Improving health is our policy
Amended by section 1401 of HCERA. Starting in 2018, imposes an excise tax on the health insurance issuer or health plan administrator – including governmental plans – of 40 percent of aggregate coverage costs in excess of $10,200 (self only) and $27,500 (family coverage). Applies to group health plans, including self-insured plans, but not to standalone dental/vision plans. Adjusts thresholds...
Requires employers to report on employees’ annual W-2 statements the cost of coverage under an employer-sponsored group plan. Effective as of taxable years beginning after December 31, 2010.
Modifies the definition of qualified medical expenses for HSAs, FSAs, Archer MSAs and HRAs to include insulin and any prescribed drug, even if the medicine is available over the counter (i.e., over-the-counter medications are a qualified medical expense that can be reimbursed or paid on a tax-free basis under these arrangements only if they are prescribed). Effective for taxable years...
Increases the additional tax for HSA and Archer MSA withdrawals, if not used for qualified medical expenses, to 20 percent from 10 percent and 15 percent, respectively, for distributions made after December 31, 2010.
Amended by sections 10902 of the Manager’s Amendment and 1403 of HCERA. Limits employee contributions via salary reduction to health FSAs to $2,500 annually beginning in 2013, indexed at CPI-U in subsequent years.
Requires that business report to the IRS and each provider any amount over $600 paid to corporate and non-corporate providers – excluding organizations exempt from tax under section 501(a) of the Internal Revenue Code – for property and other gross proceeds in a given year. Applies to payments made after December 31, 2011.
Amended by section 10903 of the Manager’s Amendment. Establishes additional requirements for 501(C)(3) hospitals – applicable to each hospital separately, in the case of a multi-facility system – including conducting periodic community health needs assessments, having a financial assistance policy meeting certain criteria; implementing limitations on certain charges for those eligible for the financial assistance policy; and meeting certain billing...
Amended by section 1404 of HCERA. Imposes an annual non-deductible fee on certain manufacturers and importers of branded prescription drugs and biologics – excluding orphan drugs – totaling (sector-wide) $2.5 billion for 2011; $2.8 billion in 2012 and 2013; $3.0 billion for 2014, 2015 and 2016; $4.0 billion for 2017; $4.1 billion for 2018; and $2.8 billion for 2019 and...
Repealed and replaced by section 1405 of HCERA, summarized here. Imposes an excise tax of 2.3 percent on sales price of medical devices by manufacturers, producers or importers. Applies to devices defined in section 201(h) of the Federal Food, Drug and Cosmetic Act intended for humans; exempts eyeglasses, contact lenses, hearing aids and other devices determined by HHS to be...
Amended by sections 10905 of the Manager’s Amendment and 1406 of HCERA. Imposes an aggregate, non-deductible annual fee on health insurers of $8B in 2014, $11.3B in 2015 and 2016, $13.9B in 2017 and $14.3B in 2018, subsequently indexed to the rate of premium growth. Allocates the fee by insurers’ relative market share of net premiums written in the preceding...
By December 31, 2012, directs the Secretary of Veterans Affairs to report to Congress on the impact of the ACA fees on pharmaceutical, medical device and health insurance providers on the cost of veterans’ medical care and access to devices and branded prescription drugs.
Amended by section 1407 of HCERA. For taxable years beginning after December 31, 2012, eliminates the deduction for the federal subsidy paid to employers that provide prescription drug coverage for Part D-eligible retirees.
For taxable years beginning after December 31, 2012, raises the threshold for itemized deduction of unreimbursed medical expenses to 10 percent from 7.5 percent of adjusted gross income. Temporarily excludes taxpayers over age 65, who remain subject to the 7.5 percent limit through 2016.
Limits the amount of executive compensation health insurers can deduct under section 162(m) of the Internal Revenue Code – including rules applicable to deferred deduction remuneration – to $500,000 for those health insurance issuers receiving at least 25 percent of their gross premium income from plans meeting ACA minimum essential coverage requirements. Effective for compensation paid in taxable years beginning...
Amended by sections 10906 of the Manager’s Amendment and 1402 of HCERA. Increases the Medicare Hospital Insurance tax rate by 0.9 percentage points on wages in excess of $200,000 ($250,000 for married couples filing jointly and $125,000 for married taxpayers filing separately). Also imposes an additional “Unearned Income Medicare Contribution” tax of 3.8 percent on the lesser of 1) net...
Stipulates that non-profit Blue Cross and Blue Shield organizations must have a medical loss ratio of at least 85 percent in order to qualify for tax treatment available under section 833 of the Internal Revenue Code. Effective for taxable years beginning after December 31, 2009.
As substituted by section 10907 of the Manager’s Amendment. Applies a 10 percent tax to the amount paid for indoor tanning services. Provides that the tax shall be paid by the individual on whom the service is performed to the service provider and remitted by the provider quarterly to Treasury. Notes that the service provider is secondarily liable for the...
Generally excludes from gross income the value of any qualified Indian health care benefit. Applies to benefits and coverage provided after the date of enactment.
Creates rules for eligible small businesses to maintain “simple cafeteria plans” that will be treated as meeting any applicable nondiscrimination requirements. Specifies contribution requirements for the employer as well as eligibility – including all employees who had at least 1,000 hours of service for the preceding plan year – and participation requirements that generally must be met, subject to specified...
Creates a two-year tax credit program of up to $1B and allows grants in lieu of tax credits under specified conditions. Provides for a credit or grant of 50 percent of the qualified investment for such taxable year relating to a qualifying therapeutic discovery project – defined as those designed to treat or prevent diseases or conditions; develop molecular diagnostics...
Excludes from gross income any amount received from a State loan repayment or loan forgiveness program intended to increase the availability of health care services in underserved or health professional shortage areas. Applies to amounts received in taxable years beginning after December 31, 2008.
Increases the maximum tax credit and exclusion for employer-provided benefits to $13,170 per eligible child. Extends the credit through 2011 and makes it refundable. Effective in taxable years beginning after December 31, 2009.
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