CCH Tax Brieﬁng: HEALTH CARE REFORM ACT March 23, 2010 Special Report HIGHLIGHTS: President Signs Health ✔ Individual Responsibility Care Reform; Senate Requirement ✔ No Employer Mandate Reconciliation Vote Next P ✔ Small Business Tax resident Obama on March 23 health-care package would im- Credit signed the massive health care pose an additional Medicare tax ✔ Additional Medicare reform package approved by the on higher-income individuals, House on March 21, 2010. The Patient including a Medicare tax on in- Tax On Higher-Income Protection and Affordable Care Act (the vestment income, in addition to Individuals Patient Protection Act), approved by changing aspects of the excise tax ✔ Excise Tax On High the Senate on December 24, 2009, is to be imposed on high-dollar in- Dollar Plans now law. It contains over $400 billion surance plans. And while the in revenue raisers and new taxes on health-care package does not ✔ Market Sector Fees employers and individuals. The House mandate employer-provided cov- ✔ Codiﬁcation Of also passed on March 21 H.R. 4872, the erage, it does include “play or Economic Substance Health Care and Education Tax Credits pay” language. Reconciliation Act of 2010 (the House Doctrine Reconciliation Act). The House Recon- The IRS would be respon- ✔ And More ciliation Act serves as a “sidecar” bill, sible for overseeing a that will allow amendments to the Patient signiﬁcant part of health care re- Protection Act to be passed by the Sen- form, such as the administration of ate with only 51 votes using the budget additional taxes on individuals and Inside reconciliation rules. employers, determinations of vari- What’s next: While the Patient ous exemptions from those taxes, Individuals ........................... 2 Protection Act is now law, the House and oversight of new information Reconciliation Act strikes out or modi- reporting requirements. Many of Employers ............................ 3 ﬁes a number of provisions in the Patient the new requirements have phased- Small Businesses ................ 4 Protection Act to which House members in or delayed effective dates, giving objected, The Senate now must pass this the IRS – and taxpayers – a window Additional Medicare Tax ..... 4 “sidecar” Reconciliation bill before it be- of time to prepare. comes law. The Senate Democrats’ goal High-Cost Plans .................. 4 is to send a ﬁnal package to the White KEY OFFSETS Market Sector Fees ............. 5 House before a scheduled Congressional recess begins on March 29. To help ﬁnance health care reform, the FSAs and HSAs ................... 6 Patient Protection Act, as amended by The Patient Protection the House Reconciliation Act, includes Medical Expense Act, as amended by the (1) a 40 percent excise tax on high-dollar Deduction ............................ 6 House Reconciliation Act, does health insurance plans to begin in 2018, Other Revenue Raisers ....... 6 not impose the income tax surtax (2) an increase in Medicare payroll on higher-income individuals taxes starting in 2013 on taxpayers in originally proposed in the House the $200,000-plus income category last year. However, the House ($250,000 for joint ﬁlers), and (3) new 2 2010 Legislation Update fees on certain health-related industries. eligible for Medicaid or Medicare or without minimum essential coverage in A dozen other “revenue raisers” are also other government-sponsored coverage 2014. The nondeductible penalty rises included in the ﬁnal bill. to maintain minimum essential coverage to $325 per person without minimum beginning after 2013. Individuals who essential coverage in 2015, then to $695 CORE CONCEPTS fail to maintain minimum essential cov- per person without minimum essential erage would be liable for a penalty. The coverage in 2016 and is indexed for The Patient Protection Act, as amended Patient Protection Act uses a formula to inﬂation thereafter. by the House Reconciliation Act, will calculate the penalty taking into account fundamentally alter the health care the taxpayer’s household income and a For individuals under the landscape for individuals and employers. ﬂat dollar amount. age of 18, the applicable All individuals not covered by Medicaid ﬂat dollar penalty would be one-half or Medicare will be required to obtain of the above amounts. health care coverage or pay penalties. Employer-provided coverage will gen- “To help ﬁnance The ﬂat dollar penalty on erally satisfy the universal coverage health care reform, any taxpayer for any tax requirement. Lower-income individuals, year with respect to all individuals as well as some middle-class families, the Patient Protection for whom the taxpayer is liable will receive a credit or voucher to help Act, as amended by (generally family members) cannot pay for health insurance. Employers the House Reconcili- exceed an amount equal to 300 electing not to offer qualifying coverage ation Act, includes a percent of the applicable dollar will be subject to an additional tax to 40 percent excise tax amount for the year. help ﬁnance the health care coverage for their employees. Exceptions are made on high-dollar health Additionally, amendments made for small businesses. insurance plans to by the House Reconciliation Act raise begin in 2018, an in- the percentage of income that is the Individuals who cur- crease in Medicare alternative to the ﬂ at dollar annual rently have coverage payroll taxes starting penalty from 0.5 percent to 1.0 percent and wish to retain that coverage in 2014, 1.0 to 2.0 percent in 2015, can do so under a “grandfather” in 2013 on taxpay- and 2.0 to 2.5 percent for 2016 and provision in the heath care pack- ers in the $200K-plus subsequent years. age and the coverage will be income category deemed to meet the individual’s ($250K for joint ﬁl- Abby, a 34-year old responsibility to have health cov- ers), and new fees on single, does not have erage. A similar grandfather provi- minimum essential coverage in sion applies to employers that certain health-related 2016 and is not exempt from hav- currently offer coverage. industries.” ing minimum essential coverage. Abby would be liable for a pen- alty the greater of: $695 or 2.5 INDIVIDUALS percent of her modiﬁed adjusted The Patient Protection Act, as gross income. The Patient Protection Act, as amended amended by the House Reconcilia- by the House Reconciliation Act, re- tion Act, imposes a nondeductible ﬂat The Patient Protection quires most individuals not otherwise dollar-amount penalty of $95 per person Act, as amended by the House Reconciliation Act, com- pletely exempts taxpayers below INDIVIDUAL RESPONSIBILITY the threshold for ﬁling an income Year Penalty Percent of Income* tax return from the minimum es- 2014 $95 1% sential coverage penalty. The 2015 $325 2% House Reconciliation Act also lowered the penalty set in the 2016 $695** 2.5% Patient Protection Act effective for * In lieu of the ﬂat penalty if greater 2015 from $495 to $325 and for ** Indexed for inﬂation thereafter 2016 from $750 to $695. C C H T A X B R I E F I N G ©2010 CCH. All Rights Reserved 3 March 23, 2010 COVERAGE SUBSIDIES Individuals with Medicare, not require employers to provide health The Patient Protection Act, as amend- Medicaid, Veterans’ Af- insurance coverage. However, “large” ed by the House Reconciliation Act, fairs, or other government-sponsored employers that do not provide minimum also provides premium assistance coverage would be treated as having essential coverage will be liable for an tax credits and reduced cost sharing minimum essential coverage. additional tax; “small” employers will be to qualified individuals, on a slid- encouraged to provide coverage through ing scale. The credit is designed to The Patient Protection Act, as an available tax credit. The health care guarantee that qualified individuals amended by the House Reconciliation package also requires automatic enroll- would not spend more than a specific Act, creates a reinsurance program for ment in health insurance plans sponsored percentage of their income on medi- employer-sponsored early retiree cover- by large and mid-size employers. cal insurance premiums. Generally, age. Payments made under the reinsur- “Large “ employers (essentially busi- these are individuals who cannot ance program for retirees would be ex- nesses with 50 or more full-time employ- afford minimum essential coverage cluded from gross income. Additionally, ees for purposes of the House amended based on the relationship of their health services provided or purchased by Patient Protection Act) that fail to offer income to the federal poverty level. the Indian Health Service would also be minimum essential coverage during any The health care package allows for excluded from gross income. month for which a full-time employee the advanced payment of premium has enrolled in a subsidized plan using assistance tax credits. The IRS would be respon- the premium assistance tax credit or sible for determining eli- cost-sharing reductions would be liable The subsidy credit starts gibility for the premium assistance for an additional tax. That penalty would at 133 percent of the tax credit. Further, premium assis- equal the product of the applicable federal poverty level (FPL). At the tance tax credits would be disre- payment amount (with respect to any same time, the health-care package garded for federal or federally-as- month, 1/12 of $2,000) and the number expands Medicaid to cover those sisted programs. of full-time employees employed by the with income less than 133 percent employer during such month. of FPL. The Patient Protection Act, as amend- ed by the House Reconciliation Act, also The penalty would apply The federal poverty level is creates a national voluntary insurance to employers with 50 or determined based on family size. program for purchasing community living more workers but would subtract the For example, a family of four with assistance services and support. Premiums ﬁrst 30 workers from the payment household income between $29,327 will be paid through payroll deductions calculation. Businesses with fewer (approximately 133 percent of the if an individual’s employer decides to than 50 employees would be exempt current FPL) and $88,000 (approxi- participate in the program. from any employer responsibility. mately 400 percent of current FPL) would qualify for a premium subsidy. ABC Co. has 51 full-time EMPLOYERS Likewise, individuals with household employees and does not incomes between approximately The Patient Protection Act, as amended offer its employees minimum es- $14,000 and $43,000 would qualify. by the House Reconciliation Act, does sential coverage. ABC Co. will pay The Patient Protection Act, as amended by the House Reconciliation Act, includes a religious conscience PREMIUM TAX CREDITS FOR AFFORDABILITY exception, excludes undocumented Initial premium Final premium individuals in the U.S. from coverage Household income* percentage percentage and provides special rules for quali- Up to 133% 2.0 2.0 fied members of Native American tribes, certain hardship cases, depen- 133% up to 150% 3.0 4.0 dents and incarcerated individuals. 150% up to 200% 4.0 6.3 The health care package also provides 200% up to 250% 6.3 8.05 for cost sharing for lower-income in- 250% up to 300% 8.05 9.5 dividuals enrolled in qualified health insurance plans and the advance pay- 300 % up to 400% 9.5 9.5 ment of cost-sharing reductions for (and special indexing rules) eligible individuals. * Household income expressed as a percent of the federal poverty level C C H T A X B R I E F I N G 4 2010 Legislation Update an amount equal to 51 minus 30 average annual wages of less than is estimated to be raised over the (or 21) times the applicable per $25,000 would be eligible for the 2013 to 2019 period. employee payment amount (up to full credit. $2,000 per full-time employee). Neither the $200,000 Qualiﬁed small businesses nor $250,000 amounts Generally, employees would be able to purchase are indexed for inﬂation. could be eligible for insurance for their employees premium tax credits when em- through state-based web portals to Net investment income includes ployer-provided insurance costs be known as Small Business Health interest, dividends, royalties, rents, gain 9.5 percent or more of the em- Options Programs (SHOP). These from disposing of property, and income ployee’s household income or the insurance exchanges would allow earned from a trade or business that is a employer plan’s share of beneﬁts small businesses to pool together to passive activity. Self-employed individ- is less than 60 percent. This type spread their ﬁnancial risk. uals, as well as estates and trusts, would of coverage will not qualify as also be liable for the additional tax. minimum essential coverage. Cafeteria Plans. The Patient Pro- Distributions from qualiﬁed retire- tection Act relaxes the cafeteria plan ment plans, including pensions and Employers and other enti- rules to encourage more small employers certain retirement accounts, would be ties providing minimum to offer tax-free beneﬁts to employees, exempt from paying the additional tax. essential coverage would be re- including those related to health insur- For example, income from individual re- quired to ﬁle information returns ance coverage. It does so by carving out tirement accounts (IRAs), 401(a) money with the IRS identifying the indi- a safe harbor from the nondiscrimination purchase plans, 403(b) and 457(b) plans vidual, the coverage and the amount requirements for cafeteria plans for would be exempt. of premium, if any, paid by the in- qualiﬁed small employers. dividual. Penalties would be im- The ﬁnal version of the posed for failure to ﬁle an informa- additional Medicare pay- ADDITIONAL MEDICARE tion return. roll tax appears to be a compromise PAYROLL TAX between the House’s proposed in- come tax surtax on higher-income SMALL BUSINESSES The Patient Protection Act, as amended individuals and the Senate’s original by the House Reconciliation Act, broad- “Cadillac plan” excise tax. The Patient Protection Act, as amended ens the Medicare tax base for higher- by the House Reconciliation Act, pro- income taxpayers by: The additional Medicare vides a temporary sliding-scale small 1. Imposing an additional of 0.9 per- tax on qualiﬁed higher- employer tax credit to help offset the cent on earned income in excess income taxpayers would not start cost of employer-provided coverage. of $200,000 for individuals and until 2013. Issues over how cer- Generally, a small employer is one with $250,000 for families; and tain deferred compensation ar- no more than 25 employees and average 2. Imposing an unearned income Medi- rangements would be taxed are annual wages of less than $50,000. care contribution of 3.8 percent on certain to arise. In 2010 through 2013, eligible investment income for individuals employers may qualify for a tax credit with AGI above $200,000 and joint for up to 35 percent of their contribution ﬁlers with AGI above $250,000. TAX ON HIGH-COST toward the employee’s health insurance INSURANCE premium. In 2014 and beyond, eli- The 3.8 percent Medi- gible employers who purchase coverage care “contribution” The Patient Protection Act, as amended through a state exchange may qualify would be effective starting in by the House Reconciliation Act, will for a credit for two years of up to 50 2013. This additional Medicare impose a 40 percent nonrefundable percent of their contribution. Qualiﬁed tax would apply only to the em- excise tax on group insurers if annual tax-exempt employers would be eligible ployee portion of the tax. When premium payments exceed an inﬂation- for a reduced credit. Salary reduction added to the 0.9 percent tax also adjusted $10,200 for individual coverage contributions are not counted. imposed by the Patient Protection and $27,500 for family coverage begin- Act on these high-income earners’ ning in 2018. Employers with 10 or portion of their Hospital Insur- The Patient Protection Act, as fewer employees and ance (HI) payroll tax, $210 billion amended by the House Reconciliation C C H T A X B R I E F I N G ©2010 CCH. All Rights Reserved 5 March 23, 2010 Act, also provides higher premium adjusted calculation for 2018 and 2019 providers serving lower-income and levels for retirees and employees in only. Thereafter, the amounts would be other targeted groups and some voluntary certain high-risk professions: $11,850 adjusted only using the base CPI-U. The employee beneﬁt associations. for individual coverage and $30,950 for dollar thresholds will be increased auto- family coverage. Retired individuals age matically in 2018 if the Congressional The Patient Protection 55 and older would also be eligible for Budget Ofﬁce is incorrect in its forecast Act, as amended by the the higher thresholds. of the premium inﬂation rate between House Reconciliation Act, removes Employers will be required to dis- 2010 and 2018. Estimates are that the an annual fee that would have been close the value of employer-provided new indexing will more than offset any imposed on medical device manu- health insurance to employees annually beneﬁts given under the higher base facturers. However, as a trade-off, on Form W-2. dollar premium levels. the Patient Protection Act, as amend- The House Reconciliation Act ed, adds an excise tax on medical Designed principally to removes completely from the Patient device sales. However, certain limit so-called “Cadil- Protection Act the value of dental and vi- medical devices routinely purchased lac plans,” the excise tax for these sion plan beneﬁts from determining the by consumers, such as eyeglasses high-end policies would be im- excise tax thresholds. The House Recon- and hearing aids, would be exempt posed pro rata on issuers. For ciliation Act also provides adjustments from the excise tax. self-insured plans, the plan ad- to the thresholds to account for plans that ministrator (including employers carry a higher premium cost because of The Patient Protection Act, as that act as plan administrators) the participants’ age or gender. amended by the House Reconciliation would pay the excise tax. The Act, would also require Code Sec. Patient Protection Act, as amend- Dan, age 40, elects fam- 501(c)(3) hospitals to conduct periodic ed by the House Reconciliation ily coverage under an community health needs assessments Act, delays application of the employer-provided fully-insured and adopt written ﬁnancial assistance excise tax from 2013 until 2018 to health care policy covering major policies. Individuals who qualify for give plans “time to implement and medical and dental with a value ﬁnancial assistance would be billed at realize the cost savings of re- of $37,000. The amount subject to the same rates as insured individuals. form.” Because of this delay, the proposed excise tax would be The bill would also add some consumer however, the Reconciliation Act the $9,500 above the $27,500 protection provisions to debt collection eliminates the three-year transi- threshold for family coverage. activities by nonproﬁt hospitals. tion relief that had been available Dan’s employer would report in the Patient Protection Act for $9,500 as taxable to the insurer. The IRS would be required coverage in 17 high-cost states. The insurer calculates and pays to review a nonproﬁt hos- the tax to the IRS. pital’s community beneﬁt activities at An insurer would be free least once every three years. to pass along the excise tax to consumers in the form of MARKET SECTOR FEES The Patient Protection higher premiums as an alternative Act, as amended by the to, or in combination with, ﬁnding The Patient Protection Act, as amended House Reconciliation Act, autho- cost-cutting opportunities. by the House Reconciliation Act, imposes rizes the IRS to share return infor- annual nondeductible fees on various mation with the U.S. Department of Cost of living adjustments. While health-related industries, such as medi- Health and Human Services to curb the House Reconciliation Act raises the cal device manufacturers and importers, Medicare fraud. base dollar premium levels for classiﬁca- health insurance providers and others. The tion as Cadillac plans (the original levels annual fees would be allocated across in- Heath Insurance Executive Pay. had been set at $8,500 for individuals dustry sectors according to market share. The Patient Protection Act modiﬁes Code and $23,000 for families), it takes away The patient Protection Act, as amended, Sec. 162(m) as it applies to remunera- the more generous inﬂation-index in delays the effective dates of the taxes on tion paid by health insurance providers the original Patient Protection Act. The brand name pharmaceuticals sales by one to high-level executives. If at least 25 threshold amounts originally would year until 2011 and on health insurance percent of the premium income to the have been indexed for inﬂation using providers for three years until 2014. The insurer does not meet minimum essential CPI-U plus one percent. The House Patient Protection Act, as amended, also coverage requirements under the Act, no Reconciliation Act keeps that inﬂation- exempts qualiﬁed nonproﬁt insurance Code Sec. 162(m) deduction would be C C H T A X B R I E F I N G 6 2010 Legislation Update allowed to the extent the remuneration vides that, if a beneﬁt is available under eral employees in same-sex partner- exceeds $500,000, with a special pro- a cafeteria plan through employer pro- ships currently provided to married vision for deferred compensation. No vided contributions to a health FSA, the federal employees and their spous- further changes were made in the House beneﬁt will not be treated as a qualiﬁed es, including healthcare, retirement, Reconciliation Act to this provision. beneﬁt unless the cafeteria plan provides family leave, and other beneﬁts. Indoor Tanning Tax. The Patient that an employee may not elect for any Protection Act, as amended by the House taxable year to have salary reduction Adult children coverage. The Pa- Reconciliation Act, imposes a tax of contributions in excess of $2,500 made tient Protection Act, as amended by the 10 percent on qualiﬁed indoor tanning to the arrangement. House Reconciliation Act, extends the services effective for services provided employer-provided health coverage gross on or after July 1, 2010. income exclusion to coverage for adult MEDICAL EXPENSE New Therapies Tax Credit. On the children up to age 26. To be eligible, they positive side of the ledger for the health DEDUCTION/ must be also eligible to be claimed as a industry, the Patient Protection Act cre- EXCLUSION dependent for tax purposes. ates a new two-year temporary tax credit Adoptions. The Patient Protection to encourage investments in new health The Patient Protection Act, as amended Act makes the adoption credit refund- care therapies for tax years beginning in by the House Reconciliation Act, raises able. It also raises the dollar limitation 2009 and 2010. the threshold for the itemized medical for the credit to $13,170 and extends the expense deduction from 7.5 percent of credit through 2011. The health care adjusted gross income (AGI) to 10 percent package also enhances the incentives for FSAS AND HSAS of AGI for regular income tax purposes adopting children with special needs. The Patient Protection Act, as amended effective for tax years beginning after by the House Reconciliation Act, modi- December 31, 2012. However, individuals MEDICARE PART D ﬁes the deﬁnitions of qualiﬁed medical age 65 and older (and their spouses) would expenses for health FSAs, HSAs, and be temporarily exempt from the increase. The Patient Protection Act eliminates HRAs to conform them to the deﬁnition The exemption for seniors would apply to the deduction for the subsidy for em- used for the medical expense itemized any tax year beginning after December 31, ployers that maintain prescription drug deduction (excluding over-the-counter 2012 and ending before January 1, 2017 coverage for retirees who are eligible medicines prescribed by a health care if the taxpayer or the taxpayer’s spouse for Medicare Part D. professional). The health care package attained age 65 for the tax year. also caps health FSA contributions at The House Reconcilia- $2,500 per year after 2012, which is in- The Patient Protection tion bill delays the effec- dexed annually for inﬂation after 2013. Act, as amended by the tive date of this provision by two The Patient Protection Act, as House Reconciliation Act, makes years until 2013. amended, also increases the additional no adjustment to the allowable tax on nonqualiﬁed distributions from medical expense deduction for health savings accounts (HSAs) from 10 purposes of computing alternative OTHER REVENUE RAISERS percent to 20 percent and from Archer minimum tax (AMT) liability. For MSAs from 15 to 20 percent. now, the AGI ﬂoor for AMT pur- In addition to health-care related taxes poses remains at 10 percent. and fees, several other areas have been The Patient Protection targeted to raise more revenue as an off- Act as passed by the Sen- The Patient Protection set to the overall cost of the entire Health ate would have applied to health Act, as amended by the Care package. These additional provi- FSA distributions and reimburse- House Reconciliation Act, does not sions are estimated to raise $28.1 billion ments for tax years beginning after extend the employer-provided over the 2010-2020 scoring period. December 31, 2010. The House health coverage gross income ex- BIOFUEL CREDIT Reconciliation bill delays the effec- clusion for employees’ spouses and tive date by two years, to tax years dependent children to coverage The cellulosic biofuel credit was in- beginning in 2013. provided to domestic partners. tended to reward taxpayers that use Pending legislation, the Domestic alternative fuels in industrial and other To prevent an end-run around the Partnership Beneﬁts and Obliga- processes. The Patient Protection Act, new FSA restrictions using cafeteria plan tions Act of 2009 would provide the as amended by the House Reconcilia- rules, the House Reconciliation Act pro- same employment beneﬁts to fed- tion Act, targets what some lawmakers C C H T A X B R I E F I N G ©2010 CCH. All Rights Reserved 7 March 23, 2010 perceive as certain industries’ abuse of economic substance doctrine. A transac- CORPORATE ESTIMATED TAX the credit by denying the credit to a by- tion would have economic substance only PAYMENTS product known as “black liquor.” The if the taxpayer’s economic position (other The Patient Protection Act, as amend- provision applies to fuels sold or used than its federal tax position) changed in a ed by the House Reconciliation Act, on or after January 1, 2010. meaningful way and the taxpayer had a increases the required corporate substantial purpose (other than a federal estimated tax payments factor for This nonmedical revenue tax purpose) for engaging in the transac- corporations with assets of at least provision is a money mak- tion. The provision applies to transactions $1 billion for payments due in July, er, raising $23.6 billion. However, entered into after date of enactment. August, and September 2014 by 14.5 both this provision and the codiﬁca- percentage points. tion of the economic substance Violations are subject to INFORMATION REPORTING doctrine are used as the primary stiff, automatically-ap- revenue raisers in the version of the plied penalties of 20 or 40 percent, The Patient Protection Act, as amend- Extenders bill the Senate passed on depending on the underlying trans- ed by the House Reconciliation Act, March 10, thus jeopardizing a quick action and level of disclosure. This imposes new information reporting resolution of that bill between House no-fault penalty regime concerns requirements. Generally, businesses and Senate negotiators. many advisors, especially in con- that pay any amount greater than nection with corporate and part- $600 during the year to corporate and ECONOMIC SUBSTANCE nership tax planning strategies in noncorporate providers of property DOCTRINE which tax reduction has been an and services will be required to ﬁle an The Patient Protection Act, as amended by acceptable principal reason for information report with each provider the House Reconciliation Act, codiﬁes the structuring certain deals. and with the IRS. C C H T A X B R I E F I N G Order from the trusted leader… CCH has what you need when you need it. U.S. Master Tax Guide®, 2010 (93rd Edition) TAXES, The Tax Magazine—This monthly The tax professional’s favorite quick reference – professional tax magazine, written by top tax experts, meticulously researched to cover today’s federal tax laws provides thorough, accurate and insightful analysis of and covers the American Recovery and Reinvestment current tax issues, trends and legislative developments. Act of 2009. The Guide provides reliable answers to tax It features succinct coverage of hot topics in legal, questions aﬀecting federal, personal and business income accounting and economic aspects of federal and state tax returns and includes time-savers such as the Quick tax—and alerts practitioners of planning opportunities Tax Facts card, taxpayer speciﬁc return ﬂowcharts, rate and pitfalls, and rules being developed in Washington. tables, depreciation tables and much more. Book # # Pages Pub. Price Book # # Pages Pub. 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This edition will reﬂect all the code Internal Revenue Code including unemployment changes resulting from the Hiring Incentives to Restore insurance regulations and all estate, gift, generation- Employment (HIRE) Act of 2010 and all subsequent skipping transfer tax, and special valuation regulations. statutory tax changes through May 1, 2010 that aﬀect Formatted with easy-to-read large type, to making it easy income, estate, gift, employment and excise taxes, along to research tax regulations issued through May 1, 2010. w procedural and administrative provisions. with Book # # Pages Pub. Price Book # # Pages Pub. Price 04622401 4,785 – 2 volumes Jun. 2010 $118.00 04681401 11,700 – 6 volumes Jun. 2010 $169.00 Click here to order. Click here to order. Visit CCHGroup.com/Legislation for the latest updates as it happens. CCH has the resources you need to stay current on changing legislation E CCH Now Offering g FRE CCH’s Law, Explanation and Analysis of the Patient Protection and Affordable Care Act e NetNews tNews Health Care Reform Update NetN With Congress and the White House working steadily to enact signiﬁcant health care reform measures—changes that will Both Congress and the White House have made imminently impact thousands of employers, private insurance health care reform a top priority in 2009. To help providers, and the Medicare and Medicaid programs—it is keep you on track as legislation works its way crucial for employers, and for health and legal professionals, though Congress, CCH is publishing a weekly to have immediate access to the most current and reliable summary of health care reform-related news. health care information. Each weekly e-mail will contain a summary of signiﬁcant health care reform news with a par- CCH’s Law, Explanation and Analysis of the Patient Protection and Affordable Care ticular focus on: Act provides the most comprehensive and practical guidance available to employ- ers, health and legal professionals needing to make sense and apply the changes 1. Legislative efforts in Congress and the enacted in this bill. CCH’s expert editorial staff provides complete, practical, and White House easy-to-understand guidance on every provision of the bill so employers, health, 2. State-based health care reform legal and consulting professionals can quickly understand, comply with and plan initiatives under the new law. 3. Related reform news from government agencies, industry groups, think tanks, and academia Book # # of pages Pub. Price View a sample of the Health Care Reform Update 04684401 Estimated at 2000 Estimated to be April/May 2010 $149 NetNews. 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