so both are carried. The Get Covered NJ
# URL is a secondary (anchorless) corroborating reference, not a value source.
# file p.5, which the model deliberately does not use. No New Jersey document
# for plan year 2026 restates the five amounts (Get Covered NJ's page sends the
# reader to its calculator), so PY2026 currency rests on the DOBI budget
# responses: FY2025-2026, p.8 — "The lowest amount an eligible individual can
# receive per month in New Jersey Health Plan Savings is $20 and the maximum is
# $100", and "$100 per person per month – which can mean a $400 a month for a
# family of four at 300% FPL"; FY2026-2027, p.4 — the Department "continued
# providing NJ Health Plan Savings subsidies up to 600% FPL" after the enhanced
# federal credits lapsed, with PY2025 cohort averages ($16 under 200% FPL, $43
# at 200-250%, $91 and $96 at 250-400%, $40 at 400%+) all at or under the
# schedule, as a premium-capped flat amount must be. Neither source alone both
# states the values and confirms PY2026 currency, so all are carried. The Get
# Covered NJ URL is a secondary (anchorless) corroborating reference, not a
# value source.
# Bands are lower-exclusive / upper-inclusive, so thresholds use the "x.0001"
# convention to match the published "from X% through Y%" banding. The 138% floor
# is enforced by the eligibility gate; this base band gives $0 below 138% FPL so
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Expand Up @@ -9,8 +9,13 @@ class nj_njhps(Variable):
definition_period = YEAR
defined_for = "nj_njhps_eligible"
reference = (
"https://www.cms.gov/files/document/1332-ota-methodology-addendum-nj-pass-through.pdf#page=8",
# Treasury OTA 1332 addendum (Nov 2021): the enhanced schedule's
# bullets on PDF page 9 (printed page 8), Table 2 on page 12.
"https://www.cms.gov/files/document/1332-ota-methodology-addendum-nj-pass-through.pdf#page=9",
"https://pub.njleg.gov/bills/2020/AL20/61_.HTM",
# DOBI FY2026-2027 budget response, p.4: NJHPS continued to 600% FPL
# in 2026 after the enhanced federal credits lapsed.
"https://pub.njleg.state.nj.us/publications/budget/governors-budget/2027/dobi_response_2027.pdf#page=4",
)
documentation = (
"New Jersey Health Plan Savings, the state premium subsidy "
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Expand Up @@ -8,8 +8,13 @@ class nj_njhps_eligible(Variable):
definition_period = YEAR
defined_for = StateCode.NJ
reference = (
"https://www.cms.gov/files/document/1332-ota-methodology-addendum-nj-pass-through.pdf#page=8",
# Treasury OTA 1332 addendum (Nov 2021): the enhanced schedule's
# bullets on PDF page 9 (printed page 8), Table 2 on page 12.
"https://www.cms.gov/files/document/1332-ota-methodology-addendum-nj-pass-through.pdf#page=9",
"https://pub.njleg.gov/bills/2020/AL20/61_.HTM",
# DOBI FY2026-2027 budget response, p.4: NJHPS continued to 600% FPL
# in 2026 after the enhanced federal credits lapsed.
"https://pub.njleg.state.nj.us/publications/budget/governors-budget/2027/dobi_response_2027.pdf#page=4",
)
documentation = (
"A tax unit is eligible for New Jersey Health Plan Savings when the "
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Expand Up @@ -8,8 +8,13 @@ class nj_njhps_member_eligible(Variable):
definition_period = YEAR
defined_for = StateCode.NJ
reference = (
"https://www.cms.gov/files/document/1332-ota-methodology-addendum-nj-pass-through.pdf#page=8",
# Treasury OTA 1332 addendum (Nov 2021): the enhanced schedule's
# bullets on PDF page 9 (printed page 8), Table 2 on page 12.
"https://www.cms.gov/files/document/1332-ota-methodology-addendum-nj-pass-through.pdf#page=9",
"https://pub.njleg.gov/bills/2020/AL20/61_.HTM",
# DOBI FY2026-2027 budget response, p.4: NJHPS continued to 600% FPL
# in 2026 after the enhanced federal credits lapsed.
"https://pub.njleg.state.nj.us/publications/budget/governors-budget/2027/dobi_response_2027.pdf#page=4",
)
documentation = (
"A person is a New Jersey Health Plan Savings enrollee when they pay an "
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