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The health care reform law adds to or amends numerous sections of the Internal Revenue Code, resulting in the largest set of tax law changes in more than 20 years.

Navigating health reform

Health Reform Brings Largest Tax Law Changes in 20 Years

  • 7/11/2012

Health Reform Brings Largest Tax Law Changes in 20 Years

The Supreme Court has left standing all tax provisions within the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act (HCERA). This decision, which was unexpected by many court-watchers, brings with it a sense of urgency to employers, individuals, and other stakeholders that they are running out of time to prepare for major changes taking place in 2013 and 2014, and to implement provisions or benefits that are already effective and available.

The PPACA and HCERA add to or amend numerous sections of the Internal Revenue Code, resulting in the largest set of tax law changes in more than 20 years. The IRS has been working on many fronts to issue guidance on these provisions, to flesh out certain benefits and requirements, and to set up procedures necessary for compliance.

Comment: In June 2012, the Treasury Inspector General for Tax Administration (TIGTA) reported that overall, the IRS has developed appropriate plans to implement most tax-related provisions in the PPACA. TIGTA reported that the IRS would benefit from estimating resources beyond fiscal year 2013. The IRS agreed with TIGTA and announced that it would complete an evaluation of the major PPACA provisions for which implementation has not been completed and evaluate the resources needed for implementation. Nevertheless, many observers contend that the IRS is significantly underfunded at current levels to handle its expected multi-faceted role in implementing the health care law over the 2013­2018 period.

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