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H.R. 2009, Keep the IRS Off Your Health Care Act of 2013 1 (July 30, 2013)

handle is hein.congrec/cbo11300 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Douglas W. Elmendorf, Director U.S. Congress Washington, DC 20515 July 30, 2013 Honorable Dave Camp Chairman Committee on Ways and Means U.S. House of Representatives Washington, DC 20515 Dear Mr. Chairman: CBO and the staff of the Joint Committee on Taxation (JCT) have begun a review of H.R. 2009, the Keep the IRS Off Your Health Care Act of 2013 (as introduced on May 16, 2013), but we have not yet completed a cost estimate for the bill. We expect that the legislation would significantly reduce both direct spending and revenues over the 2014-2023 period, but there are major uncertainties regarding how the bill would affect the operations of the Department of the Treasury. Thus, without additional analysis, we cannot determine its net budgetary effect at this time. Under H.R. 2009, the Department of the Treasury would be prohibited from implementing or enforcing any provisions of the Affordable Care Act (ACA); however, the bill would not prohibit implementation and enforcement of that act's provisions by other federal agencies. The following are examples of key provisions that could not be implemented or enforced under H.R. 2009: advance payment or reconciliation of premium assistance tax credits provided through health insurance exchanges; the requirement that individuals purchase health insurance; penalties imposed on individuals and employers; the excise taxes imposed on high-premium insurance plans; annual fees from health insurance providers; the broadened Medicare hospital insurance tax on high-income taxpayers; and other revenue provisions. The effect of H.R. 2009 on the payment of premium tax credits is unclear. H.R. 2009 could significantly reduce direct spending for premium tax credits provided in advance through exchanges because the Department of the Treasury would be prohibited from implementing those credits. On the other hand, the amount of direct spending or loss of revenues for erroneous premium tax credits claimed through annual tax filings could rise because the department would be unable to correct improper payments or enforce the annual reconciliation of those amounts with people's income.

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