Add Oregon Medicaid for immigrants as separate program

changelog_entry.yaml

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+- bump: minor
+  changes:
+    added:
+    - Oregon Healthier Oregon program providing Medicaid-equivalent coverage for undocumented immigrants.

policyengine_us/parameters/gov/states/or/oha/healthier_oregon/eligibility/adult_income_limit.yaml

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+description: Oregon limits gross income to this share of the federal poverty level for adults under the Healthier Oregon program.
+metadata:
+  unit: /1
+  period: year
+  label: Oregon Healthier Oregon adult income limit (% FPL)
+  reference:
+    - title: ORS 414.231(4) - Coverage for noncitizens
+      href: https://oregon.public.law/statutes/ors_414.231
+    - title: Oregon Health Plan (OHP), Health Systems Division (HSD) Medical Programs - 2025 income thresholds (page 11)
+      href: https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/de5530.pdf
+
+values:
+  2023-07-01: 1.38  # 138% FPL for adults

policyengine_us/parameters/gov/states/or/oha/healthier_oregon/eligibility/aged_threshold.yaml

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+description: Oregon considers individuals at or above this age as aged for Medicaid spending group classification under the Healthier Oregon program.
+metadata:
+  unit: year
+  period: year
+  label: Oregon Healthier Oregon aged threshold
+  reference:
+    - title: ORS 414.231 - Coverage for noncitizens
+      href: https://oregon.public.law/statutes/ors_414.231
+    - title: Social Security Act Section 1614(a)(1)(A) - Definition of aged (42 USC 1382c)
+      href: https://www.ssa.gov/OP_Home/ssact/title16b/1614.htm
+
+values:
+  2023-07-01: 65  # Federal standard aged threshold

policyengine_us/parameters/gov/states/or/oha/healthier_oregon/eligibility/child_income_limit.yaml

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+description: Oregon limits gross income to this share of the federal poverty level for children under the Healthier Oregon program.
+metadata:
+  unit: /1
+  period: year
+  label: Oregon Healthier Oregon child income limit (% FPL)
+  reference:
+    - title: ORS 414.231(1)(a) - Coverage for noncitizens (300% FPL for children)
+      href: https://oregon.public.law/statutes/ors_414.231
+    - title: Oregon Health Plan (OHP), Health Systems Division (HSD) Medical Programs - 2025 income thresholds (page 11)
+      href: https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/de5530.pdf
+
+values:
+  2023-07-01: 3.05  # 305% FPL for children

policyengine_us/parameters/gov/states/or/oha/healthier_oregon/eligibility/child_max_age.yaml

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+description: Oregon applies the higher child income limit to individuals under this age under the Healthier Oregon program.
+metadata:
+  unit: year
+  period: year
+  label: Oregon Healthier Oregon child maximum age
+  reference:
+    - title: ORS 414.231 - Coverage for noncitizens (defines child as under 19)
+      href: https://oregon.public.law/statutes/ors_414.231
+
+values:
+  2023-07-01: 19  # Children under 19 (ages 0-18)

policyengine_us/parameters/gov/states/or/oha/healthier_oregon/eligibility/in_effect.yaml

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+description: Oregon makes the Healthier Oregon program available when this parameter is true.
+metadata:
+  unit: bool
+  period: year
+  label: Oregon Healthier Oregon in effect
+  reference:
+    - title: ORS 414.231 - Coverage for noncitizens
+      href: https://oregon.public.law/statutes/ors_414.231
+    - title: Oregon Health Authority - Healthier Oregon
+      href: https://www.oregon.gov/oha/hsd/ohp/pages/healthier-oregon.aspx
+    - title: Oregon House Bill 3352
+      href: https://olis.oregonlegislature.gov/liz/2021R1/Downloads/MeasureDocument/HB3352/Enrolled
+
+values:
+  2020-01-01: false
+  2023-07-01: true  # Full expansion to all ages effective July 1, 2023

policyengine_us/parameters/gov/states/or/oha/healthier_oregon/eligibility/qualified_immigration_statuses.yaml

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+description: Oregon provides Healthier Oregon coverage to immigrants with these statuses who are not eligible for federal Medicaid.
+values:
+  2023-07-01:
+    - UNDOCUMENTED
+    - DACA
+    - TPS
+    - DACA_TPS
+
+metadata:
+  label: Oregon Healthier Oregon qualified immigration statuses
+  period: year
+  unit: list
+  reference:
+    - title: ORS 414.231 - Coverage for noncitizens
+      href: https://oregon.public.law/statutes/ors_414.231
+    - title: Oregon Health Authority - Healthier Oregon
+      href: https://www.oregon.gov/oha/hsd/ohp/pages/healthier-oregon.aspx
+    - title: Oregon HB 3352 - Cover All People Act
+      href: https://olis.oregonlegislature.gov/liz/2021R1/Downloads/MeasureDocument/HB3352/Enrolled

policyengine_us/tests/policy/baseline/gov/states/or/oha/healthier_oregon/eligibility/or_healthier_oregon_eligible.yaml

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+# Tests for overall Oregon Healthier Oregon eligibility
+
+- name: Undocumented adult with low income eligible
+  period: 2024
+  input:
+    age: 30
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: true
+
+- name: Undocumented adult with income too high NOT eligible
+  period: 2024
+  input:
+    age: 30
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 1.5  # 150% FPL (above 138% limit for adults)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: false
+
+- name: Undocumented child with higher income eligible (305% limit)
+  period: 2024
+  input:
+    age: 10
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 2.5  # 250% FPL (within 305% limit for children)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: true
+
+- name: Undocumented child with income too high NOT eligible
+  period: 2024
+  input:
+    age: 10
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 3.5  # 350% FPL (above 305% limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: false
+
+- name: US citizen NOT eligible regardless of income
+  period: 2024
+  input:
+    age: 30
+    immigration_status: CITIZEN
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: false
+
+- name: Program not in effect before July 2023
+  period: 2022
+  input:
+    age: 30
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: false
+
+- name: DACA recipient with low income eligible
+  period: 2024
+  input:
+    age: 25
+    immigration_status: DACA
+    medicaid_income_level: 1.0  # 100% FPL
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: true
+
+- name: Adult at exactly 138% FPL eligible
+  period: 2024
+  input:
+    age: 30
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 1.38  # 138% FPL (exactly at limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: true
+
+# Income boundary tests
+
+- name: Boundary - Adult at 139% FPL NOT eligible (just above 138% limit)
+  period: 2024
+  input:
+    age: 30
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 1.39  # 139% FPL (just above 138% limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: false
+
+- name: Boundary - Child at exactly 305% FPL eligible
+  period: 2024
+  input:
+    age: 10
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 3.05  # 305% FPL (exactly at limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: true
+
+- name: Boundary - Child at 306% FPL NOT eligible (just above 305% limit)
+  period: 2024
+  input:
+    age: 10
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 3.06  # 306% FPL (just above 305% limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: false
+
+# Age boundary tests (cliff effect at age 18/19)
+
+- name: Age cliff - Age 18 at 200% FPL eligible (child limit 305%)
+  period: 2024
+  input:
+    age: 18
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 2.0  # 200% FPL (within 305% child limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: true
+
+- name: Age cliff - Age 19 at 200% FPL NOT eligible (adult limit 138%)
+  period: 2024
+  input:
+    age: 19
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 2.0  # 200% FPL (above 138% adult limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: false
+
+- name: Age cliff - Age 18 at 140% FPL eligible (still a child)
+  period: 2024
+  input:
+    age: 18
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 1.4  # 140% FPL (within 305% child limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: true
+
+- name: Age cliff - Age 19 at 140% FPL NOT eligible (adult over 138%)
+  period: 2024
+  input:
+    age: 19
+    immigration_status: UNDOCUMENTED
+    medicaid_income_level: 1.4  # 140% FPL (above 138% adult limit)
+    state_code: OR
+  output:
+    or_healthier_oregon_eligible: false

policyengine_us/tests/policy/baseline/gov/states/or/oha/healthier_oregon/eligibility/or_healthier_oregon_immigration_status_eligible.yaml

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+# Tests for Oregon Healthier Oregon immigration status eligibility
+
+# Undocumented immigrants are eligible
+- name: Undocumented adult eligible
+  period: 2024
+  input:
+    immigration_status: UNDOCUMENTED
+    state_code: OR
+  output:
+    or_healthier_oregon_immigration_status_eligible: true
+
+# DACA recipients are eligible
+- name: DACA recipient eligible
+  period: 2024
+  input:
+    immigration_status: DACA
+    state_code: OR
+  output:
+    or_healthier_oregon_immigration_status_eligible: true
+
+# TPS holders are eligible
+- name: TPS holder eligible
+  period: 2024
+  input:
+    immigration_status: TPS
+    state_code: OR
+  output:
+    or_healthier_oregon_immigration_status_eligible: true
+
+# DACA_TPS combined status is eligible
+- name: DACA_TPS combined status eligible
+  period: 2024
+  input:
+    immigration_status: DACA_TPS
+    state_code: OR
+  output:
+    or_healthier_oregon_immigration_status_eligible: true
+
+# Citizens should use regular federal Medicaid
+- name: US citizen NOT eligible (uses federal Medicaid)
+  period: 2024
+  input:
+    immigration_status: CITIZEN
+    state_code: OR
+  output:
+    or_healthier_oregon_immigration_status_eligible: false
+
+# LPRs should use regular federal Medicaid
+- name: LPR NOT eligible (uses federal Medicaid)
+  period: 2024
+  input:
+    immigration_status: LEGAL_PERMANENT_RESIDENT
+    state_code: OR
+  output:
+    or_healthier_oregon_immigration_status_eligible: false
+
+# Refugees should use regular federal Medicaid
+- name: Refugee NOT eligible (uses federal Medicaid)
+  period: 2024
+  input:
+    immigration_status: REFUGEE
+    state_code: OR
+  output:
+    or_healthier_oregon_immigration_status_eligible: false
+
+# Asylees should use regular federal Medicaid
+- name: Asylee NOT eligible (uses federal Medicaid)
+  period: 2024
+  input:
+    immigration_status: ASYLEE
+    state_code: OR
+  output:
+    or_healthier_oregon_immigration_status_eligible: false
+
+# Non-OR residents not eligible
+- name: Undocumented person in CA not eligible for OR program
+  period: 2024
+  input:
+    immigration_status: UNDOCUMENTED
+    state_code: CA
+  output:
+    or_healthier_oregon_immigration_status_eligible: false