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Model Vermont Premium Assistance (state 1.5pp reduction of ACA applicable percentage) #9225

Description

@DTrim99

Program

Vermont Premium Assistance (VPA), administered by DVHA through Vermont Health Connect, is a pre-existing state premium subsidy that reduces the §36B applicable percentage by a flat 1.5 percentage points for APTC-eligible enrollees (i.e., a premium cut equal to 1.5% of income). Vermont also runs a separate state CSR boost.

Eligible population / income range

  • APTC-eligible enrollees at or below 300% FPL.

Benefit design

Subtract 1.5 percentage points from the federal §36B applicable percentage before computing the required contribution, lowering the net premium by 1.5% of household income. A separate state cost-sharing reduction boost applies.

PY2026 status

Active, pre-existing.

Modelability

Easy per the survey — trivially subtract 1.5pp from the applicable percentage (≤300% FPL); one of the easiest wins.

Reference implementation pattern

Directly reuses the Maryland Premium Assistance pattern (issue #9217 / PR #9218): a state-modified target percentage compared against gov.aca.required_contribution_percentage, with the SLCSP gap and post-APTC cap. VT is the cleanest analogue — the state schedule is simply the federal applicable percentage minus 1.5pp.

Sources

  • info.healthconnect.vermont.gov/2026changes
  • KFF, "State-Based Efforts Will Provide Limited Relief..." (kff.org)

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    aca-subsidyAffordable Care Act subsidyenhancementNew feature or requestmedicaidMedicaid and related health programsstates/vtVermont

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