PPACA's provisions are intended to be funded by a variety of taxes and offsets. Major sources of new revenue include a much-broadened Medicare tax on incomes over $200,000 and $250,000, for individual and joint filers respectively, an annual fee on insurance providers, and a 40% excise tax on "Cadillac" insurance policies. The income levels are not adjusted for inflation, with bracket creep eventually increasing taxes on middle incomes.[36] There are also taxes on pharmaceuticals, high-cost diagnostic equipment, and a 10% federal sales tax on indoor tanning services. Offsets are from intended cost savings such as changes in the Medicare Advantage program relative to traditional Medicare.[37]
Summary of tax increases: (ten year projection)
Increase Medicare tax rate by .9% and impose added tax of 3.8% on unearned income for high-income taxpayers: $210.2 billion
Charge an annual fee on health insurance providers: $60 billion
Impose a 40% excise tax on health insurance annual premiums in excess of $10,200 for an individual or $27,500 for a family: $32 billion
Impose an annual fee on manufacturers and importers of branded drugs: $27 billion
Impose a 2.3% excise tax on manufacturers and importers of certain medical devices:$20 billion
Raise the 7.5% Adjusted Gross Income floor on medical expenses deduction to 10%: $15.2 billion
Limit annual contributions to flexible spending arrangements in cafeteria plans to $2,500: $13 billion
All other revenue sources: $14.9 billion
Summary of spending offsets: (ten year projection)
Reduce funding for Medicare Advantage policies: $132 billion
Reduce Medicare home health care payments: $40 billion
Reduce certain Medicare hospital payments: $22 billion
Original budget estimates included a provision to require information reporting on payments to corporations, which had been projected to raise $17 billion, but the provision was repealed.[38]
Summary of tax increases: (ten year projection)
Increase Medicare tax rate by .9% and impose added tax of 3.8% on unearned income for high-income taxpayers: $210.2 billion
Charge an annual fee on health insurance providers: $60 billion
Impose a 40% excise tax on health insurance annual premiums in excess of $10,200 for an individual or $27,500 for a family: $32 billion
Impose an annual fee on manufacturers and importers of branded drugs: $27 billion
Impose a 2.3% excise tax on manufacturers and importers of certain medical devices:$20 billion
Raise the 7.5% Adjusted Gross Income floor on medical expenses deduction to 10%: $15.2 billion
Limit annual contributions to flexible spending arrangements in cafeteria plans to $2,500: $13 billion
All other revenue sources: $14.9 billion
Summary of spending offsets: (ten year projection)
Reduce funding for Medicare Advantage policies: $132 billion
Reduce Medicare home health care payments: $40 billion
Reduce certain Medicare hospital payments: $22 billion
Original budget estimates included a provision to require information reporting on payments to corporations, which had been projected to raise $17 billion, but the provision was repealed.[38]
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