Premium Assistance Calculator for HR 3590 and HR 3962
Health care reform bills pending in the United States Congress in 2009 generally penalize individuals in some fashion for failing to acquire health insurance coverage but subsidize individuals who purchase insurance if their income is within certain bounds. This Demonstration explores the extent of the premium subsidy provided under the two leading reform contenders, HR 3590, the Patient Protection and Affordable Care Act (Senate), and HR 3962, the Affordable Health Care for America Act (House of Representatives). These bills generally make the amount of the subsidy a function of one's income relative to the "federal poverty level". You select where the person lives as well as the size of the family. These selections determine the applicable federal poverty level. You then set the family's income using either a direct method or one in which income is a multiple of the applicable federal poverty level. You also determine the annual amount the law uses as a basis for computing the subsidy. This amount will reflect conditions in the post-reform health insurance market.
The Demonstration produces a chart and a graphic. The chart shows (1) the annual premium assistance amount the taxpayers will receive in the form of a refundable credit off their federal income taxes (the subsidy); (2) the amount of the premium that will still be paid by the taxpayer; (3) the annual premium; and (4) the effect of the premium subsidy on the effective marginal tax rate on income. A value of 0.091 with respect to this last item means that the premium subsidies effectively increase the marginal rate of income taxation by 9.1%. The graphic shows how the amount of the subsidy varies as a function of income.
Although they arrive there by different routes, the bills define income in an essentially similar way. HR 3590 relies on the concept of "household income", which is defined in section 1501(b) of the bill as essentially the sum of the "modified adjusted gross incomes" of the beneficiaries of the insurance policy. HR 3962 relies directly on the concept of "modified adjusted gross income" but then in section 342(a)(2) specifies that members of a family be lumped together for purposes of computing the premium credit.
The provisions underlying this Demonstration may be found in section 1401 of HR 3590 and section 343 of HR 3962. Both of these provisions insert section 36B into the Internal Revenue Code.
This Demonstration does not compute subsidies for "out-of-pocket" expenses that are provided by section 344 of HR 3590 and section 1402 of the Act. These subsidies further increase the effective marginal tax rate on income created by health care reform.