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Add Texas SSI state supplement#7341

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tx-ssi-state-supplement
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Add Texas SSI state supplement#7341
MaxGhenis wants to merge 2 commits intomainfrom
tx-ssi-state-supplement

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@MaxGhenis MaxGhenis commented Feb 9, 2026

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

Authority Citation
State PNA statute Texas Human Resources Code § 32.024(w)
PNA increase to $75 HB 54, 88th Legislature (2023)
Federal reduced SSI benefit 42 USC § 1382(e)(1)(B)
HHSC PNA handbook MEPD Handbook H-1500
HHSC co-payment rules MEPD Handbook H-6000

Benefit calculation

State Supplement = max(0, Personal Needs Allowance - Federal Reduced SSI Benefit) × 12

Individual: ($75 - $30) × 12 = $540/year
Couple (both in facility): each person gets ($75 - $30) × 12 = $540/year

Historical PNA values

Period PNA (monthly) Supplement (monthly)
Sep 1999 $45 $15
Sep 2001 $60 $30
Sep 2003 $45 $15
Jan 2006 $60 $30
Jan 2024 $75 $45

Files added

Parameters (3):

  • gov/states/tx/hhsc/ssi_state_supplement/personal_needs_allowance.yaml — TX PNA amount
  • gov/ssa/ssi/amount/institutional/individual.yaml — Federal $30/month reduced SSI
  • gov/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 facility
  • gov/states/tx/hhsc/ssi_state_supplement/tx_ssi_state_supplement_eligible.py — Eligibility
  • gov/states/tx/hhsc/ssi_state_supplement/tx_ssi_state_supplement.py — Benefit amount
  • household/income/spm_unit/spm_unit_benefits.py — Added tx_ssi_state_supplement

Tests (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

  • All 15 YAML tests pass locally
  • make format passes
  • CI passes on GitHub

🤖 Generated with Claude Code

MaxGhenis and others added 2 commits February 9, 2026 18:11
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>
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codecov bot commented Feb 10, 2026

Codecov Report

✅ All modified and coverable lines are covered by tests.
✅ Project coverage is 95.74%. Comparing base (a46b5a8) to head (45c786b).
⚠️ Report is 26 commits behind head on main.

Additional details and impacted files
@@            Coverage Diff             @@
##             main    #7341      +/-   ##
==========================================
+ Coverage   86.56%   95.74%   +9.17%     
==========================================
  Files          12        4       -8     
  Lines         134       47      -87     
  Branches        0        2       +2     
==========================================
- Hits          116       45      -71     
+ Misses         18        1      -17     
- Partials        0        1       +1     
Flag Coverage Δ
unittests 95.74% <100.00%> (+9.17%) ⬆️

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Add Texas SSI state supplement

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