Programs like Medicaid and SNAP are managed at the federal level, administered at the state level, and often executed at the local level. Because there are so many in-betweens, there is significant duplicated effort, demonstrating the need to simplify eligibility rules to facilitate easier implementation.
Better Rules utilizes multidisciplinary teams that include people skilled in policy, legal, business rules, programming, and service design working together in an iterative fashion to develop rules. Several outputs are produced using this approach, each offering an opportunity that can be fed back into that iterative process and re-used to solve other issues.
We kicked off Rules as Code Demo Day with Alex Soble of 18F and Mike Gintz of 10x presenting their Eligibility APIs Initiative that explores whether APIs and rules as code might improve the efficiency and effectiveness with which federal public benefits programs communicate their policy to states. They demonstrated their original prototype, and how the open source code has now been extended into several initiatives.
In this presentation, Pia Andrews explores how open source legislation as code can be a public utility to increase transparency, and enable better implementation and testing of government systems.
At Rules as Code Demo Day we heard from Song Hia of the NYC Mayor’s Office for Economic Opportunity and Ethan Lo of the NYC Office of Technology and Innovation who demoed the NYC Benefits Platform Screening API which provides machine-readable calculations and criteria for benefits screening that power the ACCESS NYC screening questionnaire. This makes it easier for NYC residents to discover multiple benefits they may be eligible for. The City is now extending the API to support the new MyCity platform, a one-stop shop for all services and benefits.
The team developed an AI-powered explanation feature that effectively translates complex, multi-program policy calculations into clear and accessible explanations, enabling users to explore "what-if" scenarios and understand key factors influencing benefit amounts and eligibility thresholds.
The team introduced "Policy Pulse," a tool to help policy analysts understand laws and regulations better by comparing current policies with their original goals to identify implementation issues.
The team developed an application to simplify Medicaid and CHIP applications through LLM APIs while addressing limitations such as hallucinations and outdated information by implementing a selective input process for clean and current data.
This roadmap provides a vision and plan for how to deliver modernized integrated eligibility and enrollment for health and human services using human-centered design, modular approaches to replacing legacy technology, change management, and iterative product processes.
At Rules as Code Demo Day Seth Hartig from the National Center for Children in Poverty (NCCP) and Bank Street College demoed the Policy Rules Database (PRD), a collaborative effort between the Federal Reserve Bank of Atlanta and the NCCP. The primary purpose of the PRD is to simplify the interpretation of all programs by creating a common structure and a common terminology. The repository allows for research on public assistance programs and tax policies, and helps users model benefits cliffs on career pathways. The PRD is supported by a technical manual with pseudocode that helps guide integration and usage in other platforms.
