What is the Affordable Care Act on taxes?

Asked by: Dr. Mittie Kozey  |  Last update: May 18, 2025
Score: 4.1/5 (11 votes)

The Affordable Care Act requires employers to report the cost of coverage under an employer-sponsored group health plan on an employee's Form W-2, Wage and Tax Statement in Box 12 using Code DD. Reporting the cost of health care coverage on the Form W-2 is for informational purposes only.

How does the Affordable Care Act affect taxes?

To increase health insurance coverage, the ACA provided individuals and small employers with a tax credit to purchase insurance and imposed taxes on individuals with inadequate coverage and on employers who do not offer adequate coverage.

Who has to pay the 3.8 Obamacare tax?

The tax applies only to people with relatively high incomes. If you're single, you must pay the tax only if your adjusted gross income (AGI) is over $200,000. Married taxpayers filing jointly must have an AGI over $250,000 to be subject to the tax.

Do I have to pay back my ACA tax credit?

If at the end of the year you've taken more premium tax credit in advance than you're due based on your final income, you'll have to pay back the excess when you file your federal tax return. If you've taken less than you qualify for, you'll get the difference back.

Do I have to claim a 1095-A on my taxes?

You do not have to send your Form 1095-A to the IRS with your tax return when you file and claim the premium tax credit. However, using the information on your Form 1095-A you must complete and file Form 8962, Premium Tax Credit.

Obamacare Explained: Understanding the Affordable Care Act

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What happens if I don't put my 1095 on my taxes?

Form 1095-B is not required to file your state or federal taxes and you may self‑attest to your health coverage without it. You should get a Form 1095-B in the mail by January 31 following the reported tax year.

How can I avoid paying back my premium tax credit?

Report any changes in your income during the year to the Marketplace, so your credit can be adjusted and you can avoid any significant repayments at the end of the year.

How does the premium tax credit affect my tax return?

Claiming a net PTC will lower the amount of tax you owe or increase your refund to the extent it is more than the amount of tax you owe. See the Coronavirus tax relief section on this page for information specific to tax year 2020.

Is the ACA tax penalty removed?

Policy Change. When initially passed in 2009, the Affordable Care Act levied tax penalties on households that failed to obtain health insurance coverage equal to the lesser of 2.5% of household income or $695 per adult and $347.50 per child (capped at $2,085). TCJA eliminated this penalty effective in 2019.

Who qualifies for ACA premium tax credit?

To be eligible for the premium tax credit, your household income must be at least 100 percent and, for years other than 2021 and 2022, no more than 400 percent of the federal poverty line for your family size, although there are two exceptions for individuals with household income below 100 percent of the applicable ...

At what income level does the 3.8 surtax kick in?

The threshold is $250,000 for joint filers, $125,000 for married filing separately, and $200,000 for all other filers. Net investment income includes the following items of income reduced by applicable expenses: interest, dividends, capital gains, annuities, royalties, and passive rental and business income.

How to avoid Obama Care tax?

Exemptions
  1. Income is below the tax filing threshold.
  2. Health coverage is considered unaffordable (exceeded 7.97% of household income for the 2024 taxable year)
  3. Families' self-only coverage combined cost is unaffordable.
  4. Short coverage gap of three consecutive months or less.
  5. Certain non-citizens who are not lawfully present.

What are the two types of exemptions?

There are two types of exemptions-personal and dependency. Each exemption reduces the income subject to tax.

What is negative about the Affordable Care Act?

It was also known that consumers would face a very different health insurance world under the ACA, with some people seeing their premiums go down and some seeing them go up, and the majority of Americans seeing higher deductibles, higher copays, and a smaller pool of providers.

Are my Obamacare premiums tax deductible?

If you paid the premiums for a policy you obtained yourself, (such as through the marketplace) your health insurance premium is deductible when they are out-of-pocket costs.

Does Obamacare affect your tax return?

The premium tax credit was established by the Affordable Care Act. It makes health insurance premiums for coverage purchased through the Health Insurance Marketplace more affordable for eligible individuals. The premium tax credit is the main way that having Obamacare impacts your taxes.

How can I avoid the ACA tax penalty?

You can get an exemption so that you won't have to pay a penalty for not having qualifying health insurance. Some exemptions require an exemption application through Covered California. Other exemptions do not require an application: Instead, you can claim them when you file your state tax return.

Which states opted out of ACA?

The Affordable Care Act, also known as Obamacare, was enacted in 2010, but 10 states have not expanded Medicaid, the federal-state program that provides health care for low-income people. They are Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming.

Will I have to pay back my premium tax credit?

For the 2024 tax year, if you underestimated your income and received a larger tax credit than you were eligible for, you must repay the difference between the amount of premium tax credit you received and the amount you were eligible for.

Why do I owe taxes because of health insurance?

Owe taxes if you used more of the premium tax credit than you qualified for in 2024. You'll have to report the excess amount on your 2024 tax return by filing Form 8962, Premium Tax Credit (PDF, 115 KB). Find instructions for Form 8962 (PDF, 348 KB).

Can you deduct health insurance premiums without itemizing?

Unless you are self-employed, you can only deduct the cost of health insurance from your income if you itemize your deductions. For example, if you are single with an adjusted gross income (AGI) of $70,000 and take the standard deduction of $13,850, you're lowering your taxable income to $56,150.

Do taxpayers no longer qualify for the premium tax credit?

Through the end of the 2025 coverage year, there is no maximum income limit for the premium tax credit. People whose benchmark premium costs more than 8.5% of household income qualify for a premium tax credit if they meet other eligibility criteria.

What happens if I underestimate my income for Obamacare in 2024?

The government isn't going to come after you, but you will have to pay back at least some of the subsidy on your taxes. If you're off just a bit, it shouldn't make that much difference. But if you lowball it by a bundle, you could end up having to pay back most or all of those subsidies.

Who is not eligible for Obamacare?

Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.