PolicyEngine · daphnehanse11 · May 14, 2026
diff --git a/changelog.d/980.fixed.md b/changelog.d/980.fixed.md
@@ -0,0 +1 @@
+Align Stage 1 Medicaid validation with 2025 Medicaid enrollment targets.
diff --git a/policyengine_us_data/storage/README.md b/policyengine_us_data/storage/README.md
@@ -36,10 +36,11 @@
   • Date: 2024  
   • Location: https://www.medicaid.gov/resources-for-states/downloads/eligib-oper-and-enrol-snap-december2024.pdf#page=26
 
-- **medicaid_enrollment_2025.csv**  
-  • Source: Medicaid.gov performance indicator dataset, latest final-report month available in the March 2026 release  
-  • Date: November 2025 final reports  
-  • Location: https://data.medicaid.gov/dataset/State-Medicaid-and-CHIP-Applications-Eligibility-Deter/pi-dataset-march-2026release
+- **medicaid_enrollment_2025.csv**
+  • Source: Medicaid.gov performance indicator dataset, updated December 2025 Applications, Eligibility, and Enrollment Data
+  • Date: December 2025 final reports, last updated April 24, 2026
+  • Location: https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360?conditions%5B0%5D%5Boperator%5D=%3D&conditions%5B0%5D%5Bproperty%5D=reporting_period&conditions%5B0%5D%5Bvalue%5D=202512&conditions%5B1%5D%5Boperator%5D=%3D&conditions%5B1%5D%5Bproperty%5D=preliminary_or_updated&conditions%5B1%5D%5Bvalue%5D=U
+  • Notes: Uses `total_medicaid_enrollment`, not combined Medicaid and CHIP enrollment.
 
 - **district_mapping.csv**
   • Source: created by the script `policyengine_us/storage/calibration_targets/make_district_mapping.py`

diff --git a/policyengine_us_data/storage/calibration_targets/medicaid_enrollment_2025.csv b/policyengine_us_data/storage/calibration_targets/medicaid_enrollment_2025.csv
@@ -1,52 +1,52 @@
 state,enrollment
-AK,199460
-AL,752535
-AR,723536
-AZ,1579905
-CA,11554412
-CO,1046707
-CT,882013
-DC,242274
-DE,227234
-FL,3447907
-GA,1698374
-HI,364787
-IA,585282
-ID,293777
-IL,2719408
-IN,1431868
-KS,333620
-KY,1200890
-LA,1274536
-MA,1405793
-MD,1209670
-ME,314237
-MI,2131207
-MN,1158706
-MO,1133140
-MS,509631
-MT,192806
-NC,2527040
-ND,100854
-NE,299026
-NH,159398
-NJ,1514284
-NM,640061
-NV,679632
-NY,5894332
-OH,2508352
-OK,913130
-OR,1124039
-PA,2732233
-RI,263719
-SC,875777
-SD,122031
-TN,1233717
-TX,3776984
-UT,298758
-VA,1503054
-VT,146362
-WA,1722640
-WI,1030040
-WV,451904
-WY,54143
+AK,199113
+AL,750744
+AR,723941
+AZ,1565458
+CA,11498458
+CO,1052954
+CT,881656
+DC,242180
+DE,226467
+FL,3431155
+GA,1692481
+HI,363466
+IA,586048
+ID,294104
+IL,2700951
+IN,1412073
+KS,332430
+KY,1194495
+LA,1265315
+MA,1396994
+MD,1208676
+ME,312572
+MI,2132117
+MN,1154038
+MO,1131455
+MS,509186
+MT,193114
+NC,2535205
+ND,100706
+NE,299325
+NH,158237
+NJ,1507882
+NM,638988
+NV,679311
+NY,5887318
+OH,2486762
+OK,889045
+OR,1123951
+PA,2724282
+RI,264836
+SC,864722
+SD,122091
+TN,1226436
+TX,3764587
+UT,297414
+VA,1495172
+VT,145876
+WA,1726702
+WI,1029554
+WV,450475
+WY,54505
diff --git a/pyproject.toml b/pyproject.toml
@@ -115,7 +115,6 @@ testpaths = [
 markers = [
     "integration: tests that exercise integration-level behavior or external runtime seams",
     "slow: tests or validators that require substantial local runtime or built artifacts",
-    "verify_behavior_skip_temporarily: temporarily skipped while expected behavior is being verified",
 ]
 filterwarnings = [
     "ignore::SyntaxWarning:IPython.core.interactiveshell",

diff --git a/tests/unit/calibration/test_loss_targets.py b/tests/unit/calibration/test_loss_targets.py
@@ -78,7 +78,7 @@ def test_medicaid_targets_roll_forward_to_2025():
 
     assert data_year == 2025
     assert len(targets) == 51
-    assert int(targets["enrollment"].sum()) == 69_185_225
+    assert int(targets["enrollment"].sum()) == 68_925_023
 
 
 def test_medicaid_targets_roll_forward_to_2026():
@@ -98,7 +98,7 @@ def test_medicaid_national_targets_use_2025_values():
     spending, enrollment, data_year = _get_medicaid_national_targets(2025)
 
     assert data_year == 2025
-    assert enrollment == 69_185_225
+    assert enrollment == 68_925_023
     assert spending == pytest.approx(1_000_645_800_000.0001)
 
 

diff --git a/validation/stage_1/conftest.py b/validation/stage_1/conftest.py
@@ -28,19 +28,6 @@
     collect_ignore_glob.append("test_no_formula_variables_stored.py")
 
 
-def pytest_collection_modifyitems(config, items):
-    marker_name = "verify_behavior_skip_temporarily"
-    for item in items:
-        marker = item.get_closest_marker(marker_name)
-        if marker is None:
-            continue
-        reason = marker.kwargs.get(
-            "reason",
-            "Temporarily skipped while expected validation behavior is verified.",
-        )
-        item.add_marker(pytest.mark.skip(reason=reason))
-
-
 @pytest.fixture(scope="session", autouse=True)
 def refresh_policy_db_views():
     db_path = STORAGE_FOLDER / "calibration" / "policy_data.db"

diff --git a/validation/stage_1/test_enhanced_cps.py b/validation/stage_1/test_enhanced_cps.py
@@ -383,27 +383,23 @@ def test_immigration_status_diversity():
     print(f"Immigration status diversity test passed: {citizen_pct:.1f}% citizens")
 
 
-@pytest.mark.verify_behavior_skip_temporarily(
-    reason=(
-        "Investigating whether comparing 2025 medicaid_enrolled against "
-        "2024 Medicaid enrollment targets is intentional."
-    )
-)
 def test_medicaid_calibration():
     import pandas as pd
     from pathlib import Path
     from policyengine_us import Microsimulation
     from policyengine_us_data.datasets.cps import EnhancedCPS_2024
 
-    TARGETS_PATH = Path(
-        "policyengine_us_data/storage/calibration_targets/medicaid_enrollment_2024.csv"
+    VALIDATION_PERIOD = 2025
+    target_file = f"medicaid_enrollment_{VALIDATION_PERIOD}.csv"
+    TARGETS_PATH = (
+        Path("policyengine_us_data/storage/calibration_targets") / target_file
     )
     targets = pd.read_csv(TARGETS_PATH)
 
     sim = Microsimulation(dataset=EnhancedCPS_2024)
     state_code_hh = sim.calculate("state_code", map_to="household").values
     medicaid_enrolled = sim.calculate(
-        "medicaid_enrolled", map_to="household", period=2025
+        "medicaid_enrolled", map_to="household", period=VALIDATION_PERIOD
     )
 
     TOLERANCE = 0.45

diff --git a/validation/stage_1/test_sparse_enhanced_cps.py b/validation/stage_1/test_sparse_enhanced_cps.py
@@ -228,14 +228,16 @@ def test_sparse_aca_calibration(sim):
 
 
 def test_sparse_medicaid_calibration(sim):
-    TARGETS_PATH = Path(
-        "policyengine_us_data/storage/calibration_targets/medicaid_enrollment_2024.csv"
+    VALIDATION_PERIOD = 2025
+    target_file = f"medicaid_enrollment_{VALIDATION_PERIOD}.csv"
+    TARGETS_PATH = (
+        Path("policyengine_us_data/storage/calibration_targets") / target_file
     )
     targets = pd.read_csv(TARGETS_PATH)
 
     state_code_hh = sim.calculate("state_code", map_to="household").values
     medicaid_enrolled = sim.calculate(
-        "medicaid_enrolled", map_to="household", period=2025
+        "medicaid_enrolled", map_to="household", period=VALIDATION_PERIOD
     )
 
     TOLERANCE = 1.0
Original file line number	Diff line number	Diff line change
		@@ -0,0 +1 @@
		Align Stage 1 Medicaid validation with 2025 Medicaid enrollment targets.