Biden’s ACA Enhancements Could Create Challenges For Employers

Biden’s ACA Enhancements Could Create Challenges For Employers

November 24, 2020 2 minute read: President-elect Joe Biden’s term will begin in a few short months and as he promised during his campaign, there will be a number of advancements made to Read More
ACA Employer Mandate Penalties Increasing in 2021

ACA Employer Mandate Penalties Increasing in 2021

November 19, 2020 3 minute read: Earlier this year, the IRS issued the 2021 employer mandate penalties under IRC 4980H(a) and 4980H(b). It should come as no surprise that the penalty amounts have Read More
ACA Likely to Remain Following Supreme Court Oral Arguments

ACA Likely to Remain Following Supreme Court Oral Arguments

November 16, 2020 3 minute read: The Affordable Care Act may have avoided the possibility of being removed once and for all, as the Supreme Court hearing last week suggests. The California v. Read More
Prop 22 has Significant Implications on ACA Healthcare Benefits

Prop 22 has Significant Implications on ACA Healthcare Benefits

November 11, 2020 2 minute read: With everyone’s attention focused on the results of the presidential election, folks may not realize that California Prop 22 will pass. As of November 6, the status Read More
IRS Announces COVID-19 Tax Relief Initiative to Help Taxpayers

IRS Announces COVID-19 Tax Relief Initiative to Help Taxpayers

November 9, 2020 2 minute read: On November 2, 2020, the IRS announced several changes to its collection procedures to assist struggling taxpayers impacted by COVID-19. These changes include: Taxpayers who qualify for Read More
Election Day Recap and Potential ACA Changes

Election Day Recap and Potential ACA Changes

November 4, 2020 3 minute read: Heading into Election Day, a record-breaking one million Americans cast their ballots early, creating a myriad of potential challenges for determining a clear victor in the 2020 Read More
Lower ACA Premiums Heading into Open Enrollment for 2021

Lower ACA Premiums Heading into Open Enrollment for 2021

November 2, 2020 3 minute read: The Healthcare.gov open enrollment period for the 2021 tax year will begin on November 1, 2020, and will run through December 15. Surprisingly, premiums are down and Read More
The New 1095-C Codes for 2020 Explained

The New 1095-C Codes for 2020 Explained

October 29, 2020 2 minute read: We recently covered the ins and outs of the ACA’s Form 1095-C. Now, we will be covering the new codes that are anticipated for the 2020 tax Read More
D.C. Upholds Health Carrier Tax, Supporting ACA Health Exchanges

D.C. Upholds Health Carrier Tax, Supporting ACA Health Exchanges

October 27, 2020 3 minute read: An argument regarding the District of Columbia’s ACA health exchange tax was decided late last month. The decision rules in favor of the tax, supporting state-run health Read More
IRS to Require Reporting of ICHRAs on Tax Forms for 2020

IRS to Require Reporting of ICHRAs on Tax Forms for 2020

October 21, 2020 2 minute read: An Individual Coverage Health Reimbursement Arrangement (ICHRA) can be beneficial for employers and employees alike. According to HealthCare.gov, employers can “control costs by providing defined non-taxed reimbursements Read More
Possible ACA Outcomes If Joe Biden Is Elected in November

Possible ACA Outcomes If Joe Biden Is Elected in November

October 19, 2020 2 minute read: With the 2020 presidential election a few short weeks out, it’s incredibly important that voters understand what Joe Biden versus Donald Trump will do to the ACA Read More
Form 1095-C Deadline Approaching, Employers Avoid Penalties

Form 1095-C Deadline Approaching, Employers Avoid Penalties

October 14, 2020 2 minute read: “What exactly is Form 1095-C?” It’s a question that employers often ask when they’re first introduced to the responsibilities of the ACA’s Employer Mandate. In this post, Read More
SCOTUS Nominee & ACA Compliance Complications

SCOTUS Nominee & ACA Compliance Complications

October 12, 2020 2 minute read: With the potential of Trump’s nominee, Amy Coney Barrett, becoming the newest justice on the U.S. Supreme Court in time for the November 10, 2020 hearing on Read More
Employers Must Show Reasonable Cause for Failure to File IRS Forms

Employers Must Show Reasonable Cause for Failure to File IRS Forms

October 7, 2020 2 minute read: The IRS imposes penalties for late filing of Forms 1094-C and 1095-C or for late furnishing of Forms 1095-C under Internal Revenue Code (IRC) Sections 6721 and Read More
Big IRS News Concerning 2020 ACA Deadlines

Big IRS News Concerning 2020 ACA Deadlines

October 5, 2020 2 minute read: The IRS just released very important guidance concerning employers’ obligations under the Affordable Care Act. Notice 2020-76, released October 2, 2020, addresses a broad array of topics Read More
Proposition 22 Will Require Healthcare Subsidies and Reporting

Proposition 22 Will Require Healthcare Subsidies and Reporting

October 1, 2020 2 minute read: Proponents of Proposition 22 have flooded TV airwaves with ads warning against the loss of jobs if Prop 22 does not pass. Prop 22 is a ballot Read More
ACA Expectations Heading into the 2020 Election

ACA Expectations Heading into the 2020 Election

September 28, 2020 3 minute read: As the fourth quarter of 2020 draws near, so does the presidential election. A popular topic of debate to be addressed in the coming election is healthcare, Read More
IRS Releases New ACA Filing Information for the 2020 Tax Year

IRS Releases New ACA Filing Information for the 2020 Tax Year

September 24, 2020 2 minute read: The IRS has published various Affordable Care Act Information Returns (AIRs) documents for the 2020 tax year with which employers will need to familiarize themselves before filing Read More
What You Need to Know About Letter 5699

What You Need to Know About Letter 5699

September 22, 2020 2 minute read: What Is Letter 5699? Letter 5699, Missing Information Return Form 1094/1095-C, is used to make initial contact with an organization that the IRS believes may have been Read More
New IRS Notice Addresses COVID-19, Medicaid, and the ACA

New IRS Notice Addresses COVID-19, Medicaid, and the ACA

September 16, 2020 2 minute read: New IRS guidance addresses the intersection of COVID-19, Medicaid, and the Affordable Care Act (ACA). In a bid to increase COVID-19 testing in the U.S., one facet Read More
ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds

ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds

September 4, 2020 2 minute read: The data is in: at least 27 million Americans have lost employer-sponsored health coverage as a result of COVID-19. The Kaiser Family Foundation issued a report in Read More
New Jersey Adopts ACA Provision to Lower Healthcare Costs

New Jersey Adopts ACA Provision to Lower Healthcare Costs

August 26, 2020 3 minute read: Earlier this month, New Jersey signed into law a state version of an Affordable Care Act provision, the Health Insurance Assessment (HIA) program. New Jersey is the Read More
New Victory Shows ACA’s Staying Power in Court

New Victory Shows ACA’s Staying Power in Court

August 24, 2020 2 minute read: In another court victory for the Affordable Care Act (ACA), a federal appellate court ruled in Texas v. Rettig that a provision of the ACA that imposes Read More
ACA Affordability to Increase for the 2021 Tax Year

ACA Affordability to Increase for the 2021 Tax Year

August 17, 2020 2 minute read: For the 2021 tax year, the ACA affordability threshold will increase. That means employees will likely have to contribute more towards their employer-sponsored healthcare. IRS Notice Rev Read More
ACA Expansion of Medicaid Passes in Missouri

ACA Expansion of Medicaid Passes in Missouri

August 14, 2020 3 minute read: In yet another triumphant win for the Affordable Care Act, the state of Missouri approved and passed the expansion of Medicaid. The expansion comes after nearly 53% Read More
ACA Enhancement Bill Telling of the Times

ACA Enhancement Bill Telling of the Times

July 24, 2020 2 minute read: House of Representative Democrats have unveiled a bill that would enhance many of the ACA’s components while reversing much of the Trump administration’s onslaught to the healthcare Read More
ACA’s Expansion of Medicaid Takes Hold in Oklahoma

ACA’s Expansion of Medicaid Takes Hold in Oklahoma

July 17, 2020 3 minute read: In late June, Oklahoma joined 37 other states and the District of Columbia in expanding Medicaid under the ACA. Better late than never and in good timing Read More
Proposed IRS Regs Will Not Affect How Individuals Receive PTCs

Proposed IRS Regs Will Not Affect How Individuals Receive PTCs

June 3, 2020 2 minute read: The IRS recently issued proposed regulations on how the personal tax exemption reduction to “0” will affect qualifications for recipients of Premium Tax Credits (PTCs). Regulation 124810-19, Read More
ACA’s Expansion of Medicaid Key Player for Providing Health Coverage Amid COVID-19

ACA’s Expansion of Medicaid Key Player for Providing Health Coverage Amid COVID-19

May 29, 2020 2 minute read: By now it’s become abundantly clear how important it is for individuals to have health coverage. COVID-19 or not, healthcare is saving lives and the ACA has Read More
Employers May See More ACA Penalties As a Result of COVID-19

Employers May See More ACA Penalties As a Result of COVID-19

May 25, 2020 2 minute read: A new data analysis report from the Kaiser Family Foundation (KFF) finds the vast majority of Americans who lost their job amid COVID-19will be eligible for government Read More
Maine Implements a Statewide Health Exchange

Maine Implements a Statewide Health Exchange

September 19, 2019 2 minute read: Maine will become the next state to administer its own statewide health exchange. The state will however, continue to operate on the federal healthcare.gov website platform. The Read More
Three More States Decide to Expand Medicaid Under the ACA

Three More States Decide to Expand Medicaid Under the ACA

September 3, 2019 3 minute read: Utah, Nebraska, and Idaho will join 33 states and the District of Columbia in expanding Medicaid under the Affordable Care Act. The expansion will take place under Read More
California Passes New State-Wide Healthcare Individual Mandate

California Passes New State-Wide Healthcare Individual Mandate

July 3, 2019 5 minute read: In early January, I wrote a blog post titled, “Will 2019 Be the Year for Statewide Individual Health Insurance Mandates?” More and more, it is appearing that Read More
Is Maryland the Next State to Approve an Individual Mandate?

Is Maryland the Next State to Approve an Individual Mandate?

March 13, 2019 3 minute read: Maryland is getting closer to a state-wide version of an individual mandate that will encourage state residents to purchase health insurance. A bill in the Maryland legislature, Read More
Will 2019 be the Year for Statewide Individual Health Insurance Mandates?

Will 2019 be the Year for Statewide Individual Health Insurance Mandates?

January 7, 2019 3 minute read:  Since the Trump Administration took office, the ACA has been under fire from the White House and many Congressional Republicans. Legislative repeal of the ACA failed. However, Read More
What Employers Need to Know About the ACA (UPDATE)

What Employers Need to Know About the ACA (UPDATE)

November 12, 2018 7 minute read: It’s always interesting to look back and see how regulation develops. The Affordable Care Act (ACA) is no exception. I wrote a five-part series about the ACA Read More
ACA Support May Dictate Midterm Election Results

ACA Support May Dictate Midterm Election Results

November 5, 2018 2 minute read:  Americans across the country will report to their respective poll places to cast their ballots in the midterm elections on November 6, and the issue of healthcare Read More
Masshealth Changes Come With a Hefty Price Tag For Employers [UPDATE]

Masshealth Changes Come With a Hefty Price Tag For Employers [UPDATE]

February 12, 2018 While healthcare continues to be talked about by the federal government, some state governments are taking steps of their own to shore up the Affordable Care Act (ACA) impact on Read More
Individual Healthcare Mandate Being Considered in Maryland [UPDATE]

Individual Healthcare Mandate Being Considered in Maryland [UPDATE]

January 18, 2018 Senate Republicans added repeal of the ACA’s individual mandate to the Senate’s tax reform bill to save nearly $340 billion in federal funds during the next decade to mitigate increases Read More
New Guidance on Medicaid May Lead to More Choice for Employers and Employees

New Guidance on Medicaid May Lead to More Choice for Employers and Employees

January 16, 2018 New guidelines from the Centers for Medicare & Medicaid Services (CMS) support efforts by certain individual states to test incentives that make participation in work or other community engagement a Read More
Studies: ACA Has No Effect on Hours Worked [UPDATE]

Studies: ACA Has No Effect on Hours Worked [UPDATE]

January 11, 2018 Shortly after the passage the Affordable Care Act (ACA), some economists predicted that the law would cause employers to slash workweeks to less than 30 hours to avoid having to Read More
The Affordable Care Act Has Helped Millions, But There’s More Work To Do

The Affordable Care Act Has Helped Millions, But There’s More Work To Do

January 9, 2018 In 2010, former President Barack Obama introduced the Affordable Care Act (ACA) in an effort to provide more Americans with health coverage. Over the course of its now-nearly eight-year run, Read More
As Congress Moves To Remove Individual Mandate, States Seek Their Own Version

As Congress Moves To Remove Individual Mandate, States Seek Their Own Version

January 8, 2018 It was a decade ago when Massachusettsimplemented its own individual mandate that required state residents to obtain health insurance or face financial ramifications. Nationwide, that rule became the framework of Read More
The ACA Has Improved Healthcare In the United States

The ACA Has Improved Healthcare In the United States

November 30, 2017 There is much political debate about whether the Affordable Care Act (ACA) has improved healthcare for Americans. The Wharton University scholarly podcast Knowledge@Wharton recently featured Wharton health care management professor Read More
New Kaiser Family Foundation Study Shows Number Of Uninsured In 2016

New Kaiser Family Foundation Study Shows Number Of Uninsured In 2016

November 8, 2017 When the Affordable Care Act (ACA) was first enacted in 2010, the mission was clear: provide affordable healthcare to the millions of Americans without it. Depending on who you speak Read More
U.S. Senate Committee Hears More Support for CSR Payments and Flexibility for States

U.S. Senate Committee Hears More Support for CSR Payments and Flexibility for States

September 13, 2017 The U.S. Senate Committee on Health, Education, Labor and Pensions continued its hearings on healthcare policy yesterday. The hearing brought testimony in support of providing states more flexibility in addressing Read More
MassHealth Changes Come With A Hefty Price Tag For Employers

MassHealth Changes Come With A Hefty Price Tag For Employers

August 31, 2017 While healthcare is expected to continue to be discussed when Congress reconvenes in September, some state governments are taking steps of their own to shore up the Affordable Care Act Read More
Medicaid Receives Praise From Its Recipients

Medicaid Receives Praise From Its Recipients

July 27, 2017 There’s a fallacy amongst some people that suggests Medicaid recipients are receiving less than stellar healthcare. That couldn’t be further from the truth according to a new study from Harvard’s Read More
Pressure Mounts for Congressional Action on Healthcare as Congress Returns to Washington

Pressure Mounts for Congressional Action on Healthcare as Congress Returns to Washington

July 11, 2017 As Congress returns to Washington, D.C. from a quick Independence Day break, the question of repealing and replacing the Affordable Care Act (ACA) remains top of mind. Job one for Read More
Complexities Await Should ACA Be Amended Prior To Repeal

Complexities Await Should ACA Be Amended Prior To Repeal

June 27, 2017 On June 26, President Trump tweeted, “Republican Senators are working very hard to get there, with no help from the Democrats. Not easy! Perhaps just let OCare crash & burn!” Read More