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Excise Taxes and Tax Credits
Various Fees (Comparative Clinical Effectiveness Research, Insurance, Etc.)
Government Resources
The IRS issued a notice of proposed rulemaking and public hearing regarding fees imposed by ACA. The proposed rules implement and provide guidance on the fees health insurance issuers and self-insured health plan sponsors must pay to fund the Patient-Centered Outcomes Research Trust Fund. Comments are due July 16, 2012. Requests to speak and outlines of topics to be discussed at the public hearing, scheduled August 8, 2012, must be received by July 30, 2012. 4/17/12 (New)
The ACA establishes a transitional reinsurance program in each state to help stabilize premiums for coverage in the individual market due to individuals with higher cost needs gaining insurance coverage during the first three years of Exchange operation (2014 through 2016). All health insurance issuers, self-insured group health plans, and third party administrators on their behalf, will make contributions to support reinsurance payments to individual market issuers that cover individuals with high medical costs. These final rules are effective May 22, 2012.
The Internal Revenue Service (IRS) has released Notice 2011-35 requesting public comments on the implementation of the ACA provisions to fund comparative clinical effectiveness research relating to patient-centered outcomes. The fees are effective for policy and plan years ending after September 30, 2012. Therefore, the first policy year to which the fee on a specified health insurance policy applies would be a policy year that ends on October 1, 2012. The fee does not apply to policy years ending after September 30, 2019. The fee is equal to two dollars (one dollar in the case of policy years ending before October 1, 2013) multiplied by the average number of lives covered under the policy. 6/9/11
Analysis
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