Skill audit report

policyengine-healthcare 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

REVIEWED · REVIEWNeeds reviewGenerated Nov 6, 2026Heuristic metadata audit
74
Audit
75
Trust
53
Quality
81
Security
88
Maintain
92
Install

OpenAgentSkill Trust Score

75
Strong shortlist

OpenAgentSkill Trust Score

The Trust Score helps an agent decide whether a skill is safe enough to shortlist before installation.

GitHub adoption

WARN

48

32 GitHub stars

Stars/forks activity

WARN

43

32 stars, 6 forks; issue activity unavailable in current metadata

Recent maintenance

PASS

88

2mo since push

License clarity

PASS

86

MIT

README/SKILL.md completeness

INFO

76

Public metadata needs stronger README/SKILL.md context

Dependency/runtime risk

PASS

90

no major dependency risk hints in public metadata

Install availability

PASS

92

npx skills add PolicyEngine/policyengine-claude --skill policyengine-healthcare

Install command safety

PASS

92

standard package or runtime install path

Permission surface

PASS

100

no high-risk permission surface in public metadata

Repository evidence

PASS

86

https://github.com/PolicyEngine/policyengine-claude/tree/main/skills/policyengine-healthcare

Review status

WARN

46

AI review approval is missing

Agent Proven outcomes

INFO

54

No agent outcome data yet

Checks

Install and adoption review

8 Passed · 12 Needs review

Install path

92

PASS

npx skills add PolicyEngine/policyengine-claude --skill policyengine-healthcare

Repository

88

PASS

https://github.com/PolicyEngine/policyengine-claude/tree/main/skills/policyengine-healthcare

License

86

PASS

MIT

Maintenance

88

PASS

2mo since push

AI review

55

CHECK

Review approval is missing

README/SKILL.md completeness

84

PASS

Usable description available

Dependency risk

90

PASS

no major dependency risk hints in public metadata

Install command safety

92

PASS

standard package or runtime install path

Permission surface

100

PASS

no high-risk permission surface in public metadata

Stars/forks activity

43

FIX

32 stars, 6 forks; issue activity unavailable in current metadata

Adoption

42

CHECK

32 GitHub stars

Financial decision safety

58

CHECK

Research-only use: do not treat output as financial advice or execute a position without human approval.

Warnings

  • Financial research output is not financial advice; require human review before any live investment decision
  • Low GitHub adoption signal
  • AI review approval is missing
  • Financial research output is not financial advice; require human review before any live investment decision.
  • Quality score needs review
  • GitHub adoption: 32 GitHub stars
  • Stars/forks activity: 32 stars, 6 forks; issue activity unavailable in current metadata
  • Review status: AI review approval is missing

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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