Is there still a federal penalty for not having health insurance?

Asked by: Dr. Reinhold Schaden MD  |  Last update: April 20, 2025
Score: 4.7/5 (29 votes)

Congress eliminated the federal tax penalty for not having health insurance, effective January 1, 2019.

Does the IRS still penalize for no health insurance?

If you had no health coverage

If you didn't have coverage during 2024, the fee no longer applies. This means you don't need an exemption in order to avoid the penalty.

Does the IRS still require proof of health insurance?

Health care coverage documents

You are not required to send the IRS information forms or other proof of health care coverage when filing your tax return. However, it's a good idea to keep these records on hand. This documentation includes: Form 1095 information forms.

Is there a federal penalty for not having health insurance?

The fee for not having health insurance (sometimes called the "Shared Responsibility Payment" or "mandate”) ended in 2018. This means you no longer pay a tax penalty for not having health coverage. If you don't have health coverage, you don't need an exemption to avoid paying a tax penalty.

When did the health insurance penalty end?

Key takeaways. The federal individual mandate penalty was eliminated at the end of 2018. There is a penalty in New Jersey, DC, Massachusetts, California, and Rhode Island. Vermont enacted a mandate that took effect in 2020, but there is no penalty for non-compliance.

Do I Get Penalized For Not Having Health Insurance? - InsuranceGuide360.com

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Who got rid of the individual mandate?

On December 22, 2017, President Donald Trump signed the Tax Cuts and Jobs Act of 2017, which eliminated the federal tax penalty for violating the individual mandate, starting in 2019.

Can you be denied medical treatment without insurance?

Because of EMTALA, you can't be denied a medical screening exam or treatment for an emergency medical condition based on: If you have health insurance or not. If you can pay for treatment.

What is the federal government penalty for not having insurance?

There is no longer a federal penalty for not having health insurance.

Is it legally required by the federal government to have health insurance?

There are no federal laws that impose a penalty or fine for not having health insurance. But there are some states, and one district, that have individual health insurance mandates. If you live in one of these states, you need health insurance coverage: California.

Which states still require you to have health insurance coverage to avoid a tax penalty?

New Jersey, California, Rhode Island, Massachusetts, and the District of Columbia require their residents to have health insurance coverage or face penalties.

How much do you have to pay irs if you don t have health insurance?

The Tax Cut and Jobs Act (TCJA) repealed the penalty (made the penalty amount $0) starting with tax year 2019. But you may wonder, “Do I need health insurance to file taxes after the ACA penalty was repealed?” The answer is no. You no longer will be penalized for not having health insurance.

How does the IRS know if you have health insurance?

How does the IRS know if you have health insurance? The IRS will know you have health insurance if you use a 1095 to file your taxes. If you don't have health insurance, you will not be penalized by the IRS.

What does 10/99 mean?

Form 1099 is used to report certain types of non-employment income to the IRS such as dividends from a stock or pay you received as an independent contractor. Businesses must issue 1099s to any payee other than a corporation who receives at least $600 in non-employment income during the year.

How to avoid health insurance penalties?

Make sure you have health care coverage

To avoid a penalty, you need minimum essential coverage (MEC) for each month of the year for: Yourself. Your spouse or domestic partner. Your dependents.

In what states is it illegal to not have health insurance?

Presently there are six states with individual mandates:
  • California.
  • D.C.
  • Massachusetts.
  • New Jersey.
  • Rhode Island.
  • Vermont (but there's currently no financial penalty attached to the mandate)

What happens if you lie about not having health insurance on taxes?

Fraud or Other Charges

Depending on the outcome of your audit, you may be charged with either negligence or fraud as a civil penalty. The IRS may also choose to prosecute you on criminal charges if the amounts are large enough. These cases take years to process, and can result in jail time and other hefty fines.

Are US citizens still required to have health insurance?

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.

Is the individual mandate still in effect?

Technically, the individual mandate itself is still in effect, but there's no longer a penalty to enforce it. The tax penalty was eliminated after the end of 2018, under the terms of the Tax Cuts and Jobs Act of 2017. The continued existence of the mandate – but without the penalty – was the crux of the California v.

Is it illegal to not use health insurance if you have it?

While it is not illegal to self-pay if you have insurance, we always encourage individuals to have the right health plans to ensure they are prepared for significant medical expenses. Still, we know that there are times when it does not make sense to file a claim with the insurance company.

Is there still an IRS penalty for not having health insurance?

Congress eliminated the federal tax penalty for not having health insurance, effective January 1, 2019.

Is it a federal law to have insurance?

Insurance in the US is regulated at the state level. This means each state has its own statutes and rules on which types of insurance coverage are mandatory. There are three main types of insurance coverage required in almost all states: car insurance.

Can I get Obamacare if I have no income?

There is no income limit. To be eligible to enroll in health coverage through the Marketplace, you: Must live in the United States. Must be a U.S. citizen or national (or be lawfully present).

What happens if I decline medical coverage?

Declining employer insurance could lead to higher out-of-pocket costs if you face major health events. Employer plans usually offer comprehensive coverage for such events, so it's important to plan and ensure you have adequate coverage.

Who pays for uninsured patients?

Hospitals do get help with the unpaid bills – from taxpayers. The majority of hospitals are non-profits and are exempt from federal, state and local taxes if they provide a community benefit, such as charitable care. Hospitals also receive federal funding to offset some of the costs of treating the poor.

Can a doctor turn you away for not having insurance?

If you have a serious medical problem, hospitals must treat you regardless of whether you have insurance. This includes situations that meet the definition of an emergency. Some situations may not be considered true emergencies, such as: Going to the ER for non-life-threatening care.