Joint Committee on Taxation, Technical Explanation of the Revenue Provisions of the “Reconciliation Act of 2010,” as amended, in combination with the “Patient Protection and Affordable Care Act”

The Joint Committee on Taxation explains the major provisions in the new Obamacare bill in a summary released on March 21, 2010 called the “Technical Explanation of the Revenue Provisions of the ‘Reconciliation Act of 2010,’ as amended, in Combination with the ‘Patient Protection and Affordable Care Act‘.”  The introduction states:

This document, prepared by the staff of the Joint Committee on Taxation, provides a technical explanation of the revenue provisions contained in the “Reconciliation Act of 2010,” as amended, in combination with the “Patient Protection and Affordable Care Act.” Unless otherwise indicated, all section references are to the Internal Revenue Code of 1986, as amended. References to the “Senate amendment” refer to the Patient Protection and Affordable Care Act, an amendment to H.R. 3590, the engrossed amendment as agreed to by the Senate. References to the “Reconciliation bill” refer to the Health Care and Education Reconciliation Act of 2010, an amendment in the nature of a substitute to H.R. 4872, the Reconciliation Act of 2010, as amended.  This document may be cited as follows: Joint Committee on Taxation, Technical Explanation of the Revenue Provisions of the “Reconciliation Act of 2010,” as amended, in combination with the “Patient Protection and Affordable Care Act” (JCX-18-10), March 21, 2010.

Here’s the table of contents:

TITLE I − QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS

A. Tax Exemption for Certain Member-Run Health Insurance Issuers (sec. 1322 of the Senate amendment, new section 501(c)(29) of the Code, and section 6033 of the Code)
B. Tax Exemption for Entities Established Pursuant to Transitional Reinsurance Program for Individual Market in Each State (sec. 1341 of the Senate amendment)
C. Refundable Tax Credit Providing Premium Assistance for Coverage Under a Qualified Health Plan (secs. 1401, 1411, and 1412 of the Senate amendment and new sec. 36B of the Code)
D. Reduced Cost-Sharing for Individuals Enrolling in Qualified Health Plans (secs. 1402, 1411, and 1412 of the Senate amendment)
E. Disclosures to Carry Out Eligibility Requirements for Certain Programs (sec. 1414 of the Senate amendment and sec. 6103 of the Code)
F. Premium Tax Credit and Cost-Sharing Reduction Payments Disregarded for Federal and Federally Assisted Programs (sec. 1415 of the Senate amendment)
G. Small Business Tax Credit (sec. 1421 of the Senate amendment and new sec. 45R of the Code)
H. Excise Tax on Individuals Without Essential Health Benefits Coverage (sec. 1501 of the Senate amendment and new sec. 5000A of the Code)
I. Reporting of Health Insurance Coverage (sec. 1502 of the Senate amendment and new sec. 6055 of the Code and sec. 6724(d) of the Code)
J. Shared Responsibility for Employers (sec. 1513 of the Senate amendment and new sec. 4980H of the Code)
K. Reporting of Employer Health Insurance Coverage (sec. 1514 of the Senate amendment and new sec. 6056 of the Code and sec. 6724(d) of the Code)
L. Offering of Qualified Health Plans Through Cafeteria Plans (sec. 1515 of the Senate amendment and sec. 125 of the Code)
M. Conforming Amendments (sec. 1562 of the Senate amendment and new sec. 9815 of the Code)

TITLE III − IMPROVING THE QUALITY AND EFFICIENCY OF HEALTHCARE

A. Disclosures to Carry Out the Reduction of Medicare Part D Subsidies for High Income Beneficiaries (sec. 3308(b)(2) of the Senate amendment and sec. 6103 of the Code)

TITLE VI − TRANSPARENCY AND PROGRAM INTEGRITY

A. Patient-Centered Outcomes Research Trust Fund; Financing for Trust Fund (sec. 6301 of the Senate amendment and new secs. 4375, 4376, 4377, and 9511 of the Code)

TITLE IX − REVENUE PROVISIONS

A. Excise Tax on High Cost Employer-Sponsored Health Coverage (sec. 9001 of the Senate amendment and new sec. 4980I of the Code)
B. Inclusion of Cost of Employer-Sponsored Health Coverage on W-2 (sec. 9002 of the Senate amendment and sec. 6051 of the Code)
C. Distributions for Medicine Qualified Only if for Prescribed Drug or Insulin (sec. 9003 of the Senate amendment and secs. 105, 106, 220, and 223 of the Code)
D. Increase in Additional Tax on Distributions from HSAs Not Used for Medical Expenses (sec. 9004 of the Senate amendment and sec. 220 and 223 of the Code)
E. Limitation on Health Flexible Spending Arrangements Under Cafeteria Plans (sec. 9005 of the Senate amendment and sec. 125 of the Code)
F. Additional Requirements for Charitable Hospitals (sec. 9007 of the Senate amendment and secs. 501(c) and 6033 and new sec. 4959 of the Code)
G. Imposition of Annual Fee on Branded Prescription Pharmaceutical Manufacturers and Importers (sec. 9008 of the Senate amendment)
H. Imposition of Annual Fee on Medical Device Manufacturers and Importers (sec. 9009 of the Senate amendment)
I. Imposition of Annual Fee on Health Insurance Providers (sec. 9010 of the Senate amendment)
J. Study and Report of Effect on Veterans Health Care (sec. 9011 of the Senate amendment)
K. Repeal Business Deduction for Federal Subsidies for Certain Retiree Prescription Drug Plans (sec. 9012 of the Senate amendment and sec. 139A of the Code)
L. Modify the Itemized Deduction for Medical Expenses (sec. 9013 of the Senate amendment and sec. 213 of the Code)
M. Limitation on Deduction for Remuneration Paid by Health Insurance Providers (sec. 9014 of the Senate amendment and sec. 162 of the Code)
N. Additional Hospital Insurance Tax on High Income Taxpayers (sec. 9015 of the Senate amendment and new secs. 3101 and 1401 of the Code)
O. Modification of Section 833 Treatment of Certain Health Organizations (sec. 9010 of the Senate amendment and sec. 833 of the Code)
P. Excise Tax on Indoor Tanning Services (sec. 9017 of the Senate amendment and new sec. 5000B of the Code)
Q. Exclusion of Health Benefits Provided by Indian Tribal Governments (sec. 9021 of the Senate amendment and new sec. 139D of the Code)
R. Require Information Reporting on Payments to Corporations (sec. 9006 of the Senate amendment and sec. 6041 of the Code)
S. Establishment of SIMPLE Cafeteria Plans for Small Businesses (sec. 9022 of the Senate amendment and sec. 125 of the Code)
T. Investment Credit for Qualifying Therapeutic Discovery Projects (sec. 9023 of the Senate amendment and new sec. 48D of the Code)

TITLE X − STRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS

A. Study of Geographic Variation in Application of FPL (sec. 10105 of the Senate amendment)
B. Free Choice Vouchers (sec. 10108 of the Senate amendment and sec. 139D of the Code)
C. Exclusion for Assistance Provided to Participants in State Student Loan Repayment Programs for Certain Health Professionals (sec. 10908 of the Senate amendment and sec. 108(f)(4) of the Code)
D. Expansion of Adoption Credit and the Exclusion from Gross Income for Employer-Provided Adoption Assistance (sec. 10909 of the Senate amendment and secs. 23 and 137 of the Code)

HEALTH CARE AND EDUCATION RECONCILIATION ACT OF 2010

A. Adult Dependents (sec. 1004 of the Reconciliation bill and secs. 105, 162, 401, and 501 of the Code)
B. Unearned Income Medicare Contribution (sec. 1402 of the Reconciliation bill and new sec. 1411 of the Code)
C. Excise Tax on Medical Device Manufacturers (sec. 1405 of the Reconciliation bill and new sec. 4191 of the Code)
D. Elimination of Unintended Application of Cellulosic Biofuel Producer Credit (sec. 1408 of the Reconciliation bill and sec. 40 of the Code)
E. Codification of Economic Substance Doctrine and Imposition of Penalties (sec. 1409 of the Reconciliation bill and secs. 7701, 6662, 6662A, 6664 and 6676 of the Code)
F. Time for Payment of Corporate Estimated Taxes (sec. 1410 of the Reconciliation bill and sec. 6655 of the Code)