Joint Committee on Taxation October 8, 2009 Jcx-41-09 Estimated Revenue

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JOINT COMMITTEE ON TAXATIONOctober 8, 2009

JCX-41-09ProvisionEffective20102011201220132014201520162017201820192010-142010-19Revenue Offset Provisions

1.40% excise tax on health coverage in excess of $8,000/$21,000 indexed for inflation by CPI-Uplus 1% and increased thresholds for over age 55retirees or certain high-risk professions; levied atinsurer level; employer aggregates and issuesinformation return for insurers indicating amountsubject to the excise tax; nondeductible; high 17state transition relief..................................................tyba 12/31/12---------9.517.723.229.534.940.346.327.3201.42.Employer W-2 reporting of value of healthbenefits......................................................................tyba 12/31/093.Conform the definition of medical expenses forhealth flexible spending arrangements to thedefinition of the itemized deduction for medicalexpenses (excluding over-the-counter medicinesprescribed by a physician).........................................tyba 12/31/090.40.40.50.50.50.60.60.60.60.72.35.44.Increase the penalty for nonqualified healthsavings account distributions to 20%........................dmd tyba 12/31/10---[2][2]0.10.10.10.20.20.30.30.21.35.Limit health flexible spending arrangements incafeteria plans to $2,500 [3].....................................tyba 12/31/10---0.60.91.62.01.91.91.91.91.95.114.66.Require information reporting on payments tocorporations...............................................................pma 12/31/11------0.43.32.02.12.22.32.42.55.617.17.Additional requirements for section 501(c)(3)hospitals....................................................................tyba DOE8.Impose annual fee on manufacturers and importersof branded drugs.......................................................[4]2.02.22.22.22.22.22.22.22.22.211.022.2

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ESTIMATED REVENUE EFFECTS OF THE REVENUE PROVISIONS CONTAINED IN TITLE VI OFFiscal Years 2010 - 2019

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AS AMENDED THROUGH OCTOBER 2, 2009, AND UNDER CONSIDERATION BY THE COMMITTEE ON FINANCE [1]THE "AMERICA'S HEALTHY FUTURE ACT OF 2009,"

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Provision Effective 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2010-14 2010-19

9.Impose annual fee on manufacturers and importersof certain medical devices.........................................[5]3.53.93.93.93.93.93.93.93.93.919.138.610.Impose annual fee on health insurance providers.....[6]5.56.16.16.16.16.16.16.16.16.129.960.411.Study and report of effect on veterans health care....DOE12.Eliminate deduction for expenses allocable toMedicare Part D subsidy...........................................tyba 12/31/10---0.30.50.50.60.60.60.70.70.81.95.413.Raise 7.5% AGI floor on medical expensesdeduction to 10%; AGI floor for individuals age65 and older (and their spouses) remains at 7.5%(sunset 12/31/16).......................................................tyba 12/31/12---------0.41.51.61.72.53.73.92.015.214.$500,000 deduction limitation on taxable yearremuneration to officers, employees, directors,and service providers of covered health insuranceproviders....................................................................[7]---------0.10.10.10.10.10.10.10.20.6

Total of Revenue Offset Provisions……………………………………… 11.4 13.5 14.5 28.2 36.7 42.4 49.0 55.4 62.2 68.7 104.6 382.2Other Provisions

1.Provide income exclusion for specified Indiantribe health benefits...................................................[8]---[9][9][9][9][9][9][9][9][9][9][9]2.Simple cafeteria plan nondiscrimination safeharbor for certain small employers............................tyba 12/31/103.Qualifying therapeutic discovery project credit(sunset 12/31/10).......................................................[10]-0.4-0.2-0.1-0.1[9][9]-------------0.9-0.9

Total of Other Provisions………………………………………………… -0.4 -0.2 -0.1 -0.1 [9] [9] [9] [9] [9] [9] -0.9 -0.9NET TOTAL …………………………………………………………………… 11.0 13.3 14.4 28.1 36.7 42.4 49.0 55.4 62.2 68.7 103.7 381.3

Joint Committee on Taxation--------------------------------------NOTE: Details may not add to totals due to rounding.Legend for "Effective" column:dmd = disbursements made duringpma = payments made aftertyba = taxable years beginning afterDOE = date of enactment

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