Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Tuesday, January 1, 2013

House passed Senate version of fiscal cliff bill!

On the evening of January 1 2013, the House passed the Senate's version of the fiscal cliff bill.  Now it goes to President Obama.  Text is at http://1.usa.gov/UkNnw7  and runs 154 pages, covering many areas.  I suspect that individual tax rates will be getting most of the attention in the press, but there are many other items (e.g., business incentives being extended that had expired; international tax issues, etc.) that are very important.

Stay tuned for more!


  • TITLE I—GENERAL EXTENSIONS
    • Sec. 101. Permanent extension and modification of 2001 tax relief.
    • Sec. 102. Permanent extension and modification of 2003 tax relief.
    • Sec. 103. Extension of 2009 tax relief.
    • Sec. 104. Permanent alternative minimum tax relief.
  • TITLE II—INDIVIDUAL TAX EXTENDERS
    • Sec. 201. Extension of deduction for certain expenses of elementary and secondary school teachers.
    • Sec. 202. Extension of exclusion from gross income of discharge of qualified principal residence indebtedness.
    • Sec. 203. Extension of parity for exclusion from income for employer-provided mass transit and parking benefits.
    • Sec. 204. Extension of mortgage insurance premiums treated as qualified residence interest.
    • Sec. 205. Extension of deduction of State and local general sales taxes.
    • Sec. 206. Extension of special rule for contributions of capital gain real property made for conservation purposes.
    • Sec. 207. Extension of above-the-line deduction for qualified tuition and related expenses.
    • Sec. 208. Extension of tax-free distributions from individual retirement plans for charitable purposes.
    • Sec. 209. Improve and make permanent the provision authorizing the Internal Revenue Service to disclose certain return and return information to certain prison officials.
  • TITLE III—BUSINESS TAX EXTENDERS
    • Sec. 301. Extension and modification of research credit.
    • Sec. 302. Extension of temporary minimum low-income tax credit rate for nonfederally subsidized new buildings.
    • Sec. 303. Extension of housing allowance exclusion for determining area median gross income for qualified residential rental project exempt facility bonds.
    • Sec. 304. Extension of Indian employment tax credit.
    • Sec. 305. Extension of new markets tax credit.
    • Sec. 306. Extension of railroad track maintenance credit.
    • Sec. 307. Extension of mine rescue team training credit.
    • Sec. 308. Extension of employer wage credit for employees who are active duty members of the uniformed services.
    • Sec. 309. Extension of work opportunity tax credit.
    • Sec. 310. Extension of qualified zone academy bonds.
    • Sec. 311. Extension of 15-year straight-line cost recovery for qualified leasehold improvements, qualified restaurant buildings and improvements, and qualified retail improvements.
    • Sec. 312. Extension of 7-year recovery period for motorsports entertainment complexes.
    • Sec. 313. Extension of accelerated depreciation for business property on an Indian reservation.
    • Sec. 314. Extension of enhanced charitable deduction for contributions of food  inventory.
    • Sec. 315. Extension of increased expensing limitations and treatment of certain real property as section 179 property.
    • Sec. 316. Extension of election to expense mine safety equipment.
    • Sec. 317. Extension of special expensing rules for certain film and television productions.
    • Sec. 318. Extension of deduction allowable with respect to income attributable to domestic production activities in Puerto Rico.
    • Sec. 319. Extension of modification of tax treatment of certain payments to controlling exempt organizations.
    • Sec. 320. Extension of treatment of certain dividends of regulated investment companies.
    • Sec. 321. Extension of RIC qualified investment entity treatment under FIRPTA.
    • Sec. 322. Extension of subpart F exception for active financing income.
    • Sec. 323. Extension of look-thru treatment of payments between related controlled foreign corporations under foreign personal holding company rules.
    • Sec. 324. Extension of temporary exclusion of 100 percent of gain on certain small business stock.
    • Sec. 325. Extension of basis adjustment to stock of S corporations making charitable contributions of property.
    • Sec. 326. Extension of reduction in S-corporation recognition period for built-in gains tax.
    • Sec. 327. Extension of empowerment zone tax incentives.
    • Sec. 328. Extension of tax-exempt financing for New York Liberty Zone.
    • Sec. 329. Extension of temporary increase in limit on cover over of rum excise taxes to Puerto Rico and the Virgin Islands.
    • Sec. 330. Modification and extension of American Samoa economic development credit.
    • Sec. 331. Extension and modification of bonus depreciation.
  • TITLE IV—ENERGY TAX EXTENDERS
    • Sec. 401. Extension of credit for energy-efficient existing homes.
    • Sec. 402. Extension of credit for alternative fuel vehicle refueling property.
    • Sec. 403. Extension of credit for 2- or 3-wheeled plug-in electric vehicles.
    • Sec. 404. Extension and modification of cellulosic biofuel producer credit.
    • Sec. 405. Extension of incentives for biodiesel and renewable diesel.
    • Sec. 406. Extension of production credit for Indian coal facilities placed in service before 2009.
    • Sec. 407. Extension and modification of credits with respect to facilities producing energy from certain renewable resources.
    • Sec. 408. Extension of credit for energy-efficient new homes.
    • Sec. 409. Extension of credit for energy-efficient appliances.
    • Sec. 410. Extension and modification of special allowance for cellulosic biofuel plant property.
    • Sec. 411. Extension of special rule for sales or dispositions to implement FERC or State electric restructuring policy for qualified electric utilities.
    • Sec. 412. Extension of alternative fuels excise tax credits.
  • TITLE V—UNEMPLOYMENT
    • Sec. 501. Extension of emergency unemployment compensation program.
    • Sec. 502. Temporary extension of extended benefit provisions.
    • Sec. 503. Extension of funding for reemployment services and reemployment and eligibility assessment activities.
    • Sec. 504. Additional extended unemployment benefits under the Railroad  Unemployment Insurance Act.
  • TITLE VI—MEDICARE AND OTHER HEALTH EXTENSIONS
    • Subtitle A—Medicare Extensions
      • Sec. 601. Medicare physician payment update.
      • Sec. 602. Work geographic adjustment.
      • Sec. 603. Payment for outpatient therapy services.
      • Sec. 604. Ambulance add-on payments.
      • Sec. 605. Extension of Medicare inpatient hospital payment adjustment for lowvolume hospitals.
      • Sec. 606. Extension of the Medicare-dependent hospital (MDH) program.
      • Sec. 607. Extension for specialized Medicare Advantage plans for special needs individuals.
      • Sec. 608. Extension of Medicare reasonable cost contracts.
      • Sec. 609. Performance improvement.
      • Sec. 610. Extension of funding outreach and assistance for low-income programs.
    • Subtitle B—Other Health Extensions
      • Sec. 621. Extension of the qualifying individual (QI) program.
      • Sec. 622. Extension of Transitional Medical Assistance (TMA).
      • Sec. 623. Extension of Medicaid and CHIP Express Lane option.
      • Sec. 624. Extension of family-to-family health information centers.
      • Sec. 625. Extension of Special Diabetes Program for Type I diabetes and for Indians.
    • Subtitle C—Other Health Provisions
      • Sec. 631. IPPS documentation and coding adjustment for implementation of MSDRGs.
      • Sec. 632. Revisions to the Medicare ESRD bundled payment system to reflect findings in the GAO report.
      • Sec. 633. Treatment of multiple service payment policies for therapy services.
      • Sec. 634. Payment for certain radiology services furnished under the Medicare hospital outpatient department prospective payment system.
      • Sec. 635. Adjustment of equipment utilization rate for advanced imaging services.
      • Sec. 636. Medicare payment of competitive prices for diabetic supplies and elimination of overpayment for diabetic supplies.
      • Sec. 637. Medicare payment adjustment for non-emergency ambulance transports for ESRD beneficiaries.
      • Sec. 638. Removing obstacles to collection of overpayments.
      • Sec. 639. Medicare advantage coding intensity adjustment.
      • Sec. 640. Elimination of all funding for the Medicare Improvement Fund.
      • Sec. 641. Rebasing of State DSH allotments.
      • Sec. 642. Repeal of CLASS program.
      • Sec. 643. Commission on Long-Term Care.
      • Sec. 644. Consumer Operated and Oriented Plan program contingency fund.
  • TITLE VII—EXTENSION OF AGRICULTURAL PROGRAMS
    • Sec. 701. 1-year extension of agricultural programs.
    • Sec. 702. Supplemental agricultural disaster assistance.
  • TITLE VIII—MISCELLANEOUS PROVISIONS
    • Sec. 801. Strategic delivery systems.
    • Sec. 802. No cost of living adjustment in pay of members of congress.
  • TITLE IX—BUDGET PROVISIONS
    • Subtitle A—Modifications of Sequestration
      • Sec. 901. Treatment of sequester.
      • Sec. 902. Amounts in applicable retirement plans may be transferred to designated Roth accounts without distribution.
    • Subtitle B—Budgetary Effects
      • Sec. 911. Budgetary effects.

Friday, June 18, 2010

Therapeutic Discovery Project Tax Credit / Grant - IRS Releases Form 8942, Instructions, and Additional Guidance

More information to follow as soon as I've had a chance to review, but in the interim:
Let me know if you have any questions, I'd love to help!

 

Friday, May 21, 2010

IRS releases guidance on Therapeutic Discovery Project Credit / Grant

This morning, the IRS released advance guidance on the Therapeutic Discovery Project Credit / Grant.

A few items stand out:
  • Applications must be filed on Form 8942 (and in conformity with the form's instructions) and each project must be applied for separately.
  • That form is expected to be released no later than June 21, and applications must be filed (i.e., postmarked) no later than July 21.
  • The Department of Health & Human Services seems to be the primary determiner of which projects should be funded.
  • There will be a $5 million per-taxpayer limitation on allocations of credits/grants (for 2009 and 2010 together), regardless of the number of projects sponsored.
  • In the first round of allocations, the IRS will approve or deny applications no later than October 29, 2010 and will notify taxpayers by letter.
  • Taxpayers will not have a right to Conference or Appeal related to any matters under the Notice.  i.e., all decisions are final.
  • The 250-employee limit includes both full-time and part-time employees (but not leased employees).
  • Taxpayers are required to inform the IRS of any significant changes in plans that arise prior to the date of IRS certification of the projects.  A significant change is any change (including any change that would affect the continuing accuracy of a statement made in the application) that a reasonable person would conclude might have influenced HHS’ evaluation.
  • Grant applicants must provide a DUNS number with their application.  If the applicant does not already have a DUNS number, it may request one at no cost by calling the dedicated toll-free DUNS Number request line at 1-866-705-5711.
  • Grant applicants must also register with the Central Contractor Registration ("CCR"). To register, go to
    http://www.ccr.gov/startregistration.aspx. The registration must be completed before a payment can be made.
  • Approved credit and grant applicants are advised that the IRS will publicly disclose their identities, and the amount of their credit or grant.
  • The statute authorizes public disclosure of more information for taxpayers awarded grants than for those awarded credits (e.g., types of projects).  As a result, the IRS requests authorization to publish such information for approved projects awarded credits.  While such consent is not required to receive a credit allocation, it's not clear whether withholding it could have any impact on a borderline project being approved.
  • Unnecessarily elaborate applications are discouraged and brochures or other presentations are not permitted as part of the applications and will not be considered.

The release read as follows:

Notice 2010-45 establishes the qualifying therapeutic discovery project program under § 48D of the Internal Revenue Code.   Section 9023(a) of the Patient Protection and Affordable Care Act (Act) added § 48D to the Code as part of the investment credit under § 46.  Section 48D provides a nonrefundable tax credit equal to 50 percent of an eligible taxpayer’s qualified investment in a qualifying therapeutic discovery project.  Under section 9023(e) of the Act, an eligible taxpayer may elect to receive a grant in lieu of credits.  Section 48D(d)(1)(B) limits the total amount of credits or grants to be allocated under the program to $1 billion during the two-year period from 2009 through 2010.  The Service, in consultation with Department of Health and Human Services, will award certifications for qualified investments.  The credits or grants will only be available to taxpayers having 250 or fewer full-time and part-time employees.

Notice 2010-45 will appear [in] IRB 2010-23, dated June 7, 2010. 

link to Notice:   http://bit.ly/aDH2li

Monday, May 3, 2010

Draft application for Therapeutic Discovery Project Tax Credit (or Grant)

Many of you have heard about the very lucrative Therapeutic Discovery Project Tax Credit, which can alternatively be taken as a nontaxable (for federal income tax purposes) grant.

Unfortunately, there has been no official guidance (except for the text of new IRC section 48D itself) about how taxpayers will be able to apply for an allocation from the $1 billion available for the program.  Treasury has until May 21, 2010 to provide that guidance.  However, since (a) there is a limited pool of funds available, (b) the promised turnaround time for application review is 30 days from receipt by Treasury, and (c) there is likely to be a mad rush to apply, it makes sense for all qualified taxpayers to submit their applications as soon as possible.

For that reason, I've prepared a draft  and unofficial application for use in gathering the information until further information becomes available.  The standard caveats apply (i.e., my version is not official, use at your own risk, talk to your professional tax advisor before taking any action on this, etc.).  Nevertheless, I hope you find it useful in starting the application process.  If you do use it, I'd love to hear from you.  If you want to use it for others, please go ahead and do so but (1) please keep my attribution on it, and (2) please provide caveats to your users as well.

Quick recap of my post from April 5 on this subject:
  • QUALIFYING THERAPEUTIC DISCOVERY PROJECT CREDIT
    • Provides a 50% nonrefundable investment tax credit to certain small businesses (with no more than 250 employees) that invest in qualifying “therapeutic discovery” projects in years beginning in 2009 or 2010. Covered projects are those designed to:
      • Treat or prevent diseases or conditions via pre-clinical activities, clinical trials, and clinical studies, or carrying out research protocols, for the purpose of obtaining approval of a product under specific sections of the Federal Food, Drug, and Cosmetic Act or the Public Health Service Act;
      • Diagnose diseases or conditions or to determine molecular factors related to diseases or conditions by developing molecular diagnostics to guide therapeutic decisions; or
      • Develop a product, process or technology to further the delivery or administration of therapeutics.
    • Qualified investments are the aggregate amount of costs paid or incurred for the tax year for expenses necessary for and directly related to the conduct of a qualifying therapeutic discovery project, but exclude (1) compensation paid to the CEO and the four highest paid officers other than the CEO, (2) interest expense, (3) facility maintenance expenses, (4) service costs as determined under the uniform capitalization rules, and (5) any other expense determined by the Secretary to be appropriate under the circumstances.
    • Alternatively, qualifying taxpayers may generally elect to receive a grant instead of a credit with respect to their qualifying investment.
    • Note: This provision is not automatic for potentially qualifying small businesses. It requires potential recipients to apply to the program which is to be established by the Secretary (in consultation with the Department of Health and Human Services) within 60 days after 3/23/10. Following the submission of an application, the Secretary will have 30 days to approve or reject the application. Selection criteria will take into consideration only those projects
      • That show reasonable potential to result in new therapies to treat areas of unmet medical need, or to prevent, detect, or treat chronic or acute diseases and conditions, to reduce long-term health care costs in the United States, or to significantly advance the goal of curing cancer within 30 years, and
      • That have the greatest potential to create and sustain high quality, high-paying jobs in the United States, and to advance U.S. competitiveness in the fields of life, biological, and medical sciences.
    • Effective for amounts paid or incurred in tax years beginning after 12/31/08.

Monday, April 5, 2010

The New Health Care Law - How Does it Affect You?

As if the entire process and components of the Health Care legislation weren’t confusing enough, the first part (H.R.3590) not only modified itself in certain areas, but the second part (H.R.4872) partially modified the first just one week later!

If you do feel compelled to read through the actual legislation yourself, it’s probably a good idea to first review the Joint Committee’s explanation, which you can find at http://www.jct.gov/publications.html?func=startdown&id=3673 (released on 3/21/10 as document JCX-18-10 and entitled Technical Explanation Of The Revenue Provisions Of The “Reconciliation Act Of 2010,” As Amended, In Combination With The “Patient Protection And Affordable Care Act”).

In an attempt to clarify the overall impact, this overview incorporates the following two Acts that recently became law and addresses the law as it stands after their combined passage. They are as follows:

While the thousands of pages of text in the new law address a host of issues relating to health care related items, including taxes (as well as seemingly unrelated items such as student loans), the key tax issues fall into a handful of categories that affect individuals and businesses:
  • New and/or Increased Taxes and Fees
  • New and/or Expanded Credits and Incentives
  • Deduction/Exclusion Limitations and/or Restrictions
  • Information Reporting and Disclosure
  • New and/or Expanded Administrative Requirements

Without further ado, here is a brief discussion of the more widely-applicable tax related provisions.

NEW AND/OR INCREASED TAXES AND FEES

   BUSINESSES
  • EXCISE TAX ON HIGH COST EMPLOYER-SPONSORED HEALTH COVERAGE
    • Imposes a new nondeductible 40% excise tax on “coverage providers” of employer-sponsored health insurance if the aggregate value of such coverage for an employee exceeds a specified threshold. Depending on the type of coverage, “coverage providers” are generally employers, and/or plan administrators.
    • The threshold for 2018 for individuals is $10,200 and for families it is $27,500, but will be subject to adjustment for differences in increases in health care costs between 2010 and 2018 compared to projections. In addition, adjustments will be made based on differences in age, gender, and high-risk profession rates.
    • Effective for taxable years beginning after 12/31/17.
  • IMPOSITION OF ANNUAL FEE ON BRANDED PRESCRIPTION PHARMACEUTICAL MANUFACTURERS AND IMPORTERS
    • Imposes an annual nondeductible fee on entities that manufacture and/or import branded prescription drugs for sale to (or attributable to) certain government programs. The multi-billion dollar fees are to be apportioned amongst the covered businesses based on their relative shares of branded prescription drug sales for the prior year (more heavily weighted for businesses with higher sales).
    • Effective for calendar years beginning after 12/31/10.
  • IMPOSITION OF ANNUAL FEE ON HEALTH INSURANCE PROVIDERS
    • Imposes an annual nondeductible fee on certain entities that provide health insurance coverage of United States health risks as part of their business.
    • The multi-billion dollar fees are to be apportioned amongst the covered businesses based on their relative shares of their health insurance net written premiums for the prior year (more heavily weighted for businesses with higher sales).
    • Effective for calendar years beginning after 12/31/13.
  • EMPLOYER RESPONSIBILITY FOR EMPLOYEE COVERAGE
    • Requires certain “large” employers (generally those with an average of at least 50 full time employees during the prior calendar year) to offer minimum essential health care coverage. Those failing to do so are generally subject to a nondeductible excise tax of $166.67 per employee per month (in excess of a 30-employee threshold).
    • Also imposes a nondeductible excise tax on large employers that do offer employees the opportunity to sign up for minimal essential coverage, but one or more instead purchase coverage through an exchange that allows or pays a premium tax credit or cost-sharing reduction. The penalty for this situation is $250 per employee per month, and is limited to the amount of the first penalty noted above (which also serves as an overall limitation).
    • Each of the dollar amounts above will be adjusted for inflation after 2014.
    • Effective starting after 12/31/13.
  • EXCISE TAX ON MEDICAL DEVICES
    • Imposes a 2.3% excise tax on the sale of certain medical devices, to be borne by manufacturers, producers, or importers of covered devices. Taxable medical devices are those defined in section 201(h) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 321) that are intended for humans. This generally means the following:
      • An instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including any component, part, or accessory, which is (1) recognized in the official National Formulary, or the United States Pharmacopeia, or any supplement to them, (2) intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, or (3) intended to affect the structure or any function of the body of man or other animals, and which does not achieve its primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of its primary intended purposes. (One example might be an Ultrasonic air embolism monitor used as a monitoring device in the area of Anesthesiology.)
    • However, the following items are generally excluded:
      • Eyeglasses, contact lenses, hearing aids, and any other items determined to be typically purchased at retail by the general public for their own personal use.
    • Effective for sales after 12/31/12.

   INDIVIDUALS
  • ADDITIONAL HOSPITAL INSURANCE TAX ON HIGH-INCOME TAXPAYERS
    • Imposes an additional 0.9% tax on wages (and self-employment income) of those earning more than a threshold amount. That threshold is $250,000 for joint (or surviving spouse) returns, $125,000 of married-filing-separate returns, and $200,000 for other returns.
    • Effective for compensation received in tax years beginning after 12/31/12.
  • EXCISE TAX ON INDOOR TANNING SERVICES
    • Imposes (on the individual using the services) a 10% tax on the amount paid for the indoor tanning services.
    • Effective for services performed on or after 7/1/10.
  • INCREASE IN ADDITIONAL TAX ON DISTRIBUTIONS FROM HSAS AND ARCHER MSAS NOT USED FOR QUALIFIED MEDICAL EXPENSES
    • Increases from 10% to 20% the additional tax imposed on disqualifying distributions from an HSA or Archer MSA.
    • Effective for disqualifying distributions made during tax years starting after 12/31/10.
  • EXCISE TAX ON INDIVIDUALS WITHOUT ESSENTIAL HEALTH BENEFITS COVERAGE
    • Requires most U.S. citizens and legal residents, as well as their dependents, to maintain a minimum level of health care coverage. Those who do not will generally be subject to a penalty. This penalty is based on household income, with a maximum penalty (per month, per person) of $95 for 2014, $325 for 2015, $695 for 2016, and indexed for inflation thereafter. Penalty amounts for minors (under 18) are 50% of the adult amounts, and the maximum family penalty is 300% of the individual adult penalty (but further limited to certain national averages).
    • Effective for tax years starting after 12/31/13.
  • UNEARNED INCOME MEDICARE CONTRIBUTION
    • Imposes 3.8% Medicare tax on individuals, trusts, and estates with unearned income and that have modified adjusted gross income in excess of certain thresholds.
    • For individuals, that tax is based on the lesser of (1) net investment income or (2) modified AGI over $250,000 (for joint or surviving spouse returns; $125,000 for married filing separate; all other individuals have a threshold of $200,000).
    • For trusts and estates, the tax is based on the lesser of (1) undistributed net investment income or (2) the excess of AGI over the dollar amount where the highest income tax bracket starts. Caveat: For trusts and estates, the threshold (for 2010) starts at only $11,200, far below the those applicable to individuals.
    • Note that tax-free investments (e.g., certain bonds) are exempt from this tax.
    • Effective for tax years beginning after 12/31/12.

NEW AND/OR EXPANDED CREDITS AND INCENTIVES

   BUSINESSES
  • ESTABLISHMENT OF SIMPLE CAFETERIA PLANS FOR SMALL BUSINESSES
    • Provides eligible small employers with a safe harbor exemption from some of the nondiscrimination rules that otherwise apply to cafeteria plans. Eligible employers are generally those that (1) allow all employees to participate and elect any available benefit under the plan, (2) provide a minimum contribution for all non-highly-compensated employees, and (3) have no more than 100 employees (as an average for the 2 prior years).
    • Effective for tax years beginning after 12/31/10.
  • QUALIFYING THERAPEUTIC DISCOVERY PROJECT CREDIT
    • This provision is a real sleeper and has had surprisingly little press despite its generous provisions. It provides a 50% nonrefundable investment tax credit to certain small businesses (with no more than 250 employees) that invest in qualifying “therapeutic discovery” projects in years beginning in 2009 or 2010. Covered projects are those designed to:
      • Treat or prevent diseases or conditions via pre-clinical activities, clinical trials, and clinical studies, or carrying out research protocols, for the purpose of obtaining approval of a product under specific sections of the Federal Food, Drug, and Cosmetic Act or the Public Health Service Act;
      • Diagnose diseases or conditions or to determine molecular factors related to diseases or conditions by developing molecular diagnostics to guide therapeutic decisions; or
      • Develop a product, process or technology to further the delivery or administration of therapeutics.
    • Qualified investments are the aggregate amount of costs paid or incurred for the tax year for expenses necessary for and directly related to the conduct of a qualifying therapeutic discovery project, but exclude (1) compensation paid to the CEO and the four highest paid officers other than the CEO, (2) interest expense, (3) facility maintenance expenses, (4) service costs as determined under the uniform capitalization rules, and (5) any other expense determined by the Secretary to be appropriate under the circumstances.
    • Alternatively, qualifying taxpayers may generally elect to receive a grant instead of a credit with respect to their qualifying investment.
    • Note: This provision is not automatic for potentially qualifying small businesses. It requires potential recipients to apply to the program which is to be established by the Secretary (in consultation with the Department of Health and Human Services) within 60 days after 3/23/10. Following the submission of an application, the Secretary will have 30 days to approve or reject the application. Selection criteria will take into consideration only those projects
      • That show reasonable potential to result in new therapies to treat areas of unmet medical need, or to prevent, detect, or treat chronic or acute diseases and conditions, to reduce long-term health care costs in the United States, or to significantly advance the goal of curing cancer within 30 years, and
      • That have the greatest potential to create and sustain high quality, high-paying jobs in the United States, and to advance U.S. competitiveness in the fields of life, biological, and medical sciences.
    • Effective for amounts paid or incurred in tax years beginning after 12/31/08.

   INDIVIDUALS
  • EXCLUSION FOR ASSISTANCE PROVIDED TO PARTICIPANTS IN STATE STUDENT LOAN REPAYMENT PROGRAMS FOR CERTAIN HEALTH PROFESSIONALS
    • Excludes from income amounts received by individuals under the National Health Service Corps loan repayment program (as well as certain state programs) intended to provide for increased health care availability in underserved areas.
    • Effective for amounts received in tax years starting after 12/31/08.
  • EXPANSION OF ADOPTION CREDIT AND ADOPTION ASSISTANCE PROGRAMS
    • Raises the maximum adoption credit (as well as the income exclusion for employer-provided adoption assistance) to $13,170 for 2010, with additional changes to the inflation adjustment and income limitation threshold for post-2010 years. Also makes the credit refundable starting in 2010.
    • The sunset of these provisions (which reduces the amounts to prior, lower amounts) is also delayed by 1 year (i.e., for tax years beginning after 12/31/11).
  • PREMIUM ASSISTANCE TAX CREDIT
    • Provides a refundable tax credit for individuals and families to help subsidize the purchase of health insurance through an exchange. The amount of the credit is based on the insured person’s income and is generally available for those with household incomes between 100% and 400% of the federal poverty level and who do not receive (or are not offered) health insurance through an employer.
    • Effective for tax years ending after 12/31/13.
  • REDUCED COST-SHARING FOR INDIVIDUALS ENROLLING IN QUALIFIED HEALTH PLANS
    • Establishes a subsidy to help lower-income individuals and families (household incomes between 1 and 4 times the poverty level) afford health care coverage.
    • Effective from 3/31/10.

CREDIT/DEDUCTION/EXCLUSION LIMITATIONS AND/OR RESTRICTIONS

   BUSINESSES
  • MODIFICATION OF ITEMIZED DEDUCTION FOR MEDICAL EXPENSES
    • Increases the lower limit for taking an itemized deduction for unreimbursed medical expenses from 7.5% to 10% of Adjusted Gross Income (for regular tax purposes, but leaves the threshold for AMT purposes unchanged). If taxpayer (or their spouse) reaches age 65 during any of the tax years 2013 through 2016, this increase does not apply to such years.
    • Effective for taxable years beginning after 12/31/12.
  • LIMITATION ON EXCESSIVE REMUNERATION PAID BY CERTAIN HEALTH INSURANCE PROVIDERS
    • Denies a deduction for executive compensation in excess of $500,000 to certain health insurance providers. This generally excludes employers with self-insured plans. In addition, performance-based compensation does not escape this limitation.
    • Effective for compensation for tax years beginning after 12/31/12 that are attributable to services performed during years beginning after 12/31/09.
  • ELIMINATION OF DEDUCTION FOR EXPENSES ALLOCABLE TO MEDICARE PART D SUBSIDY
    • Reduces the deduction for expenses attributable to retiree prescription drug expenses by the amount of the subsidy (to the extent the subsidy is excluded from income).
    • Effective for tax years beginning after 12/31/12.
  • MODIFICATION OF SECTION 833 TREATMENT OF CERTAIN HEALTH ORGANIZATIONS
    • Restricts certain special insurance company tax benefits to those entities satisfying a minimum medical loss ratio of 85% for the year (i.e., the percentage of its total premium revenue expended on reimbursement for clinical services provided to enrollees during the year).
    • These rules generally allow Blue Cross, Blue Shield, and similar organizations a deduction of 25% of the year’s claims and liabilities under cost-plus contracts as well as administrative expenses related to such claims and contracts (minus the prior year’s surplus for regular tax), as well as other tax benefits.
    • Effective for tax years beginning after 12/31/09.
  • ELIMINATION OF UNINTENDED APPLICATION OF CELLULOSIC BIOFUEL PRODUCER CREDIT
    • Changes the cellulosic biofuel producer credit so that it no longer applies to unprocessed fuels with specified percentages of water, sediment, or ash content, such as “black liquor.”
    • Effective for fuels sold or used after 1/1/10.
   INDIVIDUALS
  • DISTRIBUTIONS FOR MEDICINE QUALIFIED ONLY IF FOR PRESCRIBED DRUG OR INSULIN
    • Restricts allowable distributions from Health FSAs, HSAs, HRAs, and Archer MSAs to (1) prescribed drugs, including over-the-counter medicines if prescribed by a doctor and (2) insulin.
    • Effective for expenses incurred after 12/31/10.
  • LIMITATION ON HEALTH FLEXIBLE SPENDING ARRANGEMENTS UNDER CAFETERIA PLANS
    • Imposes an upper limit on Health FSAs under cafeteria plans of $2,500 per year (indexed for future inflation).
    • Effective for taxable year beginning after 12/31/12.

INFORMATION REPORTING AND DISCLOSURE

   BUSINESSES
  • INCLUSION OF COST OF EMPLOYER-SPONSORED HEALTH COVERAGE ON W-2
    • Requires employers to disclose the value of health insurance coverage on each employee’s W-2.
    • Effective for tax years beginning after 12/31/10.
  • EXPANSION OF INFORMATION REPORTING REQUIREMENTS
    • Requires businesses to file information returns for all payments totaling $600 or more, even if the recipient is a corporation (but not including tax-exempt corporations).
    • Also expands the scope of the type of payments for which reporting is required to include all payments in consideration for property, and other gross proceeds for both property and services.
    • Effective for payments made after 12/31/11.
   BUSINESSES AND INDIVIDUALS
  • CODIFICATION OF ECONOMIC SUBSTANCE DOCTRINE AND PENALTIES
    • Having been discussed for quite some time, places the Economic Substance doctrine into the Code. The Economic Substance doctrine generally stands for the proposition that there should be no tax benefits to the extent that there was no real financial motive aside from saving federal taxes.
    • Also establishes an increase in the penalty where the transaction(s) at issue did not have economic substance (i.e., 40% instead of 20%).
    • Effective from 3/31/10.

NEW AND/OR EXPANDED ADMINISTRATIVE REQUIREMENTS

   BUSINESSES
  • ADDITIONAL REQUIREMENTS FOR CHARITABLE HOSPITALS
    • Sets new requirements for charitable hospitals, in addition to those previously established. These include (1) performance of a community health needs assessment once every 3 years, (2) creation/implementation of a written financial assistance policy, (3) limitation on charges billed for emergency or other medically necessary care for those qualifying for financial assistance, and (4) limitation on extraordinary collection efforts without first trying to determine if the responsible persons are eligible for financial assistance.
    • Also imposes a penalty of up to $50,000 for failures to conduct the community health needs assessment.
    • Generally effective for tax years beginning after 3/23/10, except for the community health needs assessment (effective for tax years beginning after 3/23/12) and the penalty for failure to perform the assessment (effective for failures after 3/23/10).
  • TIME FOR PAYMENT OF CORPORATE ESTIMATED TAXES
    • Increases the amount of the required federal estimated tax due in the 3rd quarter 2014 by 15.75 percentage points.
    • Effective from 3/31/10.

As always, I look forward to your questions and comments.

Tuesday, March 30, 2010

The Reconciliation Act was signed into law today

As you may already know by now, the second part of the Health Care legislation (H.R. 4872 - Health Care and Education Affordability Reconciliation Act of 2010) was signed into law today, March 30, 2010.

While I'm still working on a combined write-up for the Reconciliation Act and the preceding Patient Protection and Affordable Care Act (H.R. 3590), you can access the actual laws here:
Caveat:  H.R. 3590 at times changes its own provisions (e.g., section 9001 is modified by section 10901), and H.R. 4872 goes on to further change H.R. 3590 (e.g., section 1401 of H.R. 4872 further changes section 10901 of H.R. 3590 which modified section 9001 of that Act), so read carefully!  Not exactly easy to follow.

Happy reading...

Wednesday, January 20, 2010

Health Care Act - Dead, Alive, or ?

As just about everyone's heard by now, the fate of the controversial Health Care legislation just became even more complicated by Scott Brown's win in Massachusetts.  And while I don't remember who said it first, the following line is fairly apropos:  Around and around it goes. Where it stops, nobody knows.


I guess that means the write-up will just have to wait...

Friday, November 13, 2009

Affordable Health Care for America Act

As we wait for Senate action on their version of this controversial legislation, and try to digest the pundits’ opposing views on the subject, it’s probably a good time to take a brief look at a few of the more broadly-applicable tax provisions (as well as a few of the non-tax ones) and see what this proposed legislation really says.

If you’re looking for the full 1990-page proposed law and corresponding Congressional actions, you can access it through the Library of Congress website at the following URL:


(Full disclosure: Much of the following was taken from the JCT's technical explanation of the House bill. The original JCT document is available here.)

So without further ado, here is a quick synopsis on the House version of the bill:


I. Directly Tax-Related

A. Tax on Individuals Without Acceptable Health Care Coverage – Would generally impose a tax on such individuals equal to the lesser of (a) the national average premium for coverage for the taxable year, as determined by the Secretary of Treasury in coordination with the Health Choices Commissioner, or (b) 2.5% of the excess of the taxpayer’s modified adjusted gross income for the taxable year over the threshold amount of income required for income tax return filing for that taxpayer. This tax would be in addition to both the regular income tax and the alternative minimum tax and would only apply to US citizens and resident aliens, except if it would give rise to a hardship for the affected person(s). This provision would be effective for taxable years beginning after December 31, 2012.