BILL ANALYSIS                                                                                                                                                                                                    �




                     SENATE GOVERNANCE & FINANCE COMMITTEE
                            Senator Lois Wolk, Chair
          

          BILL NO:  AB 36                       HEARING:  3/16/11
          AUTHOR:  Perea                        FISCAL:  Yes
          VERSION:  2/18/11                     TAX LEVY:  Yes
          CONSULTANT:  Faulkner                 

                         FEDERAL HEALTH CARE CONFORMITY
          
          Conforms to federal law that allows an income exclusion or 
          deduction from gross income for children under 27 years 
          old.  


                           Background and Existing Law

           President Obama's health care reform legislation, the 
          Patient Protection and Affordable Care Act (H.R. 3590), was 
          enacted March 23, 2010 and amended by the Health Care and 
          Education Reconciliation Act of 2010 (H.R. 4872) enacted 
          March 30, 2010.  According to White House press documents, 
          the legislation was the vehicle to make health care more 
          affordable, health insurers more accountable, expand health 
          coverage to all Americans, and sustain the health system, 
          thereby stabilizing family budgets, the Federal budget, and 
          the economy.  The legislation was partially effective in 
          2010 and implementation continues beyond 2014.  

          In 2010, group health plans and health insurance issuers 
          that offer group or individual health insurance coverage, 
          and that provide dependent coverage of children, are 
          required to continue to make such coverage available for an 
          adult child (who is not married) until the child turns 26 
          years of age.   The extended coverage must be provided no 
          later than September 23, 2010.  In conjunction with this 
          requirement, the federal legislation also gives favorable 
          tax treatment to coverage for adult children.  
          Specifically, IRC section 105(b) extends the general 
          exclusion for reimbursements for medical care expenses 
          under an employer-provided accident or health plan to any 
          child of an employee under age 27.  The new federal law 
          also intended to apply to the exclusion of 
          employer-provided coverage under an accident or health plan 
          for injuries or sickness for such a child.   (See Comment 
          3)





          AB 36 -- 2/18/11 -- Page 2



          Federal law generally provides that employees do not pay 
          taxes on the value of employer-provided health coverage 
          under an accident or health plan (IRC section 106). This 
          exclusion applies to coverage for personal injuries or 
          sickness for employees (including retirees), their spouses 
          and their dependents. In addition, any reimbursements under 
          an accident or health plan for medical care expenses for 
          employees (including retirees), their spouses and their 
          dependents under age 27, are generally excluded from gross 
          income (IRC section 105(b)). Federal law defines 
          "dependent" as a qualifying child or a qualifying relative.
          The Voluntary Employees' Beneficiary Associations (VEBA) 
          and qualified retiree health plan/401(h) accounts were also 
          changed to reflect the new age requirement.  Self-employed 
          individuals are allowed a deduction for reimbursements for 
          medical care expenses for a child under 27. 

          Coverage and reimbursements under an employer-provided 
          accident and health plan for employees generally and their 
          dependents, including children under age 27,  are excluded 
          from wages for Federal Insurance Contributions Act (FICA) 
          and Federal Unemployment Tax Act (FUTA) tax purposes.


                                   Proposed Law  

          This bill conforms to the federal changes in the law for 
          dependents under age 27.  Specifically, this bill conforms 
          to the federal age requirement for employer-provided health 
          coverage and reimbursements for medical care expenses under 
          an employer-provided accident or health plan, deductible 
          self-employed medical insurance costs, and VEBAs.  AB 36 
          also conforms to the federal change under the unemployment 
          insurance law.  The California exclusions apply in the same 
          manner and to the same periods as the exclusion applies for 
          federal purposes to payments made on or after March 30, 
          2010.  For purposes of a qualified retiree health plan, 
          California automatically conforms to the new federal 
          provisions.  


                               State Revenue Impact
           
          The Franchise Tax Board (FTB) estimates this bill will 
          result in revenue losses of $4.8 million in fiscal year 
          (FY) 2010-11, $38 million in FY 2011-12, $35 million in FY 





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          2012-13, $40 million in FY 2013-14, and $44 million in FY 
          2014-15.  (See Comment 5)


                                     Comments  

          1.   Purpose of the Bill   The author states, "With an 
          estimated 1.2 million young adults between the ages of 
          19-25 uninsured, many young adults find themselves without 
          medical coverage.  By conforming California's tax laws to 
          federal standards, the state creates an affordable health 
          insurance option for the large pool of uninsured young 
          adults in California.  Although SB 1088 allows parents to 
          add their adult child to their health care plan, the cost 
          of non-conformity may become a tax burden some families may 
          not be able to afford.  By conforming California's tax laws 
          to federal standards, the state ensures many more young 
          adults are insured and their parents are not burdened by 
          additional taxes as a result."



          2.   Conformity.   California does not automatically conform 
          to changes in federal law.  Instead, state legislation is 
          needed to conform to most of those changes.  Conformity 
          legislation is introduced either as individual tax bills to 
          conform to specific federal changes or as one omnibus bill 
          to conform to the federal law as of a certain date with 
          specified exceptions.  State tax law did not conform to 
          changes made in federal law after 2005 until last year, 
          when the Legislature enacted a bill conforming to changes 
          through January 1, 2009 (SB 401, Wolk).  Conformity is 
          difficult despite its advantages and reduced tax compliance 
          costs, because the state may disagree with Congress's tax 
          policy changes, and conforming can also significantly 
          impact state revenues. 

          AB 1178 (Portantino) was introduced in the 2009/2010 
          session and contained numerous federal health care 
          conformity provisions, including similar provisions of AB 
          36.  AB 1178 was held in Senate Appropriations.   SB 1088 
          (Price), Chapter 660, Statutes of 2010, conformed to 
          federal changes requiring specified group plans that 
          provide dependent coverage to provide health care coverage 
          for a dependent child up to the age of 26.  SB 1088 only 
          addressed the health code changes, not any of the tax 





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          provisions.  

          3.   IRS Notice 2010-38.   Prior to the health care reform 
          legislation, the exclusion for employer-provided coverage 
          under IRC section 106 paralleled the exclusion for 
          reimbursements under IRC section 105(b).  However, the 
          legislation amended section 105(b) only.  The IRS states in 
          Notice 2010-38 that Congress did not intend to provide a 
          broader exclusion in section 105(b) than in section 106.  
          Accordingly, the IRS and Treasury intend to amend the 
          regulations under section 106 retroactive to March 30, 
          2010.  

          4.  Compliance Burden.   An employer has the burden of 
          determining the amount to withhold from an individual's 
          wages.  Because California has not conformed to the federal 
          health care tax provisions, the employer has the task of 
          dealing with different withholding requirements for federal 
          and state purposes.  Currently, employers are individually 
          determining the fair market value of employer-provided 
          medical coverage for an adult child that exceeds the amount 
          an employee would otherwise pay for family coverage.  The 
          task of reporting employee income has become more 
          complicated, time-consuming, and financially burdensome.

          California has always conformed to health care exclusions.  
           Conformity eliminates confusion and simplifies the tax 
          process for employers, taxpayers and taxing authorities.  

          5.   Estimated Revenue Loss  .  The current FTB estimate could 
          over or understate the revenue impact if the state taxes 
          these benefits.  For example, the revenue estimate provided 
          by FTB for these provisions in AB 1178 was considerably 
          less; it was $92 million over a five year period compared 
          to the current estimate of $161.80 million over the same 
          period.  The difference is attributed to better data 
          available now than in mid-2010.  Since this benefit has 
          never been taxed, FTB notes in its methodology that it is 
          difficult to estimate.  FTB only taxes a percentage of the 
          federal amounts.  California has always conformed to health 
          care exclusions so there is no empirical data to derive a 
          more accurate revenue estimate.  
               

                                 Assembly Actions  






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          Assembly Revenue and Taxation   9-0
          Assembly Appropriations   15-0
          Assembly Floor   74-0

                        Support and Opposition  (03/07/11)

           Support  :  Association of California Life and Health 
          Insurance Companies; State Building and Construction Trade 
          Council; California State Association of Electrical 
          Workers; California Coalition of Utility Employees; 
          California State Pipe Trades Council; Western States 
          Council of Sheet Metal Workers; Elevator Constructors 
          Union; Kern County Board of Supervisors; California 
          Hospital Association; California School Employees 
          Association AFL-CIO; California Labor Federation; Livermore 
          Valley Joint Unified School District; California 
          Association of Psychiatric Technicians; California State 
          Employees Association; California Medical Association; 
          California Association of School Business Officials; 
          National Federation of Independent Business; Placer County 
          Board of Supervisors; Merced County Board of Supervisors; 
          Butte County Board of Supervisors; California Taxpayers 
          Association; Spidell Publishing, Inc.; Professional 
          Engineers in California Government; California Association 
          of Professional Scientists; California Association of 
          Health Plans; Simi Valley Chamber of Commerce; The 
          California Chamber of Commerce; American Federation of 
          State, County, and Municipal Employees (AFSCME), AFL-CIO; 
          The California Association of Joint Powers Authorities.

           Opposition  :  Unknown.