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Model New Mexico Puente Health premium backfill for lawfully-present non-citizens (esp. PY2027 ≤400% FPL) #9265

Description

@DTrim99

Summary

New Mexico's Puente Health program backfills state premium assistance for lawfully-present non-citizens who lose the federal PTC under P.L. 119-21. It is not modeled, and PolicyEngine's own gates zero out the population Puente covers — so the model currently shows these New Mexicans losing all assistance while 8.401.2.11 NMAC actually backfills them through the NMPA machinery.

Details

  • Puente began 2026-01-01 (<100% FPL) and expands to ≤400% FPL for PY2027 (PY2027 MAP Policy & Procedures Manual, HCA 2026-06-16, pp. 2, 7–8).
  • It pays through the NMPA machinery on Table 1; PY2027 MAP eligibility item 2 (p. 4) admits Puente enrollees to NMPA by name.
  • PolicyEngine already encodes the federal-side losses (below_fpl_immigration_exception_in_effect false in 2026; ineligible_immigration_statuses 2027 restriction), so the model shows this population losing everything.

Bias: understates NM state benefits for lawfully-present non-citizens — a small slice in 2026, but the whole ≤400% FPL lawfully-present-non-citizen marketplace population in 2027.

Scope

Surfaced in the review of the NM Premium Assistance PR (#9232); documented there as Not-Modeled. This issue tracks implementing the Puente backfill (8.401.2.11 NMAC). Note the §73101 (manual) vs §71301 (repo parameter) citation discrepancy to reconcile when implementing.

Filed per review item A6 (reviewer @hua7450).

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