Sec.1513 - Employer Mandate

See the entire law

16  SEC.  1513. SHARED RESPONSIBILITY FOR  EMPLOYERS.

 

17          (a)  IN  GENERAL.—Chapter 43 of the Internal  Rev-

 

18  enue Code of 1986 is amended by adding at  the end the

 

19  following:

 

20  ‘‘SEC.   4980H.  SHARED  RESPONSIBILITY  FOR   EMPLOYERS

 

21                       REGARDING HEALTH COVERAGE.

 

22          ‘‘(a) LARGE   EMPLOYERS  NOT   OFFERING  HEALTH

 

23  COVERAGE.—If—

 

24                 ‘‘(1) any applicable large employer fails to offer

 

25          to its full-time employees (and their dependents) the

 

1          opportunity  to enroll in minimum essential coverage

 

2          under  an  eligible employer-sponsored plan  (as  de-

 

3          fined in section 5000A(f)(2)) for any month, and

 

4                 ‘‘(2) at  least  one full-time employee of the  ap-

 

5          plicable large employer has been certified to the em-

 

6          ployer under  section 1411 of the Patient  Protection

 

7          and Affordable Care Act as having enrolled for such

 

8          month  in  a  qualified  health  plan  with  respect  to

 

9          which an applicable premium tax credit or cost-shar-

 

10          ing reduction is allowed or paid with respect to the

 

11          employee,

 

12  then there is hereby imposed on the employer an assess-

 

13  able payment equal to the product of the applicable pay-

 

14  ment amount and the number of individuals employed by

 

15  the  employer as full-time employees during  such month.

 

16          ‘‘(b) LARGE   EMPLOYERS  WITH   WAITING   PERIODS

 

17  EXCEEDING 30 DAYS.—

 

18                 ‘‘(1) IN  GENERAL.—In the case of any applica-

 

19          ble large employer which requires an extended wait-

 

20          ing period to  enroll in any minimum essential  cov-

 

21          erage under an employer-sponsored plan (as defined

 

22          in section 5000A(f)(2)),  there  is hereby imposed on

 

23          the employer an assessable payment, in the amount

 

24          specified in  paragraph   (2),  for  each  full-time  em-

1          ployee of the employer to whom the extended waiting

 

2          period applies.

 

3                 ‘‘(2) AMOUNT.—For  purposes of paragraph  (1),

 

4          the  amount  specified in  this  paragraph   for  a  full-

 

5          time employee is—

 

6                         ‘‘(A) in the case of an extended waiting pe-

 

7                 riod which exceeds 30 days but does not exceed

 

8                 60 days, $400, and

 

9                         ‘‘(B) in the case of an extended waiting pe-

 

10                 riod which exceeds 60 days, $600.

 

11                 ‘‘(3) EXTENDED  WAITING   PERIOD.—The  term

 

12          ‘extended waiting period’ means any waiting period

 

13          (as   defined  in    section  2701(b)(4)   of  the   Public

 

14          Health Service Act) which exceeds 30 days.

 

15          ‘‘(c)   LARGE     EMPLOYERS      OFFERING       COVERAGE

 

16  WITH   EMPLOYEES  WHO   QUALIFY    FOR   PREMIUM  TAX

 

17  CREDITS OR COST-SHARING REDUCTIONS.—

 

18                 ‘‘(1) IN  GENERAL.—If—

 

19                        ‘‘(A) an applicable large employer offers to

 

20                 its  full-time  employees (and  their  dependents)

 

21                 the  opportunity  to enroll in minimum essential

 

22                 coverage under  an  eligible employer-sponsored

 

23                 plan (as defined in section 5000A(f)(2)) for any

 

24                 month, and

 

1                         ‘‘(B) 1 or more full-time employees of the

 

2                 applicable large employer has  been certified to

 

3                 the employer under section 1411 of the Patient

 

4                 Protection  and  Affordable Care  Act as  having

 

5                 enrolled for  such  month  in  a  qualified  health

 

6                 plan  with  respect  to  which an  applicable pre-

 

7                 mium tax credit or cost-sharing reduction is al-

 

8                 lowed or paid with respect to the employee,

 

9          then there is hereby imposed on the employer an as-

 

10          sessable payment equal to the product of the number

 

11          of  full-time  employees of  the  applicable large  em-

 

12          ployer  described  in    subparagraph (B)    for   such

 

13          month  and  400  percent  of the  applicable payment

 

14          amount.

 15                 ‘‘(2)   OVERALL      LIMITATION.—The     aggregate

 16          amount of tax determined under paragraph  (1) with

 

17          respect  to  all employees of an  applicable large  em-

 

18          ployer for any month shall not exceed the product of

 

19          the  applicable payment  amount  and  the  number  of

 

20          individuals  employed by  the  employer as  full-time

 

21          employees during such month.

 

22          ‘‘(d) DEFINITIONS  AND  SPECIAL   RULES.—For  pur-

 

23  poses of this section—

 

 

1                 ‘‘(1)   APPLICABLE       PAYMENT      AMOUNT.—The

 

2          term  ‘applicable payment  amount’  means,  with  re-

 

3          spect to any month, 112  of $750.

 

4                 ‘‘(2) APPLICABLE  LARGE  EMPLOYER.—

 

5                         ‘‘(A) IN   GENERAL.—The  term  ‘applicable

 

6                 large  employer’ means,  with  respect  to  a  cal-

 

7                 endar year, an employer who employed an aver-

 

8                 age of at  least 50 full-time employees on busi-

 

9                 ness days during the preceding calendar year.

 

10                        ‘‘(B) EXEMPTION  FOR   CERTAIN  EMPLOY-

 

11                 ERS.—

 

12                                ‘‘(i) IN  GENERAL.—An  employer shall

 

13                        not be considered to employ more than  50

 

14                         full-time employees if—

 

15                                       ‘‘(I) the employer’s workforce ex-

 

16                                ceeds 50  full-time employees for  120

 

17                                days  or   fewer  during   the   calendar

 

18                                year, and

 

19                                       ‘‘(II)  the  employees in  excess of

 

20                                50 employed during such 120-day pe-

 

21                                riod were seasonal workers.

 

22                                ‘‘(ii)     DEFINITION         OF       SEASONAL

 

23                        WORKERS.—The     term    ‘seasonal  worker’

 

24                        means  a  worker  who  performs  labor  or

 

25                        services on a seasonal basis as defined by


 

1                         the  Secretary  of Labor,  including workers

 

2                         covered by section 500.20(s)(1)  of title 29,

 

3                         Code  of  Federal   Regulations   and   retail

 

4                         workers  employed exclusively during  holi-

 

5                         day seasons.

 

6                         ‘‘(C) RULES FOR  DETERMINING EMPLOYER

 

7                 SIZE.—For purposes of this paragraph—

 

8                                ‘‘(i)  APPLICATION   OF    AGGREGATION

 

9                         RULE FOR  EMPLOYERS.—All persons treat-

 

10                        ed as  a  single employer under  subsection

 

11                        (b),  (c), (m),  or (o) of section 414  of the

 

12                        Internal   Revenue  Code of  1986  shall  be

 

13                         treated  as 1 employer.

 

14                                ‘‘(ii) EMPLOYERS  NOT   IN   EXISTENCE

 

15                        IN   PRECEDING  YEAR.—In  the  case  of an

 

16                        employer   which   was   not    in    existence

 

17                        throughout   the   preceding  calendar   year,

 

18                        the    determination   of  whether  such  em-

 

19                        ployer is an applicable large employer shall

 

20                        be based on the average number of employ-

 

21                        ees that  it is reasonably expected such em-

 

22                        ployer will employ on business days in the

 

23                         current  calendar year.

 

24                                ‘‘(iii) PREDECESSORS.—Any reference

 

25                        in this  subsection to an employer shall in-


 

1                         clude  a  reference  to  any  predecessor  of

 

2                         such employer.

 

3                 ‘‘(3) APPLICABLE   PREMIUM  TAX   CREDIT   AND

 

4          COST-SHARING   REDUCTION.—The  term   ‘applicable

 

5          premium   tax    credit    and    cost-sharing   reduction’

 

6          means—

 

7                         ‘‘(A) any premium tax credit allowed under

 

8                 section 36B,

 

9                         ‘‘(B) any cost-sharing reduction under sec-

 

10                 tion 1402 of the Patient  Protection and Afford-

 

11                 able Care Act, and

 

12                        ‘‘(C) any  advance payment  of such credit

 

13                 or reduction under section 1412 of such Act.

 

14                 ‘‘(4) FULL-TIME  EMPLOYEE.—

 

15                        ‘‘(A)  IN    GENERAL.—The  term   ‘full-time

 

16                 employee’ means an  employee who is employed

 

17                 on  average  at  least  30  hours  of  service  per

 

18                 week.

 

19                        ‘‘(B) HOURS OF  SERVICE.—The  Secretary,

 

20                 in  consultation  with  the  Secretary  of  Labor,

 

21                 shall   prescribe  such   regulations,   rules,   and

 

22                 guidance as may be necessary to determine the

 

23                 hours of service of an employee, including rules

 

24                 for the application of this paragraph  to employ-


1                 ees  who  are  not  compensated  on  an  hourly

 

2                 basis.

 

3                 ‘‘(5) INFLATION ADJUSTMENT.—

 

4                         ‘‘(A) IN  GENERAL.—In the case of any cal-

 

5                 endar    year   after   2014,   each   of   the    dollar

 

6                 amounts  in  subsection  (b)(2)  and  (d)(1)  shall

 

7                 be increased by an amount equal to the product

 

8                 of—

 

9                                ‘‘(i) such dollar amount, and

 

10                                ‘‘(ii) the premium adjustment  percent-

 

11                         age  (as  defined  in  section  1302(c)(4)  of

 

12                         the Patient  Protection and Affordable Care

 

13                         Act) for the calendar year.

 

14                         ‘‘(B)  ROUNDING.—If  the  amount  of  any

 

15                 increase under  subparagraph  (A) is not a mul-

 

16                 tiple of $10, such increase shall be rounded to

 

17                 the next lowest multiple of $10.

 

18                 ‘‘(6) OTHER  DEFINITIONS.—Any term  used in

 

19          this section which is also used in the Patient  Protec-

 

20          tion  and  Affordable Care  Act shall  have the  same

 

21          meaning as when used in such Act.

 

22                 ‘‘(7) TAX  NONDEDUCTIBLE.—For denial of de-

 

23          duction for the tax imposed by this section, see sec-

 

24          tion 275(a)(6).

 

25          ‘‘(e) ADMINISTRATION AND PROCEDURE.—


 

1                 ‘‘(1)   IN     GENERAL.—Any   assessable  payment

 

2          provided by this  section  shall  be paid  upon  notice

 

3          and demand by the Secretary,  and shall be assessed

 

4          and  collected in the  same manner  as  an  assessable

 

5          penalty under subchapter B of chapter 68.

 

6                 ‘‘(2) TIME   FOR   PAYMENT.—The  Secretary  may

 

7          provide for the  payment of any assessable payment

 

8          provided by this  section on an  annual,  monthly, or

 

9          other periodic basis as the Secretary  may prescribe.

 

10                 ‘‘(3)  COORDINATION   WITH    CREDITS,  ETC..—

 

11          The  Secretary  shall  prescribe  rules,  regulations,  or

 

12          guidance  for  the  repayment  of any  assessable pay-

 

13          ment  (including interest)  if such payment  is based

 

14          on the  allowance or  payment  of an  applicable pre-

 

15          mium tax  credit  or  cost-sharing  reduction  with re-

 

16          spect to an employee, such allowance or payment is

 

17          subsequently disallowed, and the assessable payment

 

18          would not  have been required  to  be made  but  for

 

19          such allowance or payment.’’.

 

20          (b)  CLERICAL  AMENDMENT.—The table  of sections

 

21  for chapter 43 of such Code is amended by adding at the

 

22  end the following new item:

 

‘‘Sec. 4980H.  Shared  responsibility for employers regarding  health  coverage.’’.

 

23          (c)  STUDY   AND   REPORT  OF   EFFECT  OF   TAX   ON

 

24  WORKERS WAGES.—


 

1                 (1) IN  GENERAL.—The Secretary of Labor shall

 

2          conduct  a  study  to  determine  whether  employees’

 

3          wages are  reduced  by reason  of the  application  of

 

4          the assessable payments under section 4980H  of the

 

5          Internal  Revenue Code of  1986  (as  added  by  the

 

6          amendments  made  by this  section).  The  Secretary

 

7          shall  make  such  determination  on the  basis  of the

 

8          National Compensation Survey published by the Bu-

 

9          reau of Labor Statistics.

 

10                 (2)  REPORT.—The  Secretary  shall  report  the

 

11          results  of  the  study  under  paragraph   (1)  to  the

 

12          Committee  on  Ways  and  Means  of  the  House  of

 

13          Representatives and to the Committee on Finance of

 

14          the Senate.

 

15          (d)  EFFECTIVE  DATE.—The  amendments  made  by

 

16  this section shall apply to months beginning after Decem-

 

17  ber 31, 2013.

 

Sec.1511 - Automatic Enrollment

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6           PART II—EMPLOYER RESPONSIBILITIES

 

7  SEC.   1511.  AUTOMATIC ENROLLMENT FOR  EMPLOYEES OF

 

8                       LARGE EMPLOYERS.

 

9          The Fair  Labor Standards  Act of 1938 is amended

 

10  by inserting  after  section  18  (29  U.S.C.  218)  the  fol-

 

11  lowing:

 

12  ‘‘SEC.  18A.  AUTOMATIC ENROLLMENT  FOR  EMPLOYEES OF

 

13                       LARGE EMPLOYERS.

 

14          ‘‘In accordance with regulations promulgated by the

 

15  Secretary, an employer to which this Act applies that  has

 

16  more than 200 full-time employees and that offers employ-

 

17  ees enrollment in  1  or  more health  benefits plans  shall

 

18  automatically enroll new full-time employees in one of the

 

19  plans offered (subject to any waiting period authorized by

 

20  law) and to continue the enrollment of current  employees

 

21  in  a  health  benefits plan  offered through  the  employer.

 

22  Any automatic enrollment program shall include adequate

 

23  notice and the opportunity for an employee to opt out of

 

24  any coverage the  individual or employee were automati-

 

25  cally enrolled in. Nothing in this section shall be construed


 

1  to supersede any State law which establishes, implements,

 

2  or continues in effect any standard  or requirement relating

 

3  to employers in connection with payroll except to the ex-

 

4  tent  that  such standard  or requirement  prevents an em-

 

5  ployer from instituting  the automatic enrollment program

 

6  under this section.’’.

Sec.1514 - Notification To Employees

See the entire law

7  SEC.  1512. EMPLOYER REQUIREMENT TO INFORM EMPLOY-

 

8                       EES  OF COVERAGE OPTIONS.

 

9          The Fair  Labor Standards  Act of 1938 is amended

 

10  by inserting after section 18A (as added by section 1513)

 

11  the following:

 

12  ‘‘SEC. 18B.  NOTICE TO EMPLOYEES.

 

13          ‘‘(a) IN   GENERAL.—In accordance with regulations

 

14  promulgated by the Secretary,  an employer to which this

 

15  Act applies, shall provide to  each employee at  the  time

 

16  of hiring (or with respect to current  employees, not later

 

17  than March 1, 2013), written notice—

 

18                 ‘‘(1) informing the employee of the existence of

 

19          an Exchange, including a description of the services

 

20          provided  by  such  Exchange,  and  the  manner   in

 

21          which the employee may contact the Exchange to re-

 

22          quest assistance;

 

23                 ‘‘(2) if the employer plan’s share of the total al-

 

24          lowed costs  of benefits  provided under  the  plan  is

 

25          less than 60 percent of such costs, that  the employee


 

1          may be eligible for a premium tax credit under  sec-

 

2          tion 36B of the Internal  Revenue Code of 1986 and

 

3          a cost sharing  reduction under  section 1402  of the

 

4          Patient   Protection  and  Affordable Care  Act if  the

 

5          employee purchases  a qualified health  plan through

 

6          the Exchange; and

 

7                 ‘‘(3)   if   the    employee  purchases   a    qualified

 

8          health plan through the Exchange, the employee will

 

9          lose the employer contribution (if any) to any health

 

10          benefits plan offered by the employer and that  all or

 

11          a  portion  of  such  contribution  may  be  excludable

 

12          from income for Federal income tax purposes.

 

13          ‘‘(b) EFFECTIVE  DATE.—Subsection  (a)  shall  take

 

14  effect with respect to employers in a State  beginning on

 

15  March 1, 2013.’’.

Sec.1421 - Small Business Tax Credit

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7            PART II—SMALL BUSINESS  TAX CREDIT

 

8  SEC.   1421.  CREDIT  FOR   EMPLOYEE HEALTH INSURANCE

 

9                       EXPENSES OF SMALL  BUSINESSES.

 

10          (a)  IN   GENERAL.—Subpart  D  of part  IV  of sub-

 

11  chapter  A of chapter  1 of the Internal  Revenue Code of

 

12  1986 (relating  to business-related credits) is amended by

 

13  inserting after section 45Q the following:

 

14  ‘‘SEC.  45R.   EMPLOYEE HEALTH INSURANCE  EXPENSES  OF

 

15                       SMALL  EMPLOYERS.

 

16          ‘‘(a) GENERAL  RULE.—For purposes of section 38,

 

17  in the  case of an  eligible small employer, the  small em-

 

18  ployer health insurance credit determined under this sec-

 

19  tion for any taxable year in the credit period is the amount

 

20  determined under subsection (b).

 

21          ‘‘(b) HEALTH  INSURANCE  CREDIT  AMOUNT.—Sub-

 

22  ject to subsection (c), the amount  determined under  this

 

23  subsection with respect to any eligible small employer is

 

24  equal to 50 percent (35 percent in the case of a tax-exempt

 

25  eligible small employer) of the lesser of—


 

1                 ‘‘(1) the  aggregate  amount  of nonelective con-

 

2          tributions  the  employer made  on behalf of its  em-

 

3          ployees during  the  taxable  year under  the  arrange-

 

4          ment  described  in  subsection  (d)(4)  for  premiums

 

5          for qualified health plans offered by the employer to

 

6          its employees through an Exchange, or

 

7                 ‘‘(2) the  aggregate  amount  of nonelective con-

 

8          tributions  which the employer would have made dur-

 

9          ing the taxable year under  the arrangement  if each

 

10          employee taken  into  account  under  paragraph   (1)

 

11          had enrolled in a qualified health  plan which had a

 

12          premium  equal  to  the  average  premium  (as  deter-

 

13          mined by the Secretary of Health  and Human  Serv-

 

14          ices) for the  small group market  in the  rating  area

 

15          in which the employee enrolls for coverage.

 

16          ‘‘(c)  PHASEOUT   OF    CREDIT   AMOUNT    BASED    ON

 

17  NUMBER  OF   EMPLOYEES  AND   AVERAGE   WAGES.—The

 

18  amount  of  the  credit  determined  under  subsection  (b)

 

19  without regard to this subsection shall be reduced (but not

 

20  below zero) by the sum of the following amounts:

 

21                 ‘‘(1) Such amount  multiplied by a fraction  the

 

22          numerator  of which is the total  number of full-time

 

23          equivalent employees of the employer in excess of 10

 

24          and the denominator of which is 15.


 

1                 ‘‘(2) Such amount  multiplied by a fraction  the

 

2          numerator  of which is the  average annual  wages of

 

3          the employer in excess of the dollar amount in effect

 

4          under  subsection (d)(3)(B)  and  the  denominator  of

 

5          which is such dollar amount.

 

6          ‘‘(d) ELIGIBLE SMALL  EMPLOYER.—For purposes of

 

7  this section—

 

8                 ‘‘(1)  IN    GENERAL.—The  term   ‘eligible small

 

9          employer’ means,  with respect  to  any taxable  year,

 

10          an employer—

 

11                        ‘‘(A) which has no more than  25 full-time

 

12                 equivalent employees for the taxable year,

 

13                        ‘‘(B) the average annual wages of which do

 

14                 not exceed an amount  equal to twice the dollar

 

15                 amount  in  effect  under  paragraph   (3)(B)  for

 

16                 the taxable year, and

 

17                        ‘‘(C) which has  in  effect an  arrangement

 

18                 described in paragraph  (4).

 

19                 ‘‘(2) FULL-TIME  EQUIVALENT EMPLOYEES.—

 

20                        ‘‘(A)  IN    GENERAL.—The  term   ‘full-time

 

21                 equivalent employees’ means  a  number  of em-

 

22                 ployees equal to the  number  determined by di-

 

23                 viding—

 

24                                ‘‘(i) the total number of hours of serv-

 

25                        ice for which wages were paid by the  em-


 

1                         ployer  to   employees during   the    taxable

 

2                         year, by

 

3                                ‘‘(ii) 2,080.

 

4                 Such number shall be rounded to the next low-

 

5                 est whole number if not otherwise a whole num-

 

6                 ber.

 

7                         ‘‘(B)  EXCESS  HOURS  NOT   COUNTED.—If

 

8                 an employee works in excess of 2,080 hours of

 

9                 service  during  any  taxable  year,  such  excess

 

10                 shall not be taken  into account under  subpara-

 

11                 graph (A).

 

12                        ‘‘(C) HOURS  OF  SERVICE.—The  Secretary,

 

13                 in  consultation  with  the  Secretary  of  Labor,

 

14                 shall   prescribe  such   regulations,   rules,   and

 

15                 guidance as may be necessary to determine the

 

16                 hours of service of an employee, including rules

 

17                 for the application of this paragraph  to employ-

 

18                 ees  who  are  not  compensated  on  an  hourly

 

19                 basis.

 

20                 ‘‘(3) AVERAGE  ANNUAL  WAGES.—

 

21                        ‘‘(A) IN   GENERAL.—The  average  annual

 

22                 wages of an eligible small employer for any tax-

 

23                 able  year  is  the  amount  determined  by divid-

 

24                 ing—


 

1                                ‘‘(i) the  aggregate  amount  of  wages

 

2                         which were paid  by the  employer to  em-

 

3                         ployees during the taxable year, by

 

4                                ‘‘(ii) the  number  of full-time equiva-

 

5                         lent employees of the employee determined

 

6                         under  paragraph  (2)  for the  taxable year.

 

7                 Such amount shall be rounded to the next low-

 

8                 est  multiple of $1,000  if not  otherwise such a

 

9                 multiple.

 

10                        ‘‘(B) DOLLAR   AMOUNT.—For   purposes  of

 

11                 paragraph  (1)(B)—

 

12                                ‘‘(i) 2011, 2012, AND  2013.—The  dollar

 

13                        amount  in effect under  this  paragraph  for

 

14                        taxable years beginning in 2011,  2012,  or

 

15                         2013 is $20,000.

 

16                                ‘‘(ii)   SUBSEQUENT        YEARS.—In    the

 

17                        case of a taxable year beginning in a cal-

 

18                        endar  year  after  2013,  the  dollar amount

 

19                        in  effect  under   this  paragraph   shall  be

 

20                        equal to $20,000, multiplied by the cost-of-

 

21                        living adjustment  determined under section

 

22                        1(f)(3)  for  the  calendar  year,  determined

 

23                        by  substituting   ‘calendar  year  2012’  for

 

24                        ‘calendar year 1992’ in subparagraph  (B)

 

25                         thereof.

1                 ‘‘(4)  CONTRIBUTION    ARRANGEMENT.—An  ar-

 

2          rangement  is  described  in  this  paragraph   if  it  re-

 

3          quires an eligible small employer to make a nonelec-

 

4          tive contribution on behalf of each employee who en-

 

5          rolls in a qualified health  plan offered to employees

 

6          by the employer through  an exchange in an amount

 

7          equal to a uniform percentage (not less than 50 per-

 

8          cent)  of  the  premium  cost  of  the  qualified  health

 

9          plan.

 

10                 ‘‘(5)  SEASONAL  WORKER   HOURS   AND   WAGES

 

11          NOT   COUNTED.—For  purposes  of this  subsection—

 

12                        ‘‘(A) IN  GENERAL.—The number  of hours

 

13                 of service worked by, and wages paid to, a sea-

 

14                 sonal worker of an employer shall not be taken

 

15                 into account in determining the full-time equiv-

 

16                 alent  employees and  average  annual  wages of

 

17                 the  employer unless  the  worker works for  the

 

18                 employer on  more  than  120  days  during  the

 

19                 taxable year.

 

20                        ‘‘(B)   DEFINITION      OF     SEASONAL     WORK-

 

21                 ER.—The  term ‘seasonal worker’ means a work-

 

22                 er who performs labor or services on a seasonal

 

23                 basis as defined by the Secretary  of Labor,  in-

 

24                 cluding workers covered by section 500.20(s)(1)

 

25                 of title 29, Code of Federal  Regulations and re-


 

1                 tail workers employed exclusively during holiday

 

2                 seasons.

 

3          ‘‘(e) OTHER  RULES  AND   DEFINITIONS.—For  pur-

 

4  poses of this section—

 

5                 ‘‘(1) EMPLOYEE.—

 

6                         ‘‘(A) CERTAIN  EMPLOYEES   EXCLUDED.—

 

7                 The term ‘employee’ shall not include—

 

8                                ‘‘(i) an  employee within the  meaning

 

9                         of section 401(c)(1),

 

10                                ‘‘(ii) any 2-percent shareholder (as de-

 

11                        fined  in  section  1372(b))   of  an  eligible

 

12                        small business which is an  S  corporation,

 

13                                ‘‘(iii) any 5-percent owner (as defined

 

14                        in  section  416(i)(1)(B)(i))  of  an  eligible

 

15                         small business, or

 

16                                ‘‘(iv) any individual who bears any of

 

17                        the    relationships   described  in    subpara-

 

18                        graphs     (A)    through    (G)     of    section

 

19                        152(d)(2)  to,  or  is a  dependent  described

 

20                        in  section  152(d)(2)(H)   of,  an  individual

 

21                         described in clause (i), (ii), or (iii).

 

22                        ‘‘(B)    LEASED       EMPLOYEES.—The     term

 

23                 ‘employee’ shall include a leased employee with-

 

24                 in the meaning of section 414(n).


 

1                 ‘‘(2) CREDIT  PERIOD.—The term ‘credit period’

 

2          means, with respect  to any eligible small employer,

 

3          the 2-consecutive-taxable year period beginning with

 

4          the  1st  taxable year in which the  employer (or any

 

5          predecessor) offers 1 or more qualified health  plans

 

6          to its employees through an Exchange.

 

7                 ‘‘(3) NONELECTIVE  CONTRIBUTION.—The  term

 

8          ‘nonelective contribution’  means  an  employer con-

 

9          tribution other than an employer contribution pursu-

 

10          ant to a salary reduction arrangement.

 

11                 ‘‘(4) WAGES.—The  term ‘wages’ has the mean-

 

12          ing given such term by section 3121(a)  (determined

 

13          without regard  to any dollar limitation contained in

 

14          such section).

 

15                 ‘‘(5) AGGREGATION   AND   OTHER   RULES   MADE

 

16          APPLICABLE.—

 

17                        ‘‘(A) AGGREGATION   RULES.—All   employ-

 

18                 ers  treated   as  a  single  employer  under  sub-

 

19                 section (b), (c), (m), or (o) of section 414 shall

 

20                 be treated  as a single employer for purposes of

 

21                 this section.

 

22                        ‘‘(B) OTHER  RULES.—Rules similar to the

 

23                 rules of subsections (c), (d), and (e) of section

 

24                 52 shall apply.


 

1          ‘‘(f) CREDIT MADE AVAILABLE TO TAX-EXEMPT ELI-

 

2  GIBLE SMALL  EMPLOYERS.—

 

3                 ‘‘(1) IN  GENERAL.—In the case of a tax-exempt

 

4          eligible small employer, there  shall be treated  as  a

 

5          credit allowable under  subpart  C (and  not allowable

 

6          under this subpart)  the lesser of—

 

7                         ‘‘(A) the  amount  of the  credit  determined

 

8                 under  this  section  with  respect  to  such  em-

 

9                 ployer, or

 

10                        ‘‘(B) the amount of the payroll taxes of the

 

11                 employer during the calendar year in which the

 

12                 taxable year begins.

 

13                 ‘‘(2)    TAX-EXEMPT        ELIGIBLE        SMALL       EM-

 

14          PLOYER.—For  purposes  of  this  section,  the  term

 

15          ‘tax-exempt eligible small employer’ means an  eligi-

 

16          ble  small  employer which is  any  organization  de-

 

17          scribed in section 501(c) which is exempt from tax-

 

18          ation under section 501(a).

 

19                 ‘‘(3)  PAYROLL   TAXES.—For  purposes  of  this

 

20          subsection—

 

21                        ‘‘(A)   IN     GENERAL.—The    term    ‘payroll

 

22                 taxes’ means—

 

23                                ‘‘(i) amounts  required  to  be withheld

 

24                        from the employees of the tax-exempt eligi-

 

25                        ble small employer under  section 3401(a),


 

1                                ‘‘(ii) amounts  required to be withheld

 

2                         from    such    employees   under     section

 

3                         3101(b), and

 

4                                ‘‘(iii) amounts of the taxes imposed on

 

5                         the    tax-exempt  eligible   small   employer

 

6                         under section 3111(b).

 

7                         ‘‘(B)  SPECIAL   RULE.—A   rule  similar  to

 

8                 the  rule  of section 24(d)(2)(C)  shall apply for

 

9                 purposes of subparagraph  (A).

 

10          ‘‘(g)   APPLICATION       OF     SECTION      FOR     CALENDAR

 

11  YEARS  2011, 2012, AND  2013.—In  the case of any tax-

 

12  able year beginning in 2011, 2012, or 2013, the following

 

13  modifications to this section shall apply in determining the

 

14  amount of the credit under subsection (a):

 

15                 ‘‘(1)   NO     CREDIT      PERIOD       REQUIRED.—The

 

16          credit shall be determined without regard to whether

 

17          the  taxable  year is in a  credit  period and  for pur-

 

18          poses of applying this section to taxable years begin-

 

19          ning after  2013, no credit period shall be treated  as

 

20          beginning   with  a    taxable   year   beginning  before

 

21          2014.

 

22                 ‘‘(2) AMOUNT  OF  CREDIT.—The amount  of the

 

23          credit  determined  under  subsection (b) shall be de-

 

24          termined—


 

1                         ‘‘(A) by substituting  ‘35 percent  (25  per-

 

2                 cent  in the  case of a  tax-exempt eligible small

 

3                 employer)’ for  ‘50 percent  (35  percent  in  the

 

4                 case of a tax-exempt eligible small employer)’,

 

5                         ‘‘(B) by reference to an eligible small em-

 

6                 ployer’s nonelective contributions  for premiums

 

7                 paid  for health  insurance  coverage (within the

 

8                 meaning of section 9832(b)(1))  of an employee,

 

9                 and

 

10                        ‘‘(C) by substituting  for  the  average  pre-

 

11                 mium  determined  under  subsection  (b)(2)  the

 

12                 amount  the  Secretary  of  Health  and  Human

 

13                 Services determines is the average premium for

 

14                 the  small group  market  in the  State  in which

 

15                 the  employer is  offering health  insurance  cov-

 

16                 erage (or  for such area  within the  State  as  is

 

17                 specified by the Secretary).

 

18                 ‘‘(3)  CONTRIBUTION    ARRANGEMENT.—An  ar-

 

19          rangement shall not fail to meet the requirements of

 

20          subsection  (d)(4)  solely because it  provides for  the

 

21          offering of insurance outside of an Exchange.

 

22          ‘‘(h) INSURANCE  DEFINITIONS.—Any term  used in

 

23  this section which is also used in the Public Health Service

 

24  Act or subtitle A of title I of the Patient  Protection  and


 

1  Affordable Care  Act shall have the  meaning given such

 

2  term by such Act or subtitle.

 

3          ‘‘(i) REGULATIONS.—The  Secretary  shall  prescribe

 

4  such regulations as may be necessary to carry out the pro-

 

5  visions of this section, including regulations to prevent the

 

6  avoidance of the 2-year limit on the credit period through

 

7  the use of successor entities and the avoidance of the limi-

 

8  tations  under  subsection (c) through  the use of multiple

 

9  entities.’’.

 

10          (b)  CREDIT  TO   BE   PART   OF   GENERAL  BUSINESS

 

11  CREDIT.—Section  38(b) of the Internal  Revenue Code of

 

12  1986 (relating to current year business credit) is amended

 

13  by striking ‘‘plus’’ at the end of paragraph  (34), by strik-

 

14  ing the period at the end of paragraph  (35) and inserting

 

15  ‘‘, plus’’, and  by inserting  after  paragraph  (35)  the  fol-

 

16  lowing:

 

17                 ‘‘(36) the small employer health insurance cred-

 

18          it determined under section 45R.’’.

 

19          (c) CREDIT  ALLOWED   AGAINST  ALTERNATIVE  MIN-

 

20  IMUM  TAX.—Section 38(c)(4)(B)  of the Internal  Revenue

 

21  Code of 1986  (defining specified credits)  is amended by

 

22  redesignating clauses (vi), (vii), and (viii) as clauses (vii),

 

23  (viii), and (ix), respectively, and by inserting after  clause

 

24  (v) the following new clause:


 

1                                ‘‘(vi) the credit determined under sec-

 

2                         tion 45R,’’.

 

3          (d)  DISALLOWANCE  OF   DEDUCTION  FOR   CERTAIN

 

4  EXPENSES FOR  WHICH  CREDIT ALLOWED.—

 

5                 (1) IN  GENERAL.—Section 280C of the Internal

 

6          Revenue Code of 1986  (relating  to  disallowance of

 

7          deduction  for  certain  expenses for  which credit  al-

 

8          lowed), as amended by section 1401(b),  is amended

 

9          by adding at  the  end the  following new subsection:

 

10          ‘‘(h) CREDIT  FOR   EMPLOYEE  HEALTH  INSURANCE

 

11  EXPENSES  OF   SMALL   EMPLOYERS.—No deduction shall

 

12  be allowed for that  portion of the premiums for qualified

 

13  health plans (as defined in section 1301(a)  of the Patient

 

14  Protection  and Affordable Care Act), or for health insur-

 

15  ance coverage in the  case of taxable  years beginning in

 

16  2011, 2012, or 2013, paid by an employer which is equal

 

17  to  the  amount  of  the  credit  determined  under  section

 

18  45R(a) with respect to the premiums.’’.

 

19                 (2) DEDUCTION  FOR   EXPIRING CREDITS.—Sec-

 

20          tion  196(c)  of  such  Code is  amended  by  striking

 

21          ‘‘and’’ at the end of paragraph  (12), by striking  the

 

22          period at the end of paragraph  (13) and inserting ‘‘,

 

23          and’’, and  by adding  at  the  end the  following new

 

24          paragraph:

 

1                 ‘‘(14) the small employer health insurance cred-

 

2          it determined under section 45R(a).’’.

 

3          (e)  CLERICAL  AMENDMENT.—The table  of sections

 

4  for subpart  D of part  IV of subchapter  A of chapter  1

 

5  of the Internal  Revenue Code of 1986 is amended by add-

 

6  ing at the end the following:

 

‘‘Sec. 45R.  Employee health insurance expenses of small employers.’’.

 

7          (f) EFFECTIVE DATES.—

 

8                 (1)  IN   GENERAL.—The  amendments  made  by

 

9          this section shall apply to amounts  paid or incurred

 

10          in taxable years beginning after December 31, 2010.

 

11                 (2) MINIMUM  TAX.—The  amendments  made by

 

12          subsection  (c)    shall   apply  to    credits   determined

 

13          under  section 45R of the Internal  Revenue Code of

 

14          1986 in taxable years beginning after  December 31,

 

15          2010, and to carrybacks of such credits.

 

See the IRS web page on Small Business Tax Credit.

Sec.1513  - Part-Time Work

 See the entire law

14                 ‘‘(4) FULL-TIME  EMPLOYEE.—

 

15                        ‘‘(A)  IN    GENERAL.—The  term   ‘full-time

 

16                 employee’ means an  employee who is employed

 

17                 on  average  at  least  30  hours  of  service  per

 

18                 week.

 

19                        ‘‘(B) HOURS OF  SERVICE.—The  Secretary,

 

20                 in  consultation  with  the  Secretary  of  Labor,

 

21                 shall   prescribe  such   regulations,   rules,   and

 

22                 guidance as may be necessary to determine the

 

23                 hours of service of an employee, including rules

 

24                 for the application of this paragraph  to employ-


 

1                 ees  who  are  not  compensated  on  an  hourly

 

2                 basis.

 

Sec.1311 - SHOP

See the entire law

10  SEC.    1311.  AFFORDABLE  CHOICES  OF   HEALTH BENEFIT

 

11                       PLANS.

 

12          (a)  ASSISTANCE  TO   STATES  TO   ESTABLISH  AMER-

 

13  ICAN  HEALTH BENEFIT EXCHANGES.—

 

 

24                 (5)    TECHNICAL       ASSISTANCE     TO     FACILITATE

 

25          PARTICIPATION       IN     SHOP     EXCHANGES.—The    Sec-


 

1          retary  shall provide technical assistance  to States  to

 

2          facilitate  the  participation  of  qualified  small  busi-

 

3          nesses in such States in SHOP Exchanges.

 

4          (b) AMERICAN  HEALTH BENEFIT EXCHANGES.—

 

5                 (1)  IN   GENERAL.—Each  State  shall,  not  later

 

6          than January  1, 2014, establish an American Health

 

7          Benefit  Exchange  (referred  to  in  this  title  as  an

 

8          ‘‘Exchange’’) for the State that—

 

9                         (A)  facilitates   the  purchase   of  qualified

 

10                 health plans;

 

11                        (B)  provides  for  the  establishment   of  a

 

12                 Small  Business  Health   Options  Program   (in

 

13                 this  title  referred  to as  a  ‘‘SHOP Exchange’’)

 

14                 that  is designed to assist qualified employers in

 

15                 the  State   who are  small  employers in  facili-

 

16                 tating   the   enrollment  of  their   employees  in

 

17                 qualified health plans offered in the small group

 

18                 market in the State; and

 

19                        (C)  meets  the  requirements  of subsection

 

20                 (d).

 

21                 (2)  MERGER   OF    INDIVIDUAL   AND   SHOP   EX-

 

22          CHANGES.—A  State  may  elect to  provide only one

 

23          Exchange in the State  for providing both Exchange

 

24          and SHOP  Exchange services to both qualified indi-

 

25          viduals and qualified small employers, but only if the


 

1          Exchange has adequate resources to assist such indi-

 

2          viduals and employers.

 

Sec.2711  - Mini-Med Plans

See the entire law

2  ‘‘SEC. 2711. NO LIFETIME OR ANNUAL LIMITS.

 

3          ‘‘(a) IN  GENERAL.—A  group health plan and a health

 

4  insurance issuer offering group or individual health insur-

 

5  ance coverage may not establish—

 

6                 ‘‘(1) lifetime limits on the dollar value of bene-

 

7          fits for any participant  or beneficiary; or

 

8                 ‘‘(2)   unreasonable   annual   limits  (within  the

 

9          meaning  of  section  223  of  the  Internal   Revenue

 

10          Code of 1986) on the dollar value of benefits for any

 

11          participant  or beneficiary.

 

12          ‘‘(b)  PER     BENEFICIARY      LIMITS.—Subsection   (a)

 

13  shall not be construed to prevent a group health plan or

 

14  health insurance coverage that  is not required to provide

 

15  essential health benefits under section 1302(b) of the Pa-

 

16  tient Protection and Affordable Care Act from placing an-

 

17  nual or lifetime per beneficiary limits on specific covered

 

18  benefits to the extent that  such limits are otherwise per-

 

19  mitted under Federal or State law.

 

20  ‘‘SEC. 2712. PROHIBITION ON RESCISSIONS.

 

21          ‘‘A group health plan and a health insurance issuer

 

22  offering  group  or  individual  health  insurance  coverage

 

23  shall not rescind such plan or coverage with respect to an

 

24  enrollee once the  enrollee is covered under  such plan or

 

25  coverage involved, except that  this section shall not apply

 

26  to a covered individual who has performed an act or prac-

 

1  tice that  constitutes  fraud  or makes an  intentional  mis-

 

2  representation  of material fact as prohibited by the terms

 

3  of the  plan or coverage. Such plan or coverage may not

 

4  be cancelled except with prior notice to the enrollee, and

 

5  only as permitted under section 2702(c) or 2742(b).

 

Sec.9001 - Employer Sponsored Insurance

 See the entire law

20  SEC.   9001.  EXCISE  TAX  ON   HIGH   COST   EMPLOYER-SPON-

 

21                       SORED HEALTH COVERAGE.

 

22          (a)  IN  GENERAL.—Chapter 43 of the Internal  Rev-

 

23  enue  Code  of  1986,  as  amended  by  section  1513,  is

 

24  amended by adding at the end the following:


 

1  ‘‘SEC.  4980I. EXCISE TAX  ON  HIGH   COST   EMPLOYER-SPON-

 

2                       SORED HEALTH COVERAGE.

 

3          ‘‘(a) IMPOSITION OF  TAX.—If—

 

4                 ‘‘(1) an employee is covered under any applica-

 

5          ble employer-sponsored coverage of an  employer at

 

6          any time during a taxable period, and

 

7                 ‘‘(2) there is any excess benefit with respect to

 

8          the coverage,

 

9  there is hereby imposed a tax equal to 40 percent of the

 

10  excess benefit.

Sec.9015 - Medicare Tax Hike

See the entire law

18  SEC.    9015.   ADDITIONAL  HOSPITAL  INSURANCE   TAX   ON

 

19                       HIGH-INCOME TAXPAYERS.

 

20          (a) FICA.—

 

21                 (1)  IN   GENERAL.—Section  3101(b)  of the  In-

 

22          ternal Revenue Code of 1986 is amended—

 

23                         (A) by striking ‘‘In addition’’ and inserting

 

24                 the following:

 

25                 ‘‘(1) IN  GENERAL.—In addition’’,


 

1                         (B)  by striking  ‘‘the following percentages

 

2                 of the’’ and inserting ‘‘1.45 percent of the’’,

 

3                         (C)  by  striking   ‘‘(as  defined  in  section

 

4                 3121(b))—’’ and  all that  follows and  inserting

 

5                 ‘‘(as defined in section 3121(b)).’’, and

 

6                         (D) by adding at the end the following new

 

7                 paragraph:

 

8                 ‘‘(2) ADDITIONAL  TAX.—In  addition to the tax

 

9          imposed by paragraph   (1)  and  the  preceding  sub-

 

10          section, there  is hereby imposed on every taxpayer

 

11          (other  than  a  corporation,  estate,  or  trust)   a  tax

 

12          equal  to  0.5  percent  of  wages  which are  received

 

13          with  respect  to  employment (as  defined in  section

 

14          3121(b))  during  any  taxable  year  beginning  after

 

15          December 31, 2012, and which are in excess of—

 

16                        ‘‘(A)   in    the    case   of   a    joint    return,

 

17                 $250,000, and

 

18                         ‘‘(B) in any other case, $200,000.’’.

 

19                 (2) COLLECTION  OF  TAX.—Section 3102 of the

 

20          Internal  Revenue Code of 1986 is amended by add-

 

21          ing at the end the following new subsection:

 

22          ‘‘(f) SPECIAL RULES FOR  ADDITIONAL TAX.—

 

23                 ‘‘(1) IN  GENERAL.—In the case of any tax im-

 

24          posed  by  section  3101(b)(2),   subsection  (a)  shall

 

25          only apply to  the  extent  to  which the  taxpayer  re-

 

1          ceives   wages   from   the    employer  in    excess   of

 

2          $200,000,   and   the    employer  may  disregard   the

 

3          amount of wages received by such taxpayer’s spouse.

 

4                 ‘‘(2)   COLLECTION       OF     AMOUNTS     NOT     WITH-

 

5          HELD.—To the  extent  that  the  amount  of any  tax

 

6          imposed by section 3101(b)(2)  is not collected by the

 

7          employer, such tax shall be paid by the employee.

 

8                 ‘‘(3) TAX  PAID  BY  RECIPIENT.—If an employer,

 

9          in violation of this chapter, fails to deduct and with-

 

10          hold  the  tax  imposed  by  section  3101(b)(2)   and

 

11          thereafter  the  tax  is paid by the  employee, the  tax

 

12          so required to be deducted and withheld shall not be

 

13          collected from the employer, but this paragraph  shall

 

14          in no case relieve the employer from liability for any

 

15          penalties or additions  to tax otherwise applicable in

 

16          respect of such failure to deduct and withhold.’’.

 

17          (b) SECA.—

 

18                 (1)  IN   GENERAL.—Section  1401(b)  of the  In-

 

19          ternal Revenue Code of 1986 is amended—

 

20                        (A) by striking ‘‘In addition’’ and inserting

 

21                 the following:

 

22                 ‘‘(1) IN  GENERAL.—In addition’’, and

 

23                        (B) by adding at the end the following new

 

24                 paragraph:

 

25                 ‘‘(2) ADDITIONAL TAX.—


 

1                         ‘‘(A) IN  GENERAL.—In addition to the tax

 

2                 imposed  by  paragraph   (1)  and  the  preceding

 

3                 subsection,  there  is  hereby  imposed  on  every

 

4                 taxpayer  (other  than  a  corporation,  estate,  or

 

5                 trust)  for each taxable year beginning after De-

 

6                 cember 31, 2012, a tax equal to 0.5 percent of

 

7                 the  self-employment  income  for  such  taxable

 

8                 year which is in excess of—

 

9                                ‘‘(i)  in  the  case  of  a  joint  return,

 

10                         $250,000, and

 

11                                ‘‘(ii) in any other case, $200,000.

 

12                        ‘‘(B)    COORDINATION       WITH     FICA.—The

 

13                 amounts  under  clauses (i) and  (ii) of subpara-

 

14                 graph (A) shall be reduced (but not below zero)

 

15                 by the  amount  of wages taken  into account in

 

16                 determining    the    tax   imposed  under   section

 

17                 3121(b)(2)  with respect to the taxpayer.’’.

 

18                 (2) NO DEDUCTION FOR  ADDITIONAL TAX.—

 

19                        (A) IN  GENERAL.—Section 164(f)  of such

 

20                 Code is amended by inserting  ‘‘(other than  the

 

21                 taxes  imposed  by  section  1401(b)(2))’’  after

 

22                 ‘‘section 1401)’’.

 

23                        (B) DEDUCTION FOR  NET   EARNINGS FROM

 

24                 SELF-EMPLOYMENT.—Subparagraph (B) of sec-

 

25                 tion 1402(a)(12)  is amended by inserting  ‘‘(de-


 

1                 termined  without  regard  to  the  rate  imposed

 

2                 under paragraph  (2) of section 1401(b))’’ after

 

3                 ‘‘for such year’’.

 

4          (c)  EFFECTIVE  DATE.—The  amendments  made  by

 

5  this  section shall apply with respect to remuneration  re-

 

6  ceived, and  taxable years beginning, after  December 31,

 

7  2012.

 

Sec.9008 - Pharmaceutical Tax Hike

See the entire law

20  SEC.  9008. IMPOSITION OF  ANNUAL FEE  ON  BRANDED PRE-

 

21                      SCRIPTION           PHARMACEUTICAL            MANUFAC-

 

22                       TURERS AND  IMPORTERS.

 

23          (a) IMPOSITION OF  FEE.—

 

24                 (1) IN  GENERAL.—Each covered entity engaged

 

25          in    the    business  of   manufacturing   or    importing


 

1          branded  prescription  drugs  shall  pay  to  the  Sec-

 

2          retary  of  the  Treasury  not  later  than  the  annual

 

3          payment date  of each calendar year beginning after

 

4          2009  a  fee  in  an  amount  determined  under  sub-

 

5          section (b).

 

6                 (2) ANNUAL  PAYMENT DATE.—For purposes of

 

7          this section, the term ‘‘annual payment date’’ means

 

8          with  respect  to  any  calendar  year  the  date  deter-

 

9          mined by the  Secretary,  but  in no event later  than

 

10          September 30 of such calendar year.

 

11          (b) DETERMINATION OF  FEE AMOUNT.—

 

12                 (1) IN  GENERAL.—With respect to each covered

 

13          entity,  the  fee under  this  section for  any  calendar

 

14          year  shall  be  equal  to  an  amount  that   bears  the

 

15          same ratio to $2,300,000,000  as—

 

16                        (A) the  covered entity’s branded  prescrip-

 

17                 tion  drug  sales  taken  into  account  during  the

 

18                 preceding calendar year, bear to

 

19                        (B)    the    aggregate    branded   prescription

 

20                 drug sales of all covered entities taken  into ac-

 

21                 count during such preceding calendar year.

 

22                 (2)  SALES    TAKEN  INTO    ACCOUNT.—For  pur-

 

23          poses  of  paragraph   (1),  the  branded  prescription

 

24          drug  sales  taken  into  account  during  any  calendar


 

1          year with respect to any covered entity  shall be de-

 

2          termined in accordance with the following table:

 

 

With respect to a covered entity’s aggregate        The percentage of such sales
branded prescription drug sales during the            taken into account is:
calendar year that are:

 

Not more than $5,000,000  ....................................         0 percent

More   than    $5,000,000    but    not    more   than     10 percent

$125,000,000.

More  than   $125,000,000   but   not   more   than    40 percent

$225,000,000.

More  than   $225,000,000   but   not   more   than    75 percent

$400,000,000.

More than $400,000,000  .......................................         100 percent.

 

3                 (3)  SECRETARIAL  DETERMINATION.—The Sec-

 

4          retary  of the Treasury  shall calculate the amount of

 

5          each covered entity’s fee for any calendar year under

 

6          paragraph  (1). In calculating such amount, the Sec-

 

7          retary  of the Treasury  shall determine such covered

 

8          entity’s branded prescription drug sales on the basis

 

9          of   reports   submitted   under   subsection  (g)    and

 

10          through  the  use of any other  source of information

 

11          available to the Secretary of the Treasury.

 

Sec.9009 - Medical Device Tax Hike

See the entire law

5  SEC.   9009.  IMPOSITION OF  ANNUAL FEE   ON  MEDICAL DE-

 

6                       VICE  MANUFACTURERS AND  IMPORTERS.

 

7          (a) IMPOSITION OF  FEE.—

 

8                 (1) IN  GENERAL.—Each covered entity engaged

 

9          in the business of manufacturing  or importing med-

 

10          ical devices shall pay to the Secretary not later than

 

11          the  annual  payment date  of each calendar  year be-

 

12          ginning after  2009  a  fee in an  amount  determined

 

13          under subsection (b).

 

14                 (2) ANNUAL  PAYMENT DATE.—For purposes of

 

15          this section, the term ‘‘annual payment date’’ means

 

16          with  respect  to  any  calendar  year  the  date  deter-

 

17          mined by the  Secretary,  but  in no event later  than

 

18          September 30 of such calendar year.

 

19          (b) DETERMINATION OF  FEE AMOUNT.—

 

20                 (1) IN  GENERAL.—With respect to each covered

 

21          entity,  the  fee under  this  section for  any  calendar

 

22          year  shall  be  equal  to  an  amount  that   bears  the

 

23          same ratio to $2,000,000,000  as—


 

1                         (A) the covered entity’s gross receipts from

 

2                 medical device sales taken  into account during

 

3                 the preceding calendar year, bear to

 

4                         (B) the aggregate gross receipts of all cov-

 

5                 ered  entities  from  medical  device sales  taken

 

6                 into  account  during  such  preceding  calendar

 

7                 year.

 

8                 (2) GROSS  RECEIPTS FROM   SALES TAKEN INTO

 

9          ACCOUNT.—For    purposes   of   paragraph (1),    the

 

10          gross receipts  from medical device sales taken  into

 

11          account  during  any  calendar  year  with  respect  to

 

12          any covered entity shall be determined in accordance

 

13          with the following table:

 

 

With respect to a covered entity’s aggregate                    The percentage of gross receipts
gross re- ceipts from medical device sales                  taken into account is:
during the calendar year that  are:

 

Not more than $5,000,000  ....................................         0 percent

More   than    $5,000,000    but    not    more   than    50 percent

$25,000,000.

ore than $25,000,000  .........................................          100 percent.

 

Sec.9010 - Cadillac Plan Tax

See the entire law

6  SEC.  9010. IMPOSITION OF  ANNUAL FEE  ON  HEALTH INSUR-

 

7                       ANCE  PROVIDERS.

 

8          (a) IMPOSITION OF  FEE.—

 

9                 (1) IN  GENERAL.—Each covered entity engaged

 

10          in  the  business  of providing health  insurance  shall

 

11          pay to the Secretary  not later  than  the annual  pay-

 

12          ment  date  of  each  calendar  year  beginning  after

 

13          2009  a  fee  in  an  amount  determined  under  sub-

 

14          section (b).

 

15                 (2) ANNUAL  PAYMENT DATE.—For purposes of

 

16          this section, the term ‘‘annual payment date’’ means

 

17          with  respect  to  any  calendar  year  the  date  deter-

 

18          mined by the  Secretary,  but  in no event later  than

 

19          September 30 of such calendar year.

 

20          (b) DETERMINATION OF  FEE AMOUNT.—

 

21                 (1) IN  GENERAL.—With respect to each covered

 

22          entity,  the  fee under  this  section for  any  calendar

 

23          year  shall  be  equal  to  an  amount  that   bears  the

 

24          same ratio to $6,700,000,000  as—

 

25                         (A) the sum of—


 

1                                (i) the  covered entity’s net  premiums

 

2                         written with respect to health insurance for

 

3                         any  United   States   health   risk  that   are

 

4                         taken  into  account  during  the  preceding

 

5                         calendar year, plus

 

6                                (ii) 200 percent of the covered entity’s

 

7                         third  party  administration  agreement  fees

 

8                         that  are taken into account during the pre-

 

9                         ceding calendar year, bears to

 

10                         (B) the sum of—

 

11                                (i)  the  aggregate  net  premiums  writ-

 

12                        ten  with respect  to  such health  insurance

 

13                        of all covered entities  that  are  taken  into

 

14                        account   during   such  preceding  calendar

 

15                         year, plus

 

16                                (ii) 200 percent of the aggregate third

 

17                        party  administration  agreement  fees of all

 

18                        covered entities that  are taken into account

 

19                         during such preceding calendar year.

 

20                 (2)    AMOUNTS     TAKEN     INTO     ACCOUNT.—For

 

21          purposes of paragraph  (1)—

 

22                        (A)  NET    PREMIUMS    WRITTEN.—The  net

 

23                 premiums written  with respect to health  insur-

 

24                 ance for any United States  health risk that  are

 

25                 taken  into  account  during  any  calendar  year

 

1                 with respect  to any covered entity  shall be de-

 

2                 termined in accordance with the following table:

 

 

With respect to a covered entity’s net             The percentage of net premiums
 
premiums writ- ten during the calendar       written that are taken into account is:
year that  are:

 

Not more than $25,000,000  ..................................             0 percent

More   than    $25,000,000    but   not   more   than        50 percent

$50,000,000.

More than $50,000,000  .........................................          100 percent.

 

3                         (B)      THIRD         PARTY        ADMINISTRATION

 

4                 AGREEMENT  FEES.—The third  party  adminis-

 

5                 tration  agreement  fees that  are  taken  into  ac-

 

6                 count during any calendar year with respect to

 

7                 any  covered entity  shall  be  determined  in  ac-

 

8                 cordance with the following table:

 

 

 

With respect to a covered entity’s third     The percentage of third party
party adminis- tration  agreement fees          adminis- tration  agreement fees
during the calendar year that are:
                    that  are taken into ac- count is:

 

Not more than $5,000,000  ....................................           0 percent

More   than    $5,000,000    but    not    more   than     50 percent

$10,000,000.

More than $10,000,000  .........................................          100 percent.

 

Sec.4205 - National Labeling

See the entire law

1  SEC.    4205.   NUTRITION  LABELING  OF    STANDARD   MENU

 

2                       ITEMS AT CHAIN RESTAURANTS.

 

3          (a)            TECHNICAL                AMENDMENTS.—Section

 

4  403(q)(5)(A)  of the  Federal  Food,  Drug,  and  Cosmetic

 

5  Act (21 U.S.C. 343(q)(5)(A)) is amended—

 

6                 (1) in subitem (i), by inserting at the beginning

 

7          ‘‘except as provided in clause (H)(ii)(III),’’; and

 

8                 (2)  in  subitem  (ii),  by inserting  at  the  begin-

 

9          ning ‘‘except as provided in clause (H)(ii)(III),’’.

 

10          (b)  LABELING   REQUIREMENTS.—Section   403(q)(5)

 

11  of the Federal  Food, Drug, and Cosmetic Act (21 U.S.C.

 

12  343(q)(5)) is amended by adding at the end the following:

 

13          ‘‘(H)   RESTAURANTS,     RETAIL      FOOD     ESTABLISH-

 

14  MENTS,  AND VENDING MACHINES.—

 

15                 ‘‘(i)    GENERAL       REQUIREMENTS         FOR      RES-

 

16          TAURANTS  AND   SIMILAR  RETAIL  FOOD   ESTABLISH-

 

17          MENTS.—Except   for  food  described  in    subclause

 

18          (vii), in  the  case of food that  is  a  standard  menu

 

19          item that  is offered for sale in a restaurant or simi-

 

20          lar retail  food establishment  that  is part  of a chain

 

21          with 20 or more locations doing business under  the

 

22          same name (regardless  of the  type of ownership of

 

23          the locations) and offering for sale substantially  the

 

24          same  menu  items,  the  restaurant  or  similar  retail

 

25          food establishment shall disclose the information de-

 

26          scribed in subclauses (ii) and (iii).


 

1                 ‘‘(ii)   INFORMATION       REQUIRED       TO     BE     DIS-

 

2          CLOSED  BY   RESTAURANTS  AND   RETAIL  FOOD    ES-

 

3          TABLISHMENTS.—Except  as  provided  in  subclause

 

4          (vii), the  restaurant or similar retail  food establish-

 

5          ment shall disclose in a clear and conspicuous man-

 

6          ner—

 

7                         ‘‘(I)(aa)  in  a  nutrient   content  disclosure

 

8                 statement  adjacent to the name of the standard

 

9                 menu item, so as  to be clearly associated  with

 

10                 the  standard   menu  item,  on  the  menu  listing

 

11                 the  item  for  sale,  the  number  of calories con-

 

12                 tained  in  the  standard   menu  item,  as  usually

 

13                 prepared and offered for sale; and

 

14                        ‘‘(bb) a succinct statement  concerning sug-

 

15                 gested  daily caloric intake,  as  specified by the

 

16                 Secretary  by regulation and posted prominently

 

17                 on the menu and designed to enable the public

 

18                 to  understand,   in  the  context  of a  total  daily

 

19                 diet, the  significance of the  caloric information

 

20                 that  is provided on the menu;

 

21                        ‘‘(II)(aa)  in  a  nutrient   content  disclosure

 

22                 statement  adjacent to the name of the standard

 

23                 menu item, so as  to be clearly associated  with

 

24                 the  standard   menu  item,  on  the  menu  board,

 

25                 including   a    drive-through   menu   board,   the


 

1                 number  of  calories  contained  in  the  standard

 

2                 menu item, as usually prepared  and offered for

 

3                 sale; and

 

4                         ‘‘(bb) a succinct statement  concerning sug-

 

5                 gested  daily caloric intake,  as  specified by the

 

6                 Secretary  by regulation and posted prominently

 

7                 on the menu board, designed to enable the pub-

 

8                 lic to understand,  in the context of a total daily

 

9                 diet,  the  significance of the  nutrition  informa-

 

10                 tion that  is provided on the menu board;

 

11                 ‘‘(III) in a written form, available on the prem-

 

12          ises of the restaurant or similar retail establishment

 

13          and to the consumer upon request, the nutrition  in-

 

14          formation  required  under  clauses  (C)  and  (D)  of

 

15          subparagraph  (1); and

 

16                 ‘‘(IV) on  the  menu  or  menu  board,  a  promi-

 

17          nent, clear, and conspicuous statement  regarding the

 

18          availability  of  the   information   described  in    item

 

19          (III).

 

20                 ‘‘(iii) SELF-SERVICE  FOOD   AND   FOOD   ON  DIS-

 

21          PLAY.—Except  as provided in subclause (vii), in the

 

22          case of food sold at a salad bar, buffet line, cafeteria

 

23          line, or similar self-service facility, and for self-serv-

 

24          ice beverages or food that  is on display and that  is

 

25          visible to  customers,  a  restaurant or  similar  retail


 

1          food establishment  shall place adjacent  to each food

 

2          offered a  sign that  lists  calories per  displayed food

 

3          item or per serving.

 

4                 ‘‘(iv) REASONABLE  BASIS.—For the purposes of

 

5          this clause, a restaurant or similar retail food estab-

 

6          lishment shall have a reasonable basis for its nutri-

 

7          ent content disclosures, including nutrient  databases,

 

8          cookbooks, laboratory analyses, and other reasonable

 

9          means,  as  described  in  section  101.10  of title  21,

 

10          Code of Federal  Regulations (or any successor regu-

 

11          lation)  or  in  a  related  guidance  of  the  Food  and

 

12          Drug Administration.

 

13                 ‘‘(v)   MENU    VARIABILITY      AND     COMBINATION

 

14          MEALS.—The  Secretary  shall establish by regulation

 

15          standards  for determining  and  disclosing the  nutri-

 

16          ent  content  for standard  menu items  that  come in

 

17          different    flavors,  varieties,   or    combinations,  but

 

18          which are listed as a single menu item, such as soft

 

19          drinks,  ice  cream,  pizza,  doughnuts,  or  children’s

 

20          combination  meals,  through  means  determined  by

 

21          the  Secretary,  including ranges,  averages,  or  other

 

22          methods.

 

23                 ‘‘(vi) ADDITIONAL  INFORMATION.—If  the  Sec-

 

24          retary  determines that  a nutrient,  other than  a nu-

 

25          trient  required  under  subclause  (ii)(III),  should be


 

1          disclosed for the purpose of providing information to

 

2          assist   consumers  in    maintaining   healthy   dietary

 

3          practices,  the  Secretary  may require,  by regulation,

 

4          disclosure of such nutrient  in  the  written  form re-

 

5          quired under subclause (ii)(III).

 

6                 ‘‘(vii) NONAPPLICABILITY  TO  CERTAIN FOOD.—

 

7                         ‘‘(I) IN  GENERAL.—Subclauses (i) through

 

8                 (vi) do not apply to—

 

9                                ‘‘(aa) items  that  are  not  listed  on  a

 

10                        menu or menu board (such as condiments

 

11                        and  other  items  placed  on  the  table  or

 

12                         counter for general use);

 

13                                ‘‘(bb) daily specials, temporary  menu

 

14                        items appearing on the menu for less than

 

15                        60  days per  calendar  year,  or custom or-

 

16                         ders; or

 

17                                ‘‘(cc) such other  food that  is part  of

 

18                        a customary market  test  appearing  on the

 

19                        menu for less than  90  days, under  terms

 

20                        and    conditions  established   by  the    Sec-

 

21                         retary.

 

22                        ‘‘(II)     WRITTEN       FORMS.—Subparagraph

 

23                 (5)(C)  shall  apply  to  any  regulations  promul-

 

24                 gated under subclauses (ii)(III)  and (vi).

 

25                 ‘‘(viii) VENDING  MACHINES.—


 

1                         ‘‘(I) IN  GENERAL.—In the case of an arti-

 

2                 cle of food sold from a vending machine that—

 

3                                ‘‘(aa)  does  not  permit  a  prospective

 

4                         purchaser  to examine the  Nutrition  Facts

 

5                         Panel before purchasing the article or does

 

6                         not  otherwise provide visible nutrition  in-

 

7                         formation at the point of purchase; and

 

8                                ‘‘(bb) is operated  by a person who is

 

9                         engaged in the business of owning or oper-

 

10                         ating 20 or more vending machines,

 

11                 the  vending machine  operator  shall  provide a

 

12                 sign in close proximity to each article of food or

 

13                 the  selection button  that  includes a  clear  and

 

14                 conspicuous statement  disclosing the number of

 

15                 calories contained in the article.

 

16                 ‘‘(ix) VOLUNTARY  PROVISION OF  NUTRITION IN-

 

17          FORMATION.—

 

18                        ‘‘(I) IN   GENERAL.—An   authorized  official

 

19                 of any  restaurant or  similar  retail  food estab-

 

20                 lishment or vending machine operator  not sub-

 

21                 ject to the requirements of this clause may elect

 

22                 to   be   subject   to    the   requirements   of   such

 

23                 clause, by registering  biannually the  name and

 

24                 address of such restaurant or similar retail food

 

25                 establishment or vending machine operator with


 

1                 the  Secretary,  as specified by the  Secretary  by

 

2                 regulation.

 

3                         ‘‘(II) REGISTRATION.—Within 120 days of

 

4                 enactment  of  this  clause,  the  Secretary  shall

 

5                 publish a notice in the  Federal  Register  speci-

 

6                 fying the terms and conditions for implementa-

 

7                 tion of item (I),  pending promulgation of regu-

 

8                 lations.

 

9                         ‘‘(III) RULE  OF  CONSTRUCTION.—Nothing

 

10                 in this subclause shall be construed to authorize

 

11                 the Secretary  to require an application, review,

 

12                 or  licensing process  for  any  entity  to  register

 

13                 with the  Secretary,  as  described in such item.

 

14                 ‘‘(x) REGULATIONS.—

 

15                        ‘‘(I)  PROPOSED    REGULATION.—Not  later

 

16                 than  1 year after  the date of enactment  of this

 

17                 clause, the Secretary shall promulgate proposed

 

18                 regulations to carry out this clause.

 

19                        ‘‘(II) CONTENTS.—In promulgating regula-

 

20                 tions, the Secretary shall—

 

21                                ‘‘(aa) consider standardization  of rec-

 

22                        ipes  and  methods  of preparation,  reason-

 

23                        able variation in serving size and formula-

 

24                        tion  of menu  items,  space on menus  and

 

25                        menu   boards,   inadvertent   human   error,


 

1                         training  of food service workers, variations

 

2                         in  ingredients,  and  other  factors,  as  the

 

3                         Secretary determines; and

 

4                                ‘‘(bb) specify the  format  and  manner

 

5                         of the  nutrient  content  disclosure require-

 

6                         ments under this subclause.

 

7                         ‘‘(III)   REPORTING.—The  Secretary   shall

 

8                 submit to the Committee on Health,  Education,

 

9                 Labor,  and  Pensions  of  the  Senate  and  the

 

10                 Committee  on  Energy  and  Commerce of  the

 

11                 House  of  Representatives   a  quarterly   report

 

12                 that  describes the  Secretary’s  progress  toward

 

13                 promulgating  final  regulations  under  this  sub-

 

14                 paragraph.

 

15                 ‘‘(xi) DEFINITION.—In  this  clause,  the  term

 

16          ‘menu’ or ‘menu board’ means the  primary  writing

 

17          of the  restaurant or other  similar retail  food estab-

 

18          lishment from which a consumer makes an order se-

 

19          lection.’’

 

20          (c) NATIONAL  UNIFORMITY.—Section 403A(a)(4)  of

 

21  the  Federal  Food,  Drug,  and  Cosmetic Act (21  U.S.C.

 

22  343-1(a)(4))  is  amended  by striking  ‘‘except a  require-

 

23  ment for nutrition  labeling of food which is exempt under

 

24  subclause (i) or (ii) of section 403(q)(5)(A)’’ and inserting

 

25  ‘‘except that  this  paragraph  does not apply to food that


 

1  is offered for sale in a  restaurant or similar retail  food

 

2  establishment that  is not part  of a chain with 20 or more

 

3  locations doing business under the same name (regardless

 

4  of the type of ownership of the locations) and offering for

 

5  sale substantially  the  same menu items unless such res-

 

6  taurant or similar retail food establishment complies with

 

7  the  voluntary provision of nutrition  information  require-

 

8  ments under section 403(q)(5)(H)(ix)’’.

 

9          (d)    RULE      OF     CONSTRUCTION.—Nothing      in    the

 

10  amendments made by this section shall be construed—

 

11                 (1)  to preempt  any provision of State  or local

 

12          law, unless  such  provision establishes  or  continues

 

13          into  effect nutrient  content  disclosures of the  type

 

14          required  under  section 403(q)(5)(H)  of the  Federal

 

15          Food,  Drug,  and  Cosmetic Act (as  added  by sub-

 

16          section (b))  and  is expressly preempted  under  sub-

 

17          section (a)(4) of such section;

 

18                 (2)  to apply to any State  or local requirement

 

19          respecting  a  statement  in the  labeling of food that

 

20          provides for a warning concerning the safety of the

 

21          food or component of the food; or

 

22                 (3)       except     as       provided     in       section

 

23          403(q)(5)(H)(ix)   of  the  Federal  Food,  Drug,  and

 

24          Cosmetic Act (as added by subsection (b)), to apply

 

25          to  any  restaurant  or  similar  retail  food establish-


 

1          ment  other  than  a restaurant or similar retail  food

 

2          establishment described in section 403(q)(5)(H)(i) of

 

3          such Act.

Sec.4207 - Breast Feeding Alowance

See the entire law

4  SEC.  4207. REASONABLE BREAK TIME  FOR  NURSING MOTH-

 

5                       ERS.

 

6          Section 7 of the Fair  Labor Standards  Act of 1938

 

7  (29 U.S.C. 207) is amended by adding at the end the fol-

 

8  lowing:

 

9          ‘‘(r)(1) An employer shall provide—

 

10                 ‘‘(A) a  reasonable break  time for an  employee

 

11          to  express breast  milk for  her  nursing  child for  1

 

12          year after  the child’s birth  each time such employee

 

13          has need to express the milk; and

 

14                 ‘‘(B) a  place, other  than  a  bathroom,  that  is

 

15          shielded from view and free from intrusion  from co-

 

16          workers and  the  public, which may be used  by an

 

17          employee to express breast milk.

 

18          ‘‘(2) An employer shall not be required to compensate

 

19  an employee receiving reasonable break time under para-

 

20  graph (1) for any work time spent for such purpose.

 

21          ‘‘(3) An employer that  employs less than 50 employ-

 

22  ees shall not be subject to the requirements  of this  sub-

 

23  section, if such requirements would impose an undue hard-

 

24  ship by causing the employer significant difficulty or ex-

 

1  pense when considered in relation to the size, financial re-

 

2  sources, nature,  or structure  of the  employer’s business.

 

3          ‘‘(4) Nothing in this subsection shall preempt a State

 

4  law that  provides greater  protections  to  employees than

 

5  the protections provided for under this subsection.’’.

Sec.1512 - Employee Notification

See the entire law

7  SEC.  1512. EMPLOYER REQUIREMENT TO INFORM EMPLOY-

 

8                       EES  OF COVERAGE OPTIONS.

 

9          The Fair  Labor Standards  Act of 1938 is amended

 

10  by inserting after section 18A (as added by section 1513)

 

11  the following:

 

12  ‘‘SEC. 18B.  NOTICE TO EMPLOYEES.

 

13          ‘‘(a) IN   GENERAL.—In accordance with regulations

 

14  promulgated by the Secretary,  an employer to which this

 

15  Act applies, shall provide to  each employee at  the  time

 

16  of hiring (or with respect to current  employees, not later

 

17  than March 1, 2013), written notice—

 

18                 ‘‘(1) informing the employee of the existence of

 

19          an Exchange, including a description of the services

 

20          provided  by  such  Exchange,  and  the  manner   in

 

21          which the employee may contact the Exchange to re-

 

22          quest assistance;

 

23                 ‘‘(2) if the employer plan’s share of the total al-

 

24          lowed costs  of benefits  provided under  the  plan  is

 

25          less than 60 percent of such costs, that  the employee


 

1          may be eligible for a premium tax credit under  sec-

 

2          tion 36B of the Internal  Revenue Code of 1986 and

 

3          a cost sharing  reduction under  section 1402  of the

 

4          Patient   Protection  and  Affordable Care  Act if  the

 

5          employee purchases  a qualified health  plan through

 

6          the Exchange; and

 

7                 ‘‘(3)   if   the    employee  purchases   a    qualified

 

8          health plan through the Exchange, the employee will

 

9          lose the employer contribution (if any) to any health

 

10          benefits plan offered by the employer and that  all or

 

11          a  portion  of  such  contribution  may  be  excludable

 

12          from income for Federal income tax purposes.

 

13          ‘‘(b) EFFECTIVE  DATE.—Subsection  (a)  shall  take

 

14  effect with respect to employers in a State  beginning on

 

15  March 1, 2013.’’.