{ "id": "R44425", "type": "CRS Report", "typeId": "R", "number": "R44425", "active": true, "source": "CRSReports.Congress.gov, EveryCRSReport.com", "versions": [ { "active": true, "sourceLink": "https://crsreports.congress.gov/product/details?prodcode=R44425", "source_dir": "crsreports.congress.gov", "date": "2024-02-14", "typeId": "R", "formats": [ { "format": "PDF", "filename": "files/2024-02-14_R44425_423ebf688e1924e19318d5fe63a798e2c53cd16b.pdf", "url": "https://crsreports.congress.gov/product/pdf/R/R44425/26", "sha1": "423ebf688e1924e19318d5fe63a798e2c53cd16b" }, { "format": "HTML", "filename": "files/2024-02-14_R44425_423ebf688e1924e19318d5fe63a798e2c53cd16b.html" } ], "type": "CRS Report", "summary": null, "title": "Health Insurance Premium Tax Credit and Cost-Sharing Reductions", "retrieved": "2024-03-18T04:03:42.843325", "source": "CRSReports.Congress.gov", "id": "R44425_26_2024-02-14" }, { "active": true, "sourceLink": 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The credit also is advanceable, so individuals may choose to receive the credit on a monthly basis to coincide with the payment of insurance premiums. The ACA premium credit is financed through permanent appropriations authorized under the federal tax code.\nIndividuals who receive premium credits also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing subsidies (or cost-sharing reductions). One type of subsidy reduces annual cost-sharing limits; the other directly reduces cost-sharing requirements (e.g., lowers a deductible). Individuals who are eligible for cost-sharing reductions may receive both types. Although applicable health plans must provide these cost-sharing reductions, such plans are no longer receiving payments to reimburse them for the cost of providing the subsidies.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "https://www.crs.gov/Reports/R44425", "sha1": "3f3114eeb1c50ba1795bd3d76badc44a460e36f4", "filename": "files/20200420_R44425_3f3114eeb1c50ba1795bd3d76badc44a460e36f4.html", "images": { "/products/Getimages/?directory=R/html/R44425_files&id=/0.png": "files/20200420_R44425_images_f95de0ba5f976c94b8ba1ee6347a1271abaf7b55.png" } }, { "format": "PDF", "encoding": null, "url": "https://www.crs.gov/Reports/pdf/R44425", "sha1": "7c8ba02c783f2ac068c13e63ef392f7f83262d4f", "filename": "files/20200420_R44425_7c8ba02c783f2ac068c13e63ef392f7f83262d4f.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4790, "name": "Private Health Insurance" } ] }, { "source": "EveryCRSReport.com", "id": 580459, "date": "2018-04-24", "retrieved": "2018-05-10T10:24:29.809793", "title": "Health Insurance Premium Tax Credits and Cost-Sharing Subsidies", "summary": "Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). The dollar amount of the premium credit varies from individual to individual, based on a formula specified in statute. Individuals who are eligible for the premium credit, however, generally are still required to contribute some amount toward the purchase of health insurance. \nIn order to be eligible to receive premium tax credits, individuals must have annual household income at or above 100% of the federal poverty level (FPL) but not more than 400% FPL; not be eligible for certain types of health insurance coverage, with exceptions; file federal income tax returns; and enroll in a plan through an individual exchange. Exchanges are not insurance companies; rather, exchanges serve as marketplaces for the purchase of health insurance. They operate in every state and the District of Columbia (DC). \nThe premium credit is refundable, so individuals may claim the full credit amount when filing their taxes, even if they have little or no federal income tax liability. The credit also is advanceable, so individuals may choose to receive the credit on a monthly basis to coincide with the payment of insurance premiums. The ACA premium credit is financed through permanent appropriations authorized under the federal tax code.\nIndividuals who receive premium credits also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing subsidies (or cost-sharing reductions). One type of subsidy reduces annual cost-sharing limits; the other directly reduces cost-sharing requirements (e.g., lowers a deductible). Individuals who are eligible for cost-sharing reductions may receive both types. Although applicable health plans must provide these cost-sharing reductions, such plans are no longer receiving payments to reimburse them for the cost of providing the subsidies.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44425", "sha1": "68b8c221311033ba087ec16a3b2c4b40d426c9d2", "filename": "files/20180424_R44425_68b8c221311033ba087ec16a3b2c4b40d426c9d2.html", "images": { "/products/Getimages/?directory=R/html/R44425_files&id=/0.png": "files/20180424_R44425_images_0c7d9719c28565a67fce51cdcc633d81a9560676.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44425", "sha1": "64d1a2a8837781c5c7e51e3801a7fc0436313f54", "filename": "files/20180424_R44425_64d1a2a8837781c5c7e51e3801a7fc0436313f54.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4790, "name": "Private Health Insurance" } ] }, { "source": "EveryCRSReport.com", "id": 579740, "date": "2018-03-29", "retrieved": "2018-04-03T13:28:04.626744", "title": "Health Insurance Premium Tax Credits and Cost-Sharing Subsidies", "summary": "Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). 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The credit also is advanceable, so individuals may choose to receive the credit on a monthly basis to coincide with the payment of insurance premiums. The ACA premium credit is financed through permanent appropriations authorized under the federal tax code.\nIndividuals who receive premium credits also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing subsidies (or cost-sharing reductions). One type of subsidy reduces annual cost-sharing limits; the other directly reduces cost-sharing requirements (e.g., lowers a deductible). Individuals who are eligible for cost-sharing reductions may receive both types. Although applicable health plans must provide these cost-sharing reductions, such plans are no longer receiving payments to reimburse them for the cost of providing the subsidies.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44425", "sha1": "3260b5b047d01ea4028902d003112f7876b32ea1", "filename": "files/20180329_R44425_3260b5b047d01ea4028902d003112f7876b32ea1.html", "images": { "/products/Getimages/?directory=R/html/R44425_files&id=/0.png": "files/20180329_R44425_images_0c7d9719c28565a67fce51cdcc633d81a9560676.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44425", "sha1": "275585009d2696a4c1b8a8fd1cd8c718147c1d67", "filename": "files/20180329_R44425_275585009d2696a4c1b8a8fd1cd8c718147c1d67.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4790, "name": "Private Health Insurance" } ] }, { "source": "EveryCRSReport.com", "id": 463453, "date": "2017-08-21", "retrieved": "2017-08-22T13:19:36.259500", "title": "Health Insurance Premium Tax Credits and Cost-Sharing Subsidies", "summary": "Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). The dollar amount of the premium credit varies from individual to individual, based on a formula specified in statute. Individuals who are eligible for the premium credit, however, generally are still required to contribute some amount toward the purchase of health insurance. \nIn order to be eligible to receive premium tax credits, individuals must have annual household income at or above 100% of the federal poverty level (FPL) but not more than 400% FPL; not be eligible for certain types of health insurance coverage, with exceptions; file federal income tax returns; and enroll in a plan through an individual exchange. Exchanges are not insurance companies; rather, exchanges serve as marketplaces for the purchase of health insurance. They operate in every state and the District of Columbia (DC). \nThe premium credit is refundable, so individuals may claim the full credit amount when filing their taxes, even if they have little or no federal income tax liability. The credit also is advanceable, so individuals may choose to receive the credit on a monthly basis to coincide with the payment of insurance premiums.\nIndividuals who receive premium credits also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing subsidies. One type of subsidy reduces annual cost-sharing limits; the other directly reduces cost-sharing requirements (e.g., lowers a deductible). Individuals who are eligible for cost-sharing subsidies may receive both types.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44425", "sha1": "83aa33f24e65a1afd33fa4e8ff120e06d2d5ad8b", "filename": "files/20170821_R44425_83aa33f24e65a1afd33fa4e8ff120e06d2d5ad8b.html", "images": { "/products/Getimages/?directory=R/html/R44425_files&id=/0.png": "files/20170821_R44425_images_21af88fe94acd54ba63b99f1cdbc17b6360e71fa.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44425", "sha1": "86253c95dd34293ef02bff9429e2ab88e3bda098", "filename": "files/20170821_R44425_86253c95dd34293ef02bff9429e2ab88e3bda098.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4790, "name": "Private Health Insurance" } ] }, { "source": "EveryCRSReport.com", "id": 458896, "date": "2017-02-10", "retrieved": "2017-02-15T21:40:33.127296", "title": "Health Insurance Premium Tax Credits and Cost-Sharing Subsidies: In Brief", "summary": "Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). The dollar amount of the premium credit varies from individual to individual, based on a formula specified in statute. Individuals who are eligible for the premium credit, however, generally are still required to contribute some amount toward the purchase of health insurance. \nIn order to be eligible to receive premium tax credits, individuals must have annual household income at or above 100% of the federal poverty level (FPL) but not more than 400% FPL; not be eligible for certain types of health insurance coverage, with exceptions; file federal income tax returns; and enroll in a plan through an individual exchange. Exchanges are not insurance companies; rather, exchanges serve as marketplaces for the purchase of health insurance. They operate in every state and the District of Columbia (DC). \nThe premium credit is refundable, so individuals may claim the full credit amount when filing their taxes, even if they have little or no federal income tax liability. The credit also is advanceable, so individuals may choose to receive the credit on a monthly basis to coincide with the payment of insurance premiums.\nIndividuals who receive premium credits also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing subsidies. One type of subsidy reduces annual cost-sharing limits; the other directly reduces cost-sharing requirements (e.g., lowers a deductible). Individuals who are eligible for cost-sharing subsidies may receive both types.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44425", "sha1": "5f9900ead1dc893cd7afb6e979a0983b7595679c", "filename": "files/20170210_R44425_5f9900ead1dc893cd7afb6e979a0983b7595679c.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44425", "sha1": "c029e41bcf11d1bce9ef15f9dc04ab9c3fedf801", "filename": "files/20170210_R44425_c029e41bcf11d1bce9ef15f9dc04ab9c3fedf801.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 4790, "name": "Private Health Insurance" } ] }, { "source": "EveryCRSReport.com", "id": 457110, "date": "2016-11-16", "retrieved": "2016-11-21T15:06:38.748267", "title": "Eligibility and Determination of Health Insurance Premium Tax Credits and Cost-Sharing Subsidies: In Brief", "summary": "Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). The dollar amount of the premium credit varies from individual to individual, based on a formula specified in statute. Individuals who are eligible for the premium credit, however, generally are still required to contribute some amount toward the purchase of health insurance. \nTo be eligible to receive premium tax credits, individuals must have annual household income at or above 100% of the federal poverty level (FPL) but not more than 400% FPL; must not be eligible for certain types of health insurance coverage, with exceptions; must file federal income tax returns; and must enroll in a plan through an individual exchange. Exchanges are not insurance companies; rather, exchanges serve as marketplaces for the purchase of health insurance. They operate in every state and the District of Columbia (DC). \nThe premium credit is refundable, so individuals may claim the full credit amount when filing their taxes, even if they have little or no federal income tax liability. The credit also is advanceable, so individuals may choose to receive the credit on a monthly basis to coincide with the payment of insurance premiums.\nIndividuals who receive premium credits also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing subsidies. One type of subsidy reduces annual cost-sharing limits; the other directly reduces cost-sharing requirements (e.g., lowers a deductible). Individuals who are eligible for cost-sharing subsidies may receive both types.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44425", "sha1": "bf688ff6f33cc920478fbc84d0482750a3b69def", "filename": "files/20161116_R44425_bf688ff6f33cc920478fbc84d0482750a3b69def.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44425", "sha1": "4539c55c9af2012fdb9f7e6a92aab9f7af0e4d3d", "filename": "files/20161116_R44425_4539c55c9af2012fdb9f7e6a92aab9f7af0e4d3d.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 4790, "name": "Private Health Insurance" } ] }, { "source": "EveryCRSReport.com", "id": 451020, "date": "2016-03-23", "retrieved": "2016-03-24T16:47:23.158492", "title": "Eligibility and Determination of Health Insurance Premium Tax Credits and Cost-Sharing Subsidies: In Brief", "summary": "Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). The dollar amount of the premium credit varies from individual to individual, based on a formula specified in statute. Individuals who are eligible for the premium credit, however, generally are still required to contribute some amount toward the purchase of health insurance. \nThe premium credit may be applied only toward the cost of purchasing private health plans through health insurance exchanges. Exchanges are not insurance companies; rather, exchanges serve as marketplaces for the purchase of health insurance. They operate in every state and the District of Columbia (DC). \nThe premium credit is refundable, so individuals may claim the full credit amount when filing their taxes, even if they have little or no federal income tax liability. The credit also is advanceable, so individuals may choose to receive the credit on a monthly basis to coincide with the payment of insurance premiums.\nIndividuals who receive premium credits also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing subsidies. One type of subsidy reduces annual cost-sharing limits; the other directly reduces cost-sharing requirements (e.g., lowers a deductible). Individuals who are eligible for cost-sharing subsidies may receive both types.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44425", "sha1": "0cb4cf09bf9a4e2d2600f67e4bdd41aaa666d4e2", "filename": "files/20160323_R44425_0cb4cf09bf9a4e2d2600f67e4bdd41aaa666d4e2.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44425", "sha1": "102dab8bee9403278d8335a56d4f5dbc613b8bc0", "filename": "files/20160323_R44425_102dab8bee9403278d8335a56d4f5dbc613b8bc0.pdf", "images": null } ], "topics": [] } ], "topics": [ "Health Policy" ] }