|
| 1 | +from __future__ import annotations |
| 2 | + |
| 3 | +import logging |
| 4 | +from pathlib import Path |
| 5 | + |
| 6 | +import pandas as pd |
| 7 | +from sqlmodel import Session, create_engine |
| 8 | + |
| 9 | +from policyengine_us_data.calibration.calibration_utils import STATE_CODES |
| 10 | +from policyengine_us_data.db.create_database_tables import ( |
| 11 | + Stratum, |
| 12 | + StratumConstraint, |
| 13 | + Target, |
| 14 | +) |
| 15 | +from policyengine_us_data.storage import CALIBRATION_FOLDER, STORAGE_FOLDER |
| 16 | +from policyengine_us_data.utils.db import etl_argparser, get_geographic_strata |
| 17 | + |
| 18 | +logger = logging.getLogger(__name__) |
| 19 | + |
| 20 | +# `selected_marketplace_plan_benchmark_ratio == 1.0` represents benchmark |
| 21 | +# silver coverage, so bronze plan selections are the subset below this ratio. |
| 22 | +BENCHMARK_SILVER_RATIO = 1.0 |
| 23 | + |
| 24 | +STATE_METAL_SELECTION_PATH = ( |
| 25 | + CALIBRATION_FOLDER / "aca_marketplace_state_metal_selection_2024.csv" |
| 26 | +) |
| 27 | + |
| 28 | +STATE_ABBR_TO_FIPS = {abbr: fips for fips, abbr in STATE_CODES.items()} |
| 29 | + |
| 30 | + |
| 31 | +def _extra_args(parser) -> None: |
| 32 | + parser.add_argument( |
| 33 | + "--state-metal-csv", |
| 34 | + type=Path, |
| 35 | + default=STATE_METAL_SELECTION_PATH, |
| 36 | + help=("State-metal CMS OEP proxy CSV. Default: %(default)s"), |
| 37 | + ) |
| 38 | + |
| 39 | + |
| 40 | +def extract_aca_marketplace_state_metal_data( |
| 41 | + state_metal_csv_path: Path, |
| 42 | +) -> pd.DataFrame: |
| 43 | + """Extract CMS marketplace state metal-status inputs from the checked-in CSV. |
| 44 | +
|
| 45 | + This ETL keeps an explicit extract step even though the source file already |
| 46 | + lives in the repository. The original CMS 2024 OEP state metal status PUF |
| 47 | + is not currently pulled from a stable direct-download endpoint in CI, so we |
| 48 | + store the normalized input CSV at |
| 49 | + `policyengine_us_data/storage/calibration_targets/aca_marketplace_state_metal_selection_2024.csv`. |
| 50 | +
|
| 51 | + Source (CMS Marketplace Open Enrollment Period Public Use Files): |
| 52 | + https://www.cms.gov/marketplace/resources/data/public-use-files |
| 53 | +
|
| 54 | + To reproduce or update that file: |
| 55 | + 1. Download the CMS 2024 OEP State, Metal Level, and Enrollment Status PUF |
| 56 | + from the URL above. |
| 57 | + 2. Preserve one row per state/platform/metal/enrollment-status combination. |
| 58 | + 3. Keep the `state_code`, `platform`, `metal_level`, |
| 59 | + `enrollment_status`, `consumers`, and `aptc_consumers` columns. |
| 60 | + 4. Save the normalized output back to `state_metal_csv_path`. |
| 61 | + """ |
| 62 | + return pd.read_csv(state_metal_csv_path) |
| 63 | + |
| 64 | + |
| 65 | +def build_state_marketplace_bronze_aptc_targets( |
| 66 | + state_metal_df: pd.DataFrame, |
| 67 | +) -> pd.DataFrame: |
| 68 | + """ |
| 69 | + Build HC.gov state bronze-selection targets among APTC consumers. |
| 70 | +
|
| 71 | + The 2024 CMS state-metal-status PUF exposes: |
| 72 | + - metal rows (`B`, `G`, `S`) with enrollment_status=`All` |
| 73 | + - aggregate rows (`All`) broken out by enrollment status (`01-atv`, etc.) |
| 74 | +
|
| 75 | + We use: |
| 76 | + - total APTC consumers = sum of `aptc_consumers` for `metal_level == All` |
| 77 | + across enrollment statuses |
| 78 | + - bronze APTC consumers = `aptc_consumers` on the bronze row |
| 79 | + """ |
| 80 | + df = state_metal_df.copy() |
| 81 | + df = df[df["platform"] == "HC.gov"].copy() |
| 82 | + |
| 83 | + total_rows = df[ |
| 84 | + (df["metal_level"] == "All") & (df["aptc_consumers"].notna()) |
| 85 | + ].copy() |
| 86 | + bronze_rows = df[ |
| 87 | + (df["metal_level"] == "B") |
| 88 | + & (df["enrollment_status"] == "All") |
| 89 | + & (df["aptc_consumers"].notna()) |
| 90 | + ].copy() |
| 91 | + |
| 92 | + total_aptc = total_rows.groupby("state_code", as_index=False).agg( |
| 93 | + marketplace_aptc_consumers=("aptc_consumers", "sum"), |
| 94 | + marketplace_consumers=("consumers", "sum"), |
| 95 | + ) |
| 96 | + bronze_aptc = bronze_rows[["state_code", "aptc_consumers", "consumers"]].rename( |
| 97 | + columns={ |
| 98 | + "aptc_consumers": "bronze_aptc_consumers", |
| 99 | + "consumers": "bronze_consumers", |
| 100 | + } |
| 101 | + ) |
| 102 | + |
| 103 | + result = total_aptc.merge(bronze_aptc, on="state_code", how="inner") |
| 104 | + result["state_fips"] = result["state_code"].map(STATE_ABBR_TO_FIPS) |
| 105 | + result = result[result["state_fips"].notna()].copy() |
| 106 | + result["state_fips"] = result["state_fips"].astype(int) |
| 107 | + invalid_bronze = ( |
| 108 | + result["bronze_aptc_consumers"] > result["marketplace_aptc_consumers"] |
| 109 | + ) |
| 110 | + if invalid_bronze.any(): |
| 111 | + bad_states = result.loc[invalid_bronze, "state_code"].tolist() |
| 112 | + raise ValueError( |
| 113 | + "Bronze APTC consumers exceed total APTC consumers for states: " |
| 114 | + f"{bad_states}. Source CSV likely corrupted." |
| 115 | + ) |
| 116 | + result["bronze_aptc_share"] = ( |
| 117 | + result["bronze_aptc_consumers"] / result["marketplace_aptc_consumers"] |
| 118 | + ) |
| 119 | + result.insert(0, "year", 2024) |
| 120 | + result.insert(1, "source", "cms_2024_oep_state_metal_status_puf") |
| 121 | + return result.sort_values("state_code").reset_index(drop=True) |
| 122 | + |
| 123 | + |
| 124 | +def load_state_marketplace_bronze_aptc_targets( |
| 125 | + targets_df: pd.DataFrame, |
| 126 | + year: int, |
| 127 | +) -> None: |
| 128 | + db_url = f"sqlite:///{STORAGE_FOLDER / 'calibration' / 'policy_data.db'}" |
| 129 | + engine = create_engine(db_url) |
| 130 | + |
| 131 | + with Session(engine) as session: |
| 132 | + geo_strata = get_geographic_strata(session) |
| 133 | + |
| 134 | + for row in targets_df.itertuples(index=False): |
| 135 | + state_fips = int(row.state_fips) |
| 136 | + parent_id = geo_strata["state"].get(state_fips) |
| 137 | + if parent_id is None: |
| 138 | + logger.warning( |
| 139 | + "No state geographic stratum for FIPS %s, skipping", state_fips |
| 140 | + ) |
| 141 | + continue |
| 142 | + |
| 143 | + # We intentionally do not subset to `tax_unit_is_filer == 1`. |
| 144 | + # These CMS targets describe marketplace coverage groups rather |
| 145 | + # than the IRS filer universe, so the closest calibration entity is |
| 146 | + # a tax unit with positive modeled APTC use. |
| 147 | + aptc_stratum = Stratum( |
| 148 | + parent_stratum_id=parent_id, |
| 149 | + notes=f"State FIPS {state_fips} Marketplace APTC recipients", |
| 150 | + ) |
| 151 | + aptc_stratum.constraints_rel = [ |
| 152 | + StratumConstraint( |
| 153 | + constraint_variable="state_fips", |
| 154 | + operation="==", |
| 155 | + value=str(state_fips), |
| 156 | + ), |
| 157 | + StratumConstraint( |
| 158 | + constraint_variable="used_aca_ptc", |
| 159 | + operation=">", |
| 160 | + value="0", |
| 161 | + ), |
| 162 | + ] |
| 163 | + aptc_stratum.targets_rel.append( |
| 164 | + Target( |
| 165 | + # We use `tax_unit_count` rather than household/person |
| 166 | + # counts because insurance groups map most closely to |
| 167 | + # PolicyEngine tax units in the current calibration schema. |
| 168 | + variable="tax_unit_count", |
| 169 | + period=year, |
| 170 | + value=float(row.marketplace_aptc_consumers), |
| 171 | + active=True, |
| 172 | + source="CMS 2024 OEP state metal status PUF", |
| 173 | + notes="HC.gov APTC consumers across all enrollment statuses", |
| 174 | + ) |
| 175 | + ) |
| 176 | + session.add(aptc_stratum) |
| 177 | + session.flush() |
| 178 | + |
| 179 | + bronze_stratum = Stratum( |
| 180 | + parent_stratum_id=aptc_stratum.stratum_id, |
| 181 | + notes=f"State FIPS {state_fips} Marketplace bronze APTC recipients", |
| 182 | + ) |
| 183 | + bronze_stratum.constraints_rel = [ |
| 184 | + StratumConstraint( |
| 185 | + constraint_variable="state_fips", |
| 186 | + operation="==", |
| 187 | + value=str(state_fips), |
| 188 | + ), |
| 189 | + StratumConstraint( |
| 190 | + constraint_variable="selected_marketplace_plan_benchmark_ratio", |
| 191 | + operation="<", |
| 192 | + value=str(BENCHMARK_SILVER_RATIO), |
| 193 | + ), |
| 194 | + StratumConstraint( |
| 195 | + constraint_variable="used_aca_ptc", |
| 196 | + operation=">", |
| 197 | + value="0", |
| 198 | + ), |
| 199 | + ] |
| 200 | + bronze_stratum.targets_rel.append( |
| 201 | + Target( |
| 202 | + variable="tax_unit_count", |
| 203 | + period=year, |
| 204 | + value=float(row.bronze_aptc_consumers), |
| 205 | + active=True, |
| 206 | + source="CMS 2024 OEP state metal status PUF", |
| 207 | + notes="HC.gov bronze plan selections among APTC consumers", |
| 208 | + ) |
| 209 | + ) |
| 210 | + session.add(bronze_stratum) |
| 211 | + session.flush() |
| 212 | + |
| 213 | + session.commit() |
| 214 | + |
| 215 | + |
| 216 | +def main() -> None: |
| 217 | + args, year = etl_argparser( |
| 218 | + "ETL for ACA marketplace bronze-selection calibration targets", |
| 219 | + extra_args_fn=_extra_args, |
| 220 | + ) |
| 221 | + |
| 222 | + state_metal = extract_aca_marketplace_state_metal_data(args.state_metal_csv) |
| 223 | + targets_df = build_state_marketplace_bronze_aptc_targets(state_metal) |
| 224 | + if targets_df.empty: |
| 225 | + raise RuntimeError("No HC.gov marketplace bronze/APTC targets were generated.") |
| 226 | + |
| 227 | + print( |
| 228 | + "Loading ACA marketplace bronze/APTC state targets for " |
| 229 | + f"{len(targets_df)} states from {args.state_metal_csv}" |
| 230 | + ) |
| 231 | + load_state_marketplace_bronze_aptc_targets(targets_df, year) |
| 232 | + print("ACA marketplace bronze/APTC targets loaded.") |
| 233 | + |
| 234 | + |
| 235 | +if __name__ == "__main__": |
| 236 | + main() |
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