Under The Patient Protection and Affordable Care Act (PPACA), Americans will be required to have health insurance, and that brings with it a whole new level of administrative duties. Someone will have to serve as the health care police. It appears those tasks will fall to the IRS.
Some of the new tasks that will be required once the health law is fully implemented. According to Kaiser Health News this will involve:
- Monitoring compliance. Taxpayers will have to provide proof of coverage with their annual federal tax returns. Failure to comply will result in a penalty, payable to the IRS.
- Distributing new government subsidies to low-income individuals through newly created state exchanges.
- Overseeing small business tax credits to help qualifying businesses provide insurance to employees.
- Assessing a tax on insurers that provide insurance benefits that are high-cost, or “Cadillac” plans.
- Enforcing penalties for improper distributions from Health Savings Accounts, which are likely to increase under the new plan.
- Overseeing the demand that not-for-profit hospitals live up to their “charitable missions” by doing a “charitable needs assessment” once every three years.
- Regulating contributions to Flexible Spending Accounts, which under the new law are now limited.
In addition the Congressional Budget Office (CBO) says that the tax agency will also collect new fees levied on employers, drug makers, device manufacturers and health insurance providers. The CBO reports that this could amount to hundreds of billions of dollars.
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