3 Affordable Care Act Taxes Postponed by Congress


On January 22, President Trump signed into law a short-term government funding bill. It ended the brief government shutdown by funding the federal government through February 8. It also suspends the following Affordable Care Act (ACA) taxes, which were designed to help fund health care coverage provided under the ACA.

1. Cadillac Tax

Under prior law, for tax years beginning after December 31, 2019, a 40% excise tax was scheduled to apply to any “excess benefit” provided to any employee who’s covered under any “applicable employer-sponsored coverage.” This tax is commonly known as the “Cadillac tax,” because it affects upper-end employer-sponsored insurance coverage. It’s paid by the coverage provider, which is typically the health insurance provider or the entity that administers the plan benefits.

The Cadillac tax was originally scheduled to apply for tax years beginning after 2017 but it has been delayed a number of times, most recently by the 2016 Consolidated Appropriations Act.

The recent government funding law further delays the Cadillac tax for an additional two years. It’s now scheduled to apply for tax years beginning after December 31, 2021.

2. Medical Device Tax

Under prior law, for tax years beginning after December 31, 2017, a 2.3%-of-sales-price excise tax was to be imposed on the sale of any taxable medical device by the device’s manufacturer, producer or importer.

Originally, the medical device tax was scheduled to apply for sales after December 31, 2012. But it has been suspended, most recently by the 2015 Protecting Americans from Tax Hikes (PATH) Act.

The January 2018 government funding law further delays the medical device tax for an additional two years. It’s now scheduled to apply to sales after December 31, 2019. The delay is retroactive to the beginning of 2018.

3. Annual Fee on Health Insurance Providers

Effective for calendar years beginning after December 31, 2013, U.S. health insurance providers generally were supposed to face an annual flat fee. The fee is a fixed amount allocated among all providers based on their relative market share as determined by each entity’s net premiums written for the data year (the year immediately preceding the year in which the fee is paid).

The annual fee on health insurance providers was suspended for 2017 by the 2016 Consolidated Appropriations Act. Now it’s been further suspended by the recent government funding law. The annual fee on health insurance providers is now scheduled to apply in tax years beginning after December 31, 2019.

What’s the Status of Other ACA Provisions?

The ACA individual mandate was permanently eliminated under the Tax Cuts and Jobs Act (but the change isn’t effective yet). This mandate requires taxpayers without coverage by a qualifying health plan to pay a penalty. The elimination of the individual mandate is effective for months beginning after December 31, 2018. So, the individual mandate is in effect for 2017 and 2018.

In addition, the employer mandate for providing health coverage has been retained. This “shared responsibility” mandate imposes a penalty on a “large employer” if it doesn’t offer “minimum essential” health insurance coverage or if one or more of its full-time employees obtains a premium tax credit to help purchase health coverage. The employer mandate applies to for-profit companies, not-for-profit organizations and government entities.

Thanks to the new government funding law, no new ACA-related taxes or penalties are scheduled to go into effect in 2018. For more information on the status of the remaining ACA provisions, contact your employee benefits or tax advisor.

PKS & Company, P.A., Certified Public Accountants and Advisors to Business, is a full service accounting firm with offices in Salisbury & Ocean City, MD and Lewes, DE.  PKS  provides traditional accounting services as well as specialized services in the areas of retirement plan audits and administration, medical practice consulting, estate and trust services, fraud and forensic services and payroll services and offers financial planning and investments through PKS Investment Advisors, LLC. 

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