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The Supreme Court’s decision on June 28 to uphold the majority of the Affordable Care Act has been much in the news, and many people are wondering what it means for them.
The Act, which requires most U.S. citizens and legal residents to have health insurance, has financial implications even for those who already have insurance. Some people may be surprised to learn that these implications go beyond healthcare costs and even tax burdens, creating ripple effects for investments and retirement savings. Here are a few ways that the Affordable Care Act might affect you.
Does the Affordable Care Act affect my flexible spending account?
Beginning in 2013, individuals cannot contribute more than $2,500 to a healthcare flexible spending account (FSA). There is also legislation in Congress that would eliminate the current “use-it-or-lose-it” provisions of healthcare FSAs, but the chance of enactment is uncertain.
Can I still deduct unreimbursed medical expenses?
You may be able to deduct less expenses than previously. For tax years beginning in 2013, the threshold for deducting unreimbursed medical expenses on Schedule A increases to 10% of a taxpayer’s adjusted gross income. For taxpayers over the age of 65, the threshold remains at 7.5% of adjusted gross income (through 2016).
Will my Medicare payroll tax increase?
High-income earners will see an increase in their Medicare payroll tax beginning next year. Taxpayers will pay 2.35% of wages over $200,000 for individuals and $250,000 for couples. The current rate of 1.45% will still apply to wages below these levels.
Will I have to pay any new taxes due to the Affordable Care Act?
In some cases, yes. Individuals will be subject to a 3.8% surtax on net investment income or their annual earnings over a certain threshold amount. The surtax will be imposed on the lesser of:
- Net investment income for the taxable year (i.e., the sum of gross investment income over allocable investment expenses). For purposes of this surtax, investment income includes interest, dividends, capital gains, annuities, rents and royalties. Or,
- The excess, if any, of modified adjusted gross income (MAGI)1 over the annual threshold amount($200,000 per year for individuals or $250,000 for married couples).
Example: A married couple filing jointly in 2013 with $325,000 of MAGI — $100,000 of which is net investment income — will pay the 3.8% surtax on $75,000 (net investment income that exceeded the applicable $250,000 threshold, i.e., $325,000 - $250,000).
The additional 2013 federal tax liability for this married couple could be about $2,850.
Note: If the MAGI is less than or equal to the threshold amount, no surtax will be imposed. If, however, the MAGI is greater than the threshold amount, the surtax is 3.8% of the lesser of net investment income or the difference between MAGI and the threshold amount.