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In 2014, the Internal Revenue Service (IRS) introduced a host of tax provisions to accommodate the
Affordable Care Act The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by Pres ...
. Robert W. Wood wrote in ''
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'' that the relationship between tax filing and obtaining health insurance may cause mixed feelings. Some are expected to feel they have benefited, but others may feel burdened by additional costs and/or filing requirements.


Premium Tax Credits

The Premium Tax Credit (PTC) is a refundable tax credit, payable by the Internal Revenue Service (IRS) to qualifying individuals who have obtained healthcare insurance through a healthcare exchange (marketplace) in the tax year. It can be paid in advance directly to a healthcare insurance company to offset the cost of monthly health insurance premiums. For the 2015 tax year 1.6 million
taxpayer A taxpayer is a person or organization (such as a company) subject to pay a tax. Modern taxpayers may have an identification number, a reference number issued by a government to citizens or firms. The term "taxpayer" generally characterizes o ...
s overestimated the amount they were supposed to receive for the advance tax premium. The average amount owing was $800.


Cost-sharing subsidies

Households with (Modified Adjusted Gross) income of 100-250% of the
Federal poverty level In the United States, poverty has both social and political implications. In 2020, there were 37.2 million people in poverty. Some of the many causes include income inequality, inflation, unemployment, debt traps and poor education.Western, B ...
(FPL) may also receive cost-sharing
subsidies A subsidy or government incentive is a form of financial aid or support extended to an economic sector (business, or individual) generally with the aim of promoting economic and social policy. Although commonly extended from the government, the ter ...
if they are enrolled in a silver plan through a healthcare exchange. The subsidy reduces the amount a household must pay out-of-pocket.


Individual Shared Responsibility Provision

Starting in 2014 all tax-filers must have healthcare insurance. Tax-filers who obtain qualifying healthcare insurance receive a 1095 form from an employer, a healthcare insurance company, or a healthcare exchange (marketplace). The 1095 serves as proof that the individual has obtained healthcare insurance. For the tax year 2014 only Form 1095-A provided by a healthcare exchange is required by the IRS. Individuals who were not insured during the tax year are required to make a payment when filing their tax return, unless they qualify for a
tax exemption Tax exemption is the reduction or removal of a liability to make a compulsory payment that would otherwise be imposed by a ruling power upon persons, property, income, or transactions. Tax-exempt status may provide complete relief from taxes, redu ...
. An exemption certificate number is required in some cases for obtaining an exemption on a tax return. In 2014 the payment amount was 1% of income or $95 per adult ($47.50 per child) limited to a family maximum of $285 (national average premium for a bronze plan), whichever is greater. In 2015 the penalty increased to $285 per adult or 2% of income above the limit.
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reported in February 2015 that up to six million uninsured taxpayers are expected to have to pay a penalty for not obtaining health insurance in 2014.


Americans residing outside the United States

Americans permanently residing outside the United States are exempt from the requirement to obtain health coverage in the United States. However they must file Form 8965 to obtain an exemption. Failure to file this form may result in a tax penalty.


American citizens and American residents residing outside the United States

American citizens and American residents residing outside the United States for part of the year can also get an exemption but only if they reside outside the U.S. for more than 330 full days during a twelve-month period.


Canadians residing in the United States part of the year

There have been some changes that may affect Canadians who reside in the United States part of the year: * In June 2014 a new cooperative program between
Canada Canada is a country in North America. Its ten provinces and three territories extend from the Atlantic Ocean to the Pacific Ocean and northward into the Arctic Ocean, covering over , making it the world's second-largest country by tot ...
and the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territori ...
titled the Entry/Exit Initiative of the Perimeter Security and Economic Competitiveness Action Plan went into effect. * If a Canadian person spends more than 182 days within a calendar year in the United States, they may considered a
U.S. Person The term United States person or US person is used in various contexts in US laws and regulations with different meanings. It can refer to natural persons or other entities. Data collection and intelligence The term "US person" is used in the c ...
for tax purposes under IRS rules. * Canadians who spend more than 182 days within a calendar year in the United States, can try to overturn U.S.-person-status by filing Form 8840 no later than June 15 of the year the tax return must be filed. * Being a U.S. person may have damaging tax effects on Canadians, because they must file U.S. tax returns on their world-wide
income Income is the consumption and saving opportunity gained by an entity within a specified timeframe, which is generally expressed in monetary terms. Income is difficult to define conceptually and the definition may be different across fields. Fo ...
(even if none of the income is derived in the United States). * Even those who owe no tax may be faced with large costs associated with filing complicated tax returns in both Canada and the United States, including such forms such as FBAR and form 8965.


Small Business Health Care tax credits

Starting in 2015 Small Business Health Care tax credits are available to small businesses (25 employees or less) who obtain a qualified health plan offered through a
Small Business Health Options Program The federal Small Business Health Options Program is an insurance exchange, created by Patient Protection and Affordable Care Act (Obamacare). The Small Business Health Options Program (SHOP) Marketplace helps small businesses to provide health cov ...
(SHOP) Marketplace.


Net investment income tax

Higher income taxpayers, as well as taxpayers with sources of income that are defined as net investment income in the statute, pay an additional 3.8% tax to offset the costs of the Affordable Care Act. This tax first took effect in 2013. At the time, "higher income taxpayers" were defined as taxpayers with a
modified adjusted gross income In the United States income tax system, adjusted gross income (AGI) is an individual's total gross income minus specific deductions. It is used to calculate taxable income, which is AGI minus allowances for personal exemptions and itemized deduc ...
of $250,000 for married couples filing jointly, $125,000 for married couples filing separately, and $200,000 for individuals or heads of household. The tax is applied on income from interest, dividends, rents, royalties, passive activities, and gain from the sale of most properties and is not indexed for inflation.


See also

*
Individual shared responsibility provision The individual shared responsibility provision, less formally known as the individual mandate, was the health insurance mandate imposed on individuals by the Affordable Care Act in the United States until tax year 2019. This individual mandate req ...


References


External links

* https://www.irs.gov/uac/Affordable-Care-Act-Tax-Provisions * https://www.healthcare.gov/fees-exemptions/exemptions-from-the-fee/ {{PPACA , state=autocollapse tax provisions Taxation in the United States Nudge theory