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The article focuses on the Health Insurance Premium Tax Credit (PTC) and Cost-Sharing Reductions (CSRs) available under the Affordable Care Act (ACA) and subsequent legislative amendments. Topics include eligibility criteria for the PTC, its refundable and advanceable nature, as well as the temporary changes made by the American Rescue Plan Act (ARPA) and the budget reconciliation measure. It also discusses the types of CSRs, temporary changes to the PTC and CSRs.

Certain individuals without access to subsidized health insurance coverage may be eligible for the premium tax credit (PTC) established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) and amended under the American Rescue Plan Act of 2021 (ARPA, P.L. 117-2) and the enacted budget reconciliation measure (P.L. 117-169) (commonly referred to as the Inflation Reduction Act) to include several temporary provisions. The dollar amount of the PTC varies from individual to individual, based on a formula specified in statute. Individuals who are eligible for the PTC may be required to contribute some amount toward the purchase of health insurance. To be eligible to receive the premium tax credit in 2023, individuals must have annual household income at or above 100% of the federal poverty level; 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 (or marketplaces) are not insurance companies; rather, exchanges serve as marketplaces for the purchase of health insurance. The PTC 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 advanced payments of the credit (or APTC). APTCs are provided on a monthly basis to coincide with the payment of insurance premiums, automatically reducing consumer costs associated with purchasing insurance. The credit is financed through permanent appropriations authorized under the federal tax code. Individuals who receive premium credit payments also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing reductions (CSRs). 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 CSRs may receive both types. The ARPA made temporary changes to the PTC and to CSRs. Of those temporary changes, one provision expanded eligibility for the PTC and increased the amount for tax years 2021 and 2022. The ARPA temporary changes to the PTC and CSRs that have expired include the provisions that • suspended the requirement, for tax year 2020, that individuals pay back PTC amounts that were provided in excess and • expanded eligibility for and the calculation of both the PTC and the CSRs for individuals who receive unemployment compensation during calendar year 2021. The budget reconciliation measure, enacted on August 16, 2022, extends the ARPA provision that expanded eligibility for and the amount of the PTC for three years to sunset at the end of tax year 2025. The Internal Revenue Service promulgated a rule on October 13, 2022 to address family eligibility for the PTC, which would expand the number of individuals who would become eligible. This report describes current law and applicable regulations and guidance, specifically with regard to how the PTC and CSR requirements apply in 2023. [ABSTRACT FROM AUTHOR]

The article describes current law and applicable regulations and guidance, specifically with regard to how the health premium tax credit (PTC) and cost-sharing reductions (CSRs) requirements apply in 2022. It mentions that certain individuals and families without access to subsidized health insurance coverage may be eligible for a premium tax credit authorized under the Patient Protection and Affordable Care Act and amended under the American Rescue Plan Act of 2021.

The article provides information on the Medicare Part B federal insurance program in the U.S. and its coverage on enrollment and premiums. Topics discussed include the initial enrollment period for beneficiaries and the late-enrollment penalty, the sources of funds for Part B, the monthly premiums to be paid by Part B participants, and the standard monthly Part B premium determined by the U.S. Centers for Medicare and Medicaid Services for 2022.

Certain individuals without access to subsidized health insurance coverage may be eligible for the premium tax credit (PTC) established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) and amended under the American Rescue Plan Act of 2021 (ARPA, P.L. 117-2) to include several temporary provisions. The dollar amount of the PTC varies from individual to individual, based on a formula specified in statute. Individuals who are eligible for the PTC may be required to contribute some amount toward the purchase of health insurance. To be eligible to receive the premium tax credit in 2022, individuals must have annual household income at or above 100% of the federal poverty level; 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 (or marketplaces) 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. The PTC 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 advanced payments of the credit (or APTC). APTCs are provided on a monthly basis to coincide with the payment of insurance premiums, automatically reducing consumer costs associated with purchasing insurance. The credit is financed through permanent appropriations authorized under the federal tax code. Individuals who receive premium credit payments also may be eligible for subsidies that reduce cost-sharing expenses. The ACA established two types of cost-sharing reductions (CSRs). 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 CSRs may receive both types. Plans with CSRs were initially provided payments to reimburse them for the cost of providing the subsidies to eligible consumers. Although applicable health plans must continue to provide these CSRs, such plans no longer receive direct payments. The ARPA makes temporary changes to the PTC and to CSRs. Its provisions amend statute to · expand eligibility for and the amount of the PTC applicable to certain exchange plans for tax years 2021 and 2022; · suspend the requirement, for tax year 2020, that individuals pay back PTC amounts that were provided in excess; and · expand eligibility for and the calculation of both the PTC and CSRs for individuals who receive unemployment compensation during calendar year 2021. This report describes current law (including ARPA provisions that are in effect as of the publication date of this report) and applicable regulations and guidance, specifically with regard to how the PTC and CSR requirements apply in 2022. [ABSTRACT FROM AUTHOR]

The article presents a report by the U.S. Congressional Research Service which describes current issues related to the Medicare Part B premium and enrollment for Congress. It mentions about its potential net impact on Social Security benefits, and possible increases in Medicare premiums as a means to reduce federal spending and deficits.

The article offers an overview on interaction between Medicare premiums and Social Security annual cost-of-living adjustment (COLA) in the U.S. It mentions efforts of the government in providing financial security to most elderly and disabled individuals in the country; and amendment of Social Security Act for preventing certain Social Security beneficiaries monthly benefit amount from decreasing.

The article explores the prescription drug benefit under the Medicare Part D program in the U.S. It highlights the significance of the Part D program in enhancing the low-income individuals' drug coverage. Also mentioned are the enrollment of the plan, the low-income subsidies, drug coverage and the part D benefit structure.

The article focuses on requirements for option to waive under the U.S. Patient Protection and Affordable Care Act. Topics discussed include laws governing health insurance coverage to state residents; requirements related to qualified health plans, health insurance exchanges, and premium tax credits; and take of Department of Health and Human Services on the same.

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. In 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). The 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. Individuals who receive premium credits also may be eligible for subsidies that reduce costsharing 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. [ABSTRACT FROM AUTHOR]

The article discusses eligibility, enrollment, and calculation of health insurance premium tax credits made available under the U.S. federal statute Patient Protection and Affordable Care Act. Topics explored include the need for eligible individuals to file their federal income tax returns, the annual household income requirements, and factors which contribute to variation in premium tax credits.

The article discusses eligibility of some individuals and families in the U.S. for health insurance premium tax credits and cost-sharing subsidies. Topics explored include the availability of these tax credits under the Patient Protection and Affordable Care Act, the need for eligible individuals to file their federal income tax returns to avail of said benefits, and the calculation of premium tax credits based on annual household income and age.

The article explains the potential application of the hold-harmless provision in the Social Security (SS) Act, which protects SS beneficiaries against any increase in Medicare Part B premiums, in the absence of a SS cost-of-living adjustment (COLA) in the U.S. in 2016. Topics mentioned include the percentage of Part B enrollees who would be held harmless for increases in premiums, the projected amount of 2016 Part B premiums, and the impact of the absence of COLA on Medicaid financing.

The article presents an overview of the Part B premiums in the Medicare federal health insurance program in the U.S. Topics covered include the U.S. Centers for Medicare & Medicaid Services' estimation of the standard Part B monthly premium for 2015, the contingency margin in insurance premiums, the premiums for high-income enrollees under the Medicare Modernization Act of 2003 and the premium assistance for low-income beneficiaries.

The article presents the U.S. Congressional Research Service's October 20, 2015 report about the potential effect of the absence of the social security (SS) cost-of-living adjustment (COLA) on Medicare Part B medical insurance premiums in 2016, by Patricia A. Davis. Topics covered include the protection of SS benefits from increases in premiums, the application of the hold-harmless provision in the SS Act, and the process of calculating the standard monthly premium for 2015.

The article discusses the U.S. Supreme Court case King v. Burwell which deals with the government provision of premium tax credits in federally facilitated exchanges, in pursuant of the Affordable Care Act (ACA). Topics discussed include examination on the validity of regulations applied by the U.S. Internal Revenue Service (IRS) in King, implications if premium tax credits are found unavailable in King, and impact of the case on the operation of ACA.

The article reports on the provisions of the Patient Protection and Affordable Care Act (ACA) regarding the availability of premium tax credits for qualified taxpayers in the U.S. Topics discussed include implementation of Section 36B of the Internal Revenue Code, eligibility for premium tax credits, and the regulations issued by the U.S. Internal Revenue Service in May 2012 to help taxpayers avail for their credits. Also mentioned are the differences between individual and employer mandates.

The article focuses on the provisions of the Affordable Care Act (ACA) regarding the availability of premium tax credits for individuals engaged in federally facilitated insurance exchanges in the U.S. Topics discussed include the authority of the federal government in establishing exchanges under the ACA, implication of limiting premium tax credits to exchanges run by the State, and court cases involving the U.S. Internal Revenue Service. Filing for a tax refund lawsuit is also mentioned.

The article focuses on the provisions of the Patient Protection and Affordable Care Act (ACA) related to premium tax credits provided by federal health insurance exchanges in the U.S. Topics covered include the court case King v. Burwell involving the implementation of premium tax credit provisions, eligibility for premium tax credits, and regulations issued by the U.S. Internal Revenue Service in May 2012. Also mentioned are legal issues concerning federally facilitated exchanges.

This article presents information on health insurance premium credits under the U.S. Patient Protection and Affordable Care Act in 2015. It discusses the selected annual income levels applicable to 2015 premium credits, self-only and family coverage, and premium contributions and credit amounts for the second-lowest-cost silver plan in 2015.

This article presents information on health insurance premium credits established under the U.S. Patient Protection and Affordable Care Act. It discusses the purpose of the new federal tax credits under the law, the amounts received in premium credits, health insurance exchanges, premium credit eligibility, enrollment in an individual exchange and exceptions to minimum essential coverage eligibility.

In general, the premiums charged by health insurance companies represent actuarial estimates of the amount that would be required to cover three main components: (1) the expected cost of the health benefits covered under the plan, (2) the business administrative costs of operating the plan, and (3) a profit. The final premium calculation often is adjusted upward or downward to reflect several factors, such as making up for a previous financial loss. Health insurance premiums have been trending up, while the value of coverage has trended down. Available data indicate that both administrative and medical costs continue to rise, but the rate of growth in these expenses slowed between 2008 and 2009. The data also suggest that the rise in medical costs is primarily attributable to the price of services, not increased utilization. The rise in the cost of health insurance has received considerable attention by Congress and resulted in calls for more regulation. The regulation of private health insurance has traditionally been under the jurisdiction of the states. Most states have used their regulatory authority over the business of insurance to require the filing of health insurance documents containing rate information for one or more insurance market segments or plan types. With the enactment of the Patient Protection and Affordable Care Act (P.L. 111-148, PPACA) on March 23, 2010, and subsequent amendments, the federal government will assume a role in private health insurance rate reviews by providing grants to states and requiring health insurance companies to provide justifications for proposed rate increases determined to be unreasonable. This report provides an overview of the concepts, regulation, and available public data regarding private health insurance premiums. This report will be updated to reflect relevant legislative activity and the availability of new public data. [ABSTRACT FROM AUTHOR]

This report briefly describes some of the key concepts and policy issues around specifying and valuing health insurance benefits. "Actuarial value" is a summary measure of a health insurance plan's benefit generosity. It is expressed as the percentage of medical expenses estimated to be paid by the insurer for a standard population and set of allowed charges. An actuarial value may also be referred to as a "benefit rate." One purpose of an actuarial value is to distill all the benefit and enrollee cost-sharing provisions of a health insurance plan into a single number, for easier comparisons among plans. For example, under Massachusetts' health reform, individuals purchasing unsubsidized coverage through the Connector1 have the choice of three benefit levels: Gold, Silver and Bronze.2 A Gold benefit package must be actuarially equivalent3 to the Gold package specified by the Connector, with low copayments and no deductible. The Gold benefit package has an estimated actuarial value of 93%.4 The Silver benefit package that an insurer develops can have greater cost-sharing (e.g., a deductible, higher copayments) but must have an actuarial value between 67% and 81%. The Bronze package must have an actuarial value of roughly 56%.5 [ABSTRACT FROM AUTHOR]

The article discusses the potential impact of an absence of social security (SS) cost-of-living adjustment in 2016 on Medicare Part B premiums in the U.S., based on projections by the Medicare Board of Trustees. Topics cited include the protection for Medicare beneficiaries under the hold-harmless provision in the SS Act, the 25 percent increase in premiums for the aged and the potential reduction in Supplementary Medical Insurance Trust Fund income.

The article discusses the protection of social security (SS) benefits from increases in Medicare Part B premiums under the hold-harmless provision (HHP) in the SS Act in the U.S. Topics cited include the criteria for a SS beneficiary in order to be held harmless for Part B premium increase, the impact of the HHP on Part B financing and the exclusion of high-income beneficiaries from the protection under the HHP.

This article presents information on exchange plan selection and premium credits under the U.S. Patient Protection and Affordable Care Act. It discusses the selection of a metal plan through the individual exchanges, the special exchange enrollment period being provided by the U.S. Health and Human Services for 2015, and projections from the U.S. Congressional Budget Office on exchange enrollment.

The article discusses the establishment of funding for the cost-sharing reduction (CSR) payments under the Patient Protection and Affordable Care Act (ACA). It notes that insurers have warned that they may not commit to sustained funding and may exit the market or raise premiums. It adds that consumers with private health insurance generally pay for health care through a premium to purchase the insurance and cost-sharing requirements.

The article provides information regarding the potential impact of uncertainty on the funding for the cost-sharing reduction (CSR) payments established under the Affordable Care Act (ACA) in the U.S. Topics discussed include the CSR effect to health insurance premium, the effect of CSR to consumer and insurer spending, and the funding status for the CSR payments.

The article offers information on online resources for health insurance subsidies in the U.S. These include the Eligibility and Determination of Health Insurance Premium Tax Credits and Cost-Sharing Subsidies report, money saving on health insurance, and premium tax credit that provides basic background on premium credits. Also noted are the Premium Tax Credit Change Estimator and updates for income or household change.

The article provides statistics on the U.S. health insurance enrollment and premium. These include Health Insurance Marketplaces 2017 Open Enrollment Period: January Enrollment Report which provides information on the number of enrollees in an exchange plan, Coverage in the Private Health Insurance Market report which summarizes 2014-2016 statistics on ACA exchange coverage, and the Affordable Care Act Research that includes data on enrollment, premium levels, and advance premium tax credits.

The article offers information on how eligible taxpayers with qualified health insurance claim and receive their tax credit for the Health Coverage Tax Credit (HCTC), a tax credit which pays qualified health insurance premiums to eligible individuals and families.

An appendix is presented of the legislative history of the Health Coverage Tax Credit (HCTC), a tax credit which pays qualified health insurance premiums for eligible families and individuals.

The article offers information on the aspects of the qualified health insurance under the Health Coverage Tax Credit (HCTC), a tax credit which pays qualified health insurance premiums for eligible families and individuals in the U. S. Topics include the several options for the coverage categories for automatically qualified insurance, the categories of coverage under state-qualified health plans, and the protection needed to provide by state-qualified health plans.

The article discusses the antipoverty program of federal government of U.S. Earned Income Tax Credit including information on the provision for using refundable tax credits, reducing the tax burdens of families with children Child Tax Credits, and subsidizing health insurance premiums.

The article reports that the Board of Trustees for the Medicare social insurance program expects that monthly Part B beneficiary premiums will increase in 2016 due to Part B spending growth in the U.S. in 2015. Topics cited include the increase in the 2015 Part B expenditures over 2014 due to the utilization of Part B services, the adjustment in premiums to cover financing shortfalls in 2015 and the rapid growth in benefit spending over the next five years from 2015.

The article discusses ways for paying the Medicare Part B premiums in the U.S. Topics mentioned include the payment through the federal health care program Medicaid, the deduction of Part B premiums from Social Security or Railroad Retirement benefits and the group-billing arrangement with the U.S. Centers for Medicare and Medicaid Services.

The article presents an introduction to the U.S. Congressional Research Service's report "Potential Impact of No Social Security (SS) COLA on Medicare Part B Premiums in 2016" dated October 20, 2015. Topics mentioned include an overview of the Medicare Part B insurance premiums, the medical services covered by Medicare Part B and the hold-harmless provision of the SS Act and effect on beneficiaries.

This article presents information on the reconciliation of the amount received in premium credits under the U.S. Patient Protection and Affordable Care Act (ACA). It discusses the basis for calculating the amount received in premium credits, the limits imposed by the ACA on the excess amounts to be repaid under certain conditions, and limited tax relief for certain premium credit recipients.

The article offers information on the cost-sharing subsidy eligibility requirements. The author mentions that individual's who wish to avail the subsidy are required to enroll in a silver plan insurance with an actuarial value of 70%, and adds that health plans have varied cost-sharing requirements in order to increase the actuarial value of the silver plan.

The article discusses the reduction in the annual cost-sharing limits of the Affordable Care Act wherein the amount of covered health services an individual may spend under his plan is capped and any excess medical services availed will be shouldered by the beneficiaries, and mentions the benefit of cost-sharing subsidy in reducing annual cost-sharing limits insurance policy holders. Also presented is a chart showing the reduction of cost-sharing limit through the cost-sharing subsidy.

The article offers information on the 2016 Marketplace Health Plan Selections by County report on the status of HealthCare.gov by states in the U.S., including data on advanced premium tax credit, cost-sharing reduction, and consumer type.

The article mentions the exchange enrollment and premium statistics of the U.S. Patient Protection and Affordable Care Act (ACA).

The article offers information on the provisions of exchanges and subsidies of the U.S. Affordable Care Act (ACA). These include the open enrollment for 2017 through www.HealthCare.gov, the special enrollment periods for certain individuals outside of the open season, and browse coverage options at www.healthcare.gov/see-plans/ which lets consumers view plan information and premium estimates without opening a HealthCare.gov account.

The article reports on how taxpayers may claim their health coverage tax credit (HCTC) after the end of tax year.

The article reports on how eligible taxpayers may receive advance payments for the health coverage tax credits (HCTC) during the tax year.

The article offers information on how eligible trade adjustment assistance (TAA) beneficiaries of the Health Coverage Tax Credit (HCTC), a tax credit which pays qualified health insurance premiums among eligible individuals and families in the U.S., through State Workforce Agencies (SWAs) mail.

The article offers information on the use and administration of the Health Coverage Tax Credit (HCTC), a tax credit which pays qualified health insurance premiums for eligible individuals and families in the U.S., administered by the U.S. Internal Revenue Service (IRS).

The person that the author would like to thank for her assistance in the creation of the report on health insurance premium tax credits and cost-sharing subsidies is mentioned.

The article discusses eligibility of some individuals and families in the U.S. for health insurance premium tax credits and cost-sharing subsidies. Topics explored include the availability of these tax credits under the Patient Protection and Affordable Care Act, the need for eligible individuals to be enrolled in certain health insurance plans, and the compliance of health insurance providers to federal and state requirements related to these tax credits.

A graph is presented that shows the growth trends in Medicare Part premiums in the U.S. from 1966 to 2024.