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1 change: 1 addition & 0 deletions changelog.d/wa-premium-assistance.added.md
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Add Washington Cascade Care Savings (state premium assistance program).
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description: Washington provides this monthly amount per member with federal subsidies under the Cascade Care Savings program.
values:
# Group 1: enrollees receiving federal subsidies (Advance Premium Tax Credit).
# PY2026 maximum per-member per-month (PMPM) assistance is $55 (down from $155
# in PY2025). There is NO age split; the survey figure of "$30 per child" was
# incorrect. Amount set annually by the WAHBE Board within the appropriation.
2026-01-01: 55

metadata:
unit: currency-USD
period: month
label: Washington Cascade Care Savings monthly amount per member with federal subsidies
reference:
- title: WAHBE Plan Year 2026 Final PMPM Methodology (customers with federal subsidies $55 PMPM)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-PMPM-Methodology.pdf#page=1
- title: WAHBE Plan Year 2026 Final PMPM Methodology (2025-vs-2026 amount exhibit)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-PMPM-Methodology.pdf#page=7
- title: WAHBE Plan Year 2026 Final Cascade Care Savings Policy, Section 5(1)(b)-(c)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-CCS-Policy.pdf#page=11
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description: Washington provides this monthly amount per member without federal subsidies under the Cascade Care Savings program.
values:
# Groups 2 and 3: enrollees without federal subsidies (including the Section 1332
# waiver population without a federally recognized immigration status). PY2026
# maximum per-member per-month (PMPM) assistance is $250 (unchanged from PY2025).
# Group 2 (lawfully present but Advance-Premium-Tax-Credit-ineligible) is not
# separately identifiable in the model; the modeled without-subsidy population is
# Group 3, which uses this same amount. Amount set annually by the WAHBE Board.
2026-01-01: 250

metadata:
unit: currency-USD
period: month
label: Washington Cascade Care Savings monthly amount per member without federal subsidies
reference:
- title: WAHBE Plan Year 2026 Final PMPM Methodology (customers without federal subsidies $250 PMPM)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-PMPM-Methodology.pdf#page=1
- title: WAHBE Plan Year 2026 Final PMPM Methodology (2025-vs-2026 amount exhibit)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-PMPM-Methodology.pdf#page=7
- title: WAHBE Plan Year 2026 Final Cascade Care Savings Policy, Section 5(1)(b)-(c)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-CCS-Policy.pdf#page=11
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description: Washington sets this monthly per-member benchmark premium expectation under the Cascade Care Savings program.
metadata:
type: single_amount
threshold_unit: /1
amount_unit: currency-USD
period: month
label: Washington Cascade Care Savings monthly benchmark premium expectation by income band
reference:
- title: WAHBE Plan Year 2026 Final Cascade Care Savings Policy, Section 5(1)(e)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-CCS-Policy.pdf#page=11
- title: RCW 43.71.110 (Washington state premium assistance)
href: https://app.leg.wa.gov/rcw/default.aspx?cite=43.71.110

brackets:
# Household income (ACA MAGI as a share of the federal poverty line):
# up to 150% FPL -> $0 per eligible member per month.
- threshold:
2026-01-01: 0
amount:
2026-01-01: 0
# Above 150% and up to 200% FPL -> $10. The benchmark premium expectation is new
# for PY2026, so every band is $0 before 2026-01-01.
- threshold:
2026-01-01: 1.5001
amount:
0000-01-01: 0
2026-01-01: 10
# Above 200% FPL (through the 250% eligibility ceiling) -> $15.
- threshold:
2026-01-01: 2.0001
amount:
0000-01-01: 0
2026-01-01: 15
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description: Washington limits income to this share of the federal poverty line under the Cascade Care Savings program.
values:
# Eligibility caps household income (ACA MAGI per 26 U.S.C. 36B(d)(2)) at 250%
# of the federal poverty line, applied as a "<=" comparison ("up to 250%").
2026-01-01: 2.5

metadata:
unit: /1
period: year
label: Washington Cascade Care Savings income limit as a share of the federal poverty line
reference:
- title: WAHBE Plan Year 2026 Final Cascade Care Savings Policy, Section 4(1)(c)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-CCS-Policy.pdf#page=8
- title: WAHBE Plan Year 2026 Final Cascade Care Savings Policy, Section 3 definition of Income (26 U.S.C. 36B(d)(2))
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-CCS-Policy.pdf#page=6
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description: Washington provides premium assistance when this is true under the Cascade Care Savings program.
values:
# RCW 43.71.110 (established by SB 5377, 2021) is permanent law; the program is
# funded through each state Operating Budget ($55M appropriated for PY2026, with
# up to $5M reserved and contingent on the Section 1332 waiver for the
# non-federally-subsidized population). PY2026 coverage runs Jan 1 - Dec 31, 2026.
# No end date: the program has no statutory sunset, so PY2027+ carries the PY2026
# design forward as a current-law assumption (WAHBE Board sets amounts annually
# within the appropriation).
0000-01-01: false
2026-01-01: true

metadata:
unit: bool
period: year
label: Washington Cascade Care Savings in effect
reference:
- title: RCW 43.71.110 (Washington state premium assistance)
href: https://app.leg.wa.gov/rcw/default.aspx?cite=43.71.110
- title: WAHBE Plan Year 2026 Final Cascade Care Savings Policy, Section 1 and Section 2
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-CCS-Policy.pdf#page=5
- title: WAHBE Plan Year 2026 Final PMPM Methodology ($55M appropriation)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-PMPM-Methodology.pdf#page=1
- title: WAHBE Plan Year 2026 Final Cascade Care Savings Policy ($5M Section 1332 waiver reserve footnote)
href: https://www.wahbexchange.org/content/dam/wahbe-assets/board/2025/PY2026-Final-CCS-Policy.pdf#page=5
11 changes: 11 additions & 0 deletions policyengine_us/programs.yaml
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Expand Up @@ -1435,6 +1435,17 @@ programs:
variable: tx_harris_rides_subsidy
parameter_prefix: gov.local.tx.harris.rides

- id: wa_cascade_care_savings
name: Cascade Care Savings
full_name: Washington Cascade Care Savings (State Premium Assistance Program)
category: Healthcare
agency: WAHBE
status: complete
coverage: WA
variable: wa_cascade_care_savings
parameter_prefix: gov.states.wa.wahbe.cascade_care_savings
verified_start_year: 2026

# --- Local programs ---
- id: ez_save
name: Los Angeles County EZ Save
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