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Will Medicare/Medicaid be Impacted by ACA?

Updated for Tax Year 2015


OVERVIEW

The Affordable Care Act put in place significant tax-related programs that impact Medicare and Medicaid, such as increased Medicare taxes on earned and unearned income for high-wage earners, and Medicaid changes that increase the number of insured individuals. Establishing whether you are affected by the ACA-imposed taxes, or are eligible for certain health programs that fall under the Centers for Medicare and Medicaid Services, is determined by filing your income tax.


Medicare tax increase

ACA Impact on Medicare and Medicaid

Since 2013, higher-income taxpayers have experienced an increase in their Medicare tax on earned income, as implemented by ACA. As of publication, filing categories affected include:

  • Individuals who earn more than $200,000
  • People married filing separately who earn more than $125,000
  • Joint filers who make $250,000 or more

Such earners can expect to pay 0.9 percent extra in Medicare taxes. That means Medicare taxes will range from 1.45 percent to 2.34 percent.

Unearned income tax increase

The ACA imposes a 3.8 percent tax on unearned income as a Medicare contribution tax. This affects higher income individuals with these thresholds:

  • Individuals who make more than $200,000 and file single;
  • Married taxpayers who earn over $250,000 and file jointly, and;
  • Married individuals who file separately and make over $125,000.

Unearned income affects net investment income which includes:

  • Gross income from royalties, rents, annuities and dividends;
  • Certain capital gains, and;
  • Passive business activities that have pass-through income.

Tax is imposed on the modified adjusted income that exceeds the thresholds. The tax is levied on the lesser of annual investment income, or the amount the MAGI exceeds the threshold limit.

Number of insured increased

The ACA has put into place a means that allows Medicaid to insure a number of previously uninsured individuals. Prior to ACA, states were only allowed to cover childless individuals with Medicaid by applying for a special waiver from the federal government. Under ACA, a state has the option to cover these people without a waiver, provided they are within 138 percent of the federal poverty level. To determine eligibility, an individual must complete a tax filing. The 138 percent mark of the federal poverty level is $16,243 per yearfor 2015, according to the Kaiser Family Foundation.

Children's health insurance program

Under the ACA, the Children’s Health Insurance Program (CHIP) will see some changes. CHIP falls under Medicaid’s umbrella. The ACA continues funding for CHIP through 2015. As of publication, any person under age 65 who has an income that falls within 133 percent of the federal poverty level is now eligible for Medicaid. Many who fit this criteria have children who qualify for CHIP. Determination as to whether a person falls into this category is determined by completing an income tax return. The ACA gives Medicaid the authority for this program up to 2019.

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The above article is intended to provide generalized financial information designed to educate a broad segment of the public; it does not give personalized tax, investment, legal, or other business and professional advice. Before taking any action, you should always seek the assistance of a professional who knows your particular situation for advice on taxes, your investments, the law, or any other business and professional matters that affect you and/or your business.


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