Affordable Care Act PCORI Fee

URL: https://www.healthcare.gov/glossary/patient-protection-and-affordable-care-act/
Regulation Reference Cite Public Law No. 111-148
Report Due Date (Actual) July 31
Level Compliance Report
Oversight Unit HUMAN RESOURCES
Person Responsible Rhea Dever
Secondary Person Responsible Heather Haupt
President / VP Level Finance
Description

The Further Consolidated Appropriations Act, 2020 (Pub. L. 116-94), signed into law on December 20, 2019, has extended the Patient-Centered Outcomes Research Trust Fund fee imposed by Internal Revenue Code sections 4375 and 4376 for 10 years. As a result of this extension, the Patient-Centered Outcomes Research Trust Fund fee will continue to be imposed through 2029.

The Affordable Care Act imposes a fee on issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans to help fund the Patient-Centered Outcomes Research Institute (PCORI). The fee, required to be reported only once a year on the second quarter Form 720, Quarterly Federal Excise Tax Return and paid by its due date, July 31, is based on the average number of lives covered under the policy or plan.

The fee applies to policy or plan years ending on or after October 1, 2012, and before October 1, 2029. The PCORI fee is filed using Form 720. Although Form 720 is a quarterly return, for PCORI, Form 720 is filed annually only, by July 31.

Please refer to the chart for the filing due date and applicable rate depending upon the month a specified health insurance policy or an applicable self-insured health plan ends.

 


Contacts and Data Sources

Rhea Dever

Internal Notes

This compliance item has notes that are available internally to the oversight unit. Please contact the Risk Management Department for more information