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 Latest News

 
IRS and Tax Provisions of the Health Care Law
According to an April 13, 2015, IRS Tax Tips email, with the April 15 tax filing deadline, the IRS is reminding taxpayers that the Affordable Care Act (ACA) contains tax provisions that affect 2014 income tax returns.  The email notes that almost everyone is affected by the individual shared responsibility provision while only people who purchased coverage through the Marketplace are affected by the premium tax credit. 

The individual shared responsibility provision of the ACA calls for all taxpayers to do at least one of three things:

•   Have qualifying health insurance coverage for each month of the year.
•   Have an exemption from the requirement to have coverage.
•   Make an individual shared responsibility payment when filing federal income tax return.

The IRS Tax Tip email includes that most taxpayers are in the first category and they will simply check a box on their return to indicate that everyone listed on the front of the return has qualifying health care coverage for the entire year. The check box is on line 61 of Form 1040, line 38 of Form 1040A and line 11 of form 1040EZ.  Other taxpayers are in one of the other categories, and they will just need to take the appropriate action when filing their tax returns. 

The email goes on to note that some taxpayers will have to file the new Form 8965 to claim an exemption from the requirement to have health care coverage. Additionally, some taxpayers who enrolled in coverage through the Marketplace may be allowed the premium tax credit and must file the new Form 8962 with their tax return to claim the credit and to reconcile any advance payments made on their behalf in 2014.  For more information about the ACA, please visit IRS.gov/aca and AHCA/NCAL’s ACA webpage.  


IRS Releases Final Forms and Instructions for ACA Reporting
According to a recent client alert from Proskauer, in February of 2015, the Internal Revenue Service (IRS) released final forms and instructions related to information reporting under the Affordable Care Act (ACA). These forms include Form 1095-B, Health Coverage, Form 1094-B, Transmittal of Health Coverage Information Returns, Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, and Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage.  The Proskauer client alert notes that the issuance of the final forms is a critical step in implementing the ACA’s reporting requirements, and that although these forms are not required to be provided to employees and filed with the IRS until early 2016 – the reporting requirements are complex and require reporting detailed coverage and employment information for the 2015 calendar year.  The client alert gives employers steps they should consider taking in preparation for these deadlines.  The full Proskauer client alert can be found here. To learn more about the ACA and for helpful resources, please visit AHCA’s ACA website​.


HHS Kicks Off Health Care Payment Learning and Action Network
On March 24, 2015, the US Department of Health and Human Services (HHS) Secretary, Sylvia M. Burwell, joined President Obama, as well as other state representatives, insurers, providers, business leaders, and consumers at the White House to kick off the Health Care Payment Learning and Action Network (“Network”). 

More than 2,800 payers, providers, employers, patients, states, consumer groups, consumers and other partners have registered to participate in the Network. 

Obtain a copy of the HHS press release here

To obtain a fact sheet on the Network visit the CMS website.

View a list of all organizations that have set goals toward payment reform here 


US Supreme Court Refuses to Hear Another ACA Case

The US Supreme Court has declined to hear another Affordable Care Act (ACA) case, which would have contested the constitutionality of the Independent Payment Advisory Board (IPAB), established under the Affordable Care Act (ACA), among other things.  The IPAB is designed to limit spending growth in Medicare, but many believe it also will result in limiting care for seniors. The Supreme Court’s refusal to take the case was expected, as lower courts had ruled in favor of the federal government, stating that the case was not ripe. However, the Goldwater Institute, the Arizona legal group that brought the case, promises to bring it back when IPAB begins to take action. 

 

Read more about Coons v Lew here. ​

 

 Legal News

 
​​​The US Supreme Court will take up the Affordable Care Act (ACA) again, and hear the legal dispute in King v Burwell, which challenges the financial resources available to enrollees on the federal insurance exchanges. At issue in this case is whether the precise language in the ACA makes subsidies available to all people in all states or only in those states run by their own health insurance exchanges.  Many Democratic-led states chose to set up their own exchanges; but Republican-led states, in a demonstration of their opposition, let the federal government do so instead. More than 4 million people receive subsidies currently, which the Obama administration contends are essential to the ACA by making insurance more affordable for low- and middle-income families. Without subsidies, health reform will begin to fall apart.  The US Supreme Court will likely rule on this issue by late June 2015. ​
 

 Insurance Solutions

 

AHCA is pleased to announce the new AHCA/NCAL Insurance Solutions, LLC. Our new insurance agency is dedicated to providing members with ACA compliant insurance solutions for both fully insured and self-insured groups of any size. Insurance Solutions is a full service insurance agency exclusive to AHCA Members. AHCA Insurance Solutions provides members with a full array of competitive insurance products. Contact us today to see what the AHCA/NCAL Insurance Solutions, LLC can do to meet your company’s insurance needs. For more information, visit ahcancal.org/insurance​ or contact AHCAinsurancesolutions@ahca.org

 

 Important Deadlines

 

Review this timeline​ to learn about the provisions of the Affordable Care Act that have or that will be implemented.

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