Does the federal shared responsibility payment still exist for the individual mandate?

Asked by: Jaime Haag  |  Last update: December 6, 2025
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Shared responsibility payment (eliminated as of tax year 2019)

Is the shared responsibility payment still in effect?

In 2018, the shared responsibility payment is reported on Line 61 of the Schedule 4 - Form 1040. The Affordable Care Act is still in effect, and taxpayers are still required to purchase health insurance. But, starting in 2019, taxpayers will not be subject to a financial penalty if they don't.

Is the ACA individual mandate still in effect?

The individual mandate still exists, but the federal penalty for non-compliance was eliminated starting in 2019. As described below, some states still impose their own penalties for people who don't maintain minimum essential coverage.

Is the ACA employer mandate still in effect?

Employer mandate coverage requirements since 2016

Employers with 50 or more full-time and/or FTE employees must offer affordable/minimum value medical coverage to their full-time employees and their dependents up to the end of the month in which they turn age 26, or they may be subject to penalties.

Is there still a federal mandate for health insurance?

Key Takeaways. Health insurance coverage is no longer mandatory at the federal level, as of Jan. 1, 2019. Some states still require you to have health insurance coverage to avoid a tax penalty.

Affordable Care Act, Completing the 8965

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How to avoid shared responsibility payments?

Tips for avoiding the ESR penalty:

Offer at least minimum essential coverage to full-time employees and dependents and document those offers of coverage. To avoid insufficient offer penalties, offer affordable coverage that is at least minimum value.

What is the ACA shared responsibility penalty for 2024?

A penalty of $2,970 (for 2024) per full-time employee minus the first 30 will be incurred if the employer fails to offer minimum essential coverage to 95 percent of its full-time employees and their dependents, and any full-time employee obtains coverage on the exchange.

When was the ACA mandate repealed?

The federal individual mandate of the Affordable Care Act, which required people to pay a tax penalty if they did not have health insurance, was repealed in 2019.

What is the ACA employer mandate 2025?

Generally requires applicable large employers to offer minimum essential coverage that is affordable and provides minimum value to all full-time employees (and their children to age 26) to avoid potential penalties.

What states have an ACA mandate?

Which states have an Individual Mandate?
  • California.
  • D.C.
  • Massachusetts.
  • New Jersey.
  • Rhode Island.
  • Vermont (but there's currently no financial penalty attached to the mandate)

Is the Affordable Care Act still valid?

Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. Most of the act's provisions are still in effect.

What is the shared responsibility mandate?

Under the Affordable Care Act's employer shared responsibility provisions, certain employers (called applicable large employers or ALEs) must either offer minimum essential coverage that is “affordable” and that provides “minimum value” to their full-time employees (and their dependents), or potentially make an ...

What is the IRS penalty for not having health insurance in 2024?

If you had no health coverage

If you didn't have coverage during 2024, the fee no longer applies.

What is the individual shared responsibility payment penalty?

The Individual Shared Responsibility Penalty is imposed on any applicable individual for any month in which they fail to enroll and maintain minimum essential healthcare coverage.

Is form 8965 still required?

Beginning in tax year 2019, Form 1040 and Form 1040-SR will not have the "full-year health care coverage or exempt" box and Form 8965, Health Coverage Exemptions, will no longer be used.

What happens if you have a gap in health insurance coverage?

How long does a Short Gap in Coverage exemption last? For those who were uninsured for a period of less than three consecutive months during the year, the exemption will be granted for those months. You will need to claim a new exemption in future years if you experience these circumstances again.

What is the ACA individual mandate?

The individual mandate was a provision within the ACA that required individuals to purchase what's known as "minimum essential coverage" or face a tax penalty, unless they were eligible for an exemption. Mandate supporters argued that a penalty would increase the number of people who had health insurance.

What are the consequences of the ACA's employer mandate?

Although the ACA employer mandate is designed to help expand or at least to stabilize employer-sponsored coverage, the mandate and its associated penalty increase the cost of every full-time equivalent employee in any organization with more than 50 employees.

What are the ACA requirements for employers in 2024?

Employers must report employee insurance information with the California Franchise Tax Board (FTB) once per year. Information should be submitted to the state using federal Forms 1094-C, 1095-C, and 1095-B. Organizations must also distribute copies to employees.

Is the Obamacare individual mandate penalty gone?

Congress eliminated the federal tax penalty for not having health insurance, effective January 1, 2019. While there is no longer a federal tax penalty for being uninsured, some states (CA, MA, NJ, and RI) and DC have enacted individual mandates and may apply a state tax penalty if you lack health coverage for the year.

Does the ACA expire?

The subsidies, which lower out-of-pocket costs on health insurance premiums for people who obtain insurance through the state or federally facilitated marketplaces, are currently set to expire at the end of 2025.

What is the largest single health care program in the United States?

Program: Overview

The Centers for Medicare & Medicaid Services (CMS) is the single largest payer for health care in the United States. Nearly 90 million Americans rely on health care benefits through Medicare, Medicaid, and the State Children's Health Insurance Program (SCHIP).

What is the penalty for employer mandate in 2025?

Section 4980H(a) penalty: ALEs must pay a monthly penalty of $241.67 or an annual penalty of $2,900 per employee. This penalty applies if they fail to offer MEC to 95% of their full-time employees and their dependents.

Can the IRS enforce the shared responsibility payment?

The law prohibits the IRS from using liens or levies to collect any individual shared responsibility payment.

How can I avoid ACA penalty?

To avoid this penalty notice, employers must adhere to the appropriate ACA filing and furnishing deadlines for the applicable tax year. Employers have until March 1 each year to furnish the required 1095-C forms to their full-time staff.