·
A 2.3% excise tax on the first sale for use of a
durable medical device.
·
10% Tax on amounts paid for indoor sun tanning
services.
·
Increase on the tax on early withdrawals from
HSAs (10% to 20%) & Archer MSAs (15% to 20%).
·
A Comparative Effectiveness Research (CER) Fee
of $1 per covered life for self- insured plans for plan years ending on or
after 10/1/2012. This fee will increase
to $2 per covered life for plan years ending on or after 10/1/2013 and
10/1/2014 and then is indexed through 2019.
·
Increased income threshold for claiming the
itemized medical expense deduction from 7.5% of income to 10%. (If you are 65, you may claim the deduction
based on the 7.5% rule through 2016)
·
Increase in the hospital insurance tax rate by
0.9% on wages over $200,000 (Individual) and $250,000 (Married filing jointly).
·
3.8% tax on net investment income for incomes
over $200,000 (Individual) and $250,000 (Married filing jointly).
·
Elimination of the Medicare Part D Subsidy for
employers.
·
Health Insurance Provider Fee. An annual, non-deductible fee on the health
insurance sector. The fee will be
allocated across the health insurance companies whose net premiums exceed $25
million.
·
Effective in 2014 through 2016, a reinsurance
fee levied against health insurance issuers and third Party administrators
(TPA’s) will be required by the Dept. of Health and Human Services (HHS). This was established to mitigate risk
selection and market uncertainty as the insurance exchanges are established. The contribution will be based on a rate
determined by HHS. States may be able to
collect additional contributions in excess of the federal levy.
·
Health Flexible Spending Accounts (FSAs) are
limited to $2,500 in pre-tax annual contributions. You also lose any monies not spent after the
appropriate grace period for each year (“Use it or Lose it”).
While that list is enough to swallow in more than one bite,
it does not include all taxes, fees and requirements that will certainly
drive up the cost of health care. The requirements alone (A whole topic in and
of itself) will have a significant inflationary effect on the cost of care. Do you think congress and the President have
to comply with as many requirements and taxes under their health care plan?