Skill audit report
US healthcare domain knowledge (Medicaid, ACA premium tax credit, CHIP, Medicare) for analysts using the policyengine package. Load for: why ACA PTC and Medicaid changes show $0 in household_net_income (the include_health_benefits_in_net_income gotcha) and how to measure health impact instead; the aca_ptc / medicaid / medicaid_category / slcsp / is_aca_ptc_eligible / per_capita_chip variables; Medicaid category precedence (42 CFR 435.119); the _fc/_nfc split; why a flat reform dict fails on required_contribution_percentage; slcsp returning $0 for the ineligible; and what "IRA reform" means. Triggers: Medicaid, ACA, premium tax credit, PTC, aca_ptc, SLCSP, CHIP, Medicare, MAGI, coverage gap, Medicaid expansion, IRA subsidy extension, required contribution percentage, age curve, family tier, medicaid_category. NOT for: non-health US programs (use policyengine-us); new health variables (use policyengine-model-development); core calculate_household / Simulation mechanics (use the policyeng
OpenAgentSkill Trust Score
The Trust Score helps an agent decide whether a skill is safe enough to shortlist before installation.
GitHub adoption
WARN48
32 GitHub stars
Stars/forks activity
WARN43
32 stars, 6 forks; issue activity unavailable in current metadata
Recent maintenance
PASS100
11d since push
License clarity
PASS86
MIT
README/SKILL.md completeness
INFO76
Public metadata needs stronger README/SKILL.md context
Dependency/runtime risk
PASS90
no major dependency risk hints in public metadata
Install availability
PASS92
npx skills add PolicyEngine/policyengine-claude --skill policyengine-healthcare
Install command safety
PASS92
standard package or runtime install path
Permission surface
PASS100
no high-risk permission surface in public metadata
Repository evidence
PASS86
https://github.com/PolicyEngine/policyengine-claude/tree/main/skills/policyengine-healthcare
Review status
WARN46
AI review approval is missing
Agent Proven outcomes
INFO54
No agent outcome data yet
Checks
Install path
92
npx skills add PolicyEngine/policyengine-claude --skill policyengine-healthcare
Repository
88
https://github.com/PolicyEngine/policyengine-claude/tree/main/skills/policyengine-healthcare
License
86
MIT
Maintenance
100
11d since push
AI review
55
Review approval is missing
README/SKILL.md completeness
84
Warnings
Method
This report combines public metadata, AI review output, repository freshness, install readiness, OpenAgentSkill events, quality scoring, trust checks, and the agent safety gate. It is not a full source-code security review.
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Usable description available
Dependency risk
90
no major dependency risk hints in public metadata
Install command safety
92
standard package or runtime install path
Permission surface
100
no high-risk permission surface in public metadata
Stars/forks activity
43
32 stars, 6 forks; issue activity unavailable in current metadata
Adoption
42
32 GitHub stars
Financial decision safety
58
Research-only use: do not treat output as financial advice or execute a position without human approval.
Agent safety v2
Usable candidate, but the agent should surface permission and audit notes before installation.
Require human approval before installing into a real workspace.
Network access
mediumSkill likely fetches remote pages, APIs, repositories, or external services.
Filesystem access
mediumSkill may read or write project files, documents, generated artifacts, or local workspace state.