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Health Care

State Net Capitol Journal: ACA Could Cost Businesses in Non-Expansion States $1.3 Billion Per Year

The Affordable Care Act requires companies with more than 25 employees to pay a "shared responsibility" fine of $3,000 for each worker who isn't eligible for Medicaid and who receives a federal tax subsidy because their employer doesn't offer them health insurance. The provision was intended to induce small businesses to provide such insurance.

Analysis by Brian Haile of Jackson Hewitt Tax Service, however, found that for the 22 states that have opted out of the Medicaid expansion prescribed by the ACA - but made optional by the U.S. Supreme Court - the "shared responsibility" bill for small businesses could run as high as $1.3 billion per year.

Consequently, the National Federation of Independent Businesses is seeking an exemption from the fines from the Internal Revenue Service.

"A business should not face expensive penalties for state and regulatory decisions beyond their control," the organization said in a March statement to the IRS. Without the exemption, "increased penalty liability could cause a more rapid erosion of employer-sponsored health insurance and increased costs to federal taxpayers," the group stated. (STATELINE.ORG)

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