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Starting implementation of Texas SSI state supplement. Documentation and parallel development will follow. Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>
Implements the Texas Optional State Supplement (OSS) for SSI recipients in Medicaid-funded nursing facilities and ICF/IID facilities. - Add PNA parameter ($75/month current, historical values back to 1999) - Add federal SSI institutional reduced benefit parameters ($30/$60) - Add is_in_medicaid_facility input variable - Add tx_ssi_state_supplement_eligible and tx_ssi_state_supplement variables - Add to spm_unit_benefits - 15 tests covering eligibility, amounts, couples, historical periods Closes #7340 Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>
Codecov Report✅ All modified and coverable lines are covered by tests. Additional details and impacted files@@ Coverage Diff @@
## main #7341 +/- ##
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+ Coverage 86.56% 95.74% +9.17%
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Files 12 4 -8
Lines 134 47 -87
Branches 0 2 +2
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- Hits 116 45 -71
+ Misses 18 1 -17
- Partials 0 1 +1
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Summary
Implements the Texas Optional State Supplement (OSS) for SSI recipients in Medicaid-funded nursing facilities and ICF/IID facilities. Closes #7340.
Texas provides one of the most minimal SSI state supplements in the nation — available only to SSI recipients residing in Medicaid-funded long-term care facilities (nursing facilities and ICF/IID). The supplement brings the total personal spending money up to the state's Personal Needs Allowance (PNA).
Current benefit (2024+): $45/month ($540/year) per individual = $75 PNA - $30 federal reduced SSI
Regulatory authority
Benefit calculation
Historical PNA values
Files added
Parameters (3):
gov/states/tx/hhsc/ssi_state_supplement/personal_needs_allowance.yaml— TX PNA amountgov/ssa/ssi/amount/institutional/individual.yaml— Federal $30/month reduced SSIgov/ssa/ssi/amount/institutional/couple.yaml— Federal $60/month reduced SSI (couple)Variables (3 new, 1 modified):
gov/ssa/ssi/is_in_medicaid_facility.py— Federal input: whether person is in Medicaid facilitygov/states/tx/hhsc/ssi_state_supplement/tx_ssi_state_supplement_eligible.py— Eligibilitygov/states/tx/hhsc/ssi_state_supplement/tx_ssi_state_supplement.py— Benefit amounthousehold/income/spm_unit/spm_unit_benefits.py— Added tx_ssi_state_supplementTests (3 files, 15 tests):
tx_ssi_state_supplement_eligible.yaml— 4 unit tests (eligibility logic)tx_ssi_state_supplement.yaml— 3 unit tests (benefit amounts)integration.yaml— 8 integration tests (realistic scenarios including couples, historical periods, out-of-state)Test plan
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