AB 1831,
as amended, Conway. begin deletePersonal end deletebegin insertCalifornia Health Insurance Fairness Act: personal end insertincome tax: deduction: medical insurance.
The Personal Income Tax Law provides for various deductions in computing the income that is subject to the taxes imposed by that law includingbegin insert in modified conformity with federal tax law,end insert a deduction for that portion of medical expenses that is more thanbegin delete 10%, or for certain taxpayersend delete 7.5%begin delete,end delete of adjusted gross income. Self-employed individuals may deduct health insurance premiums for medical expenses incurred by the taxpayer in lieu of the itemized deduction for medical expenses.
This bill, for taxable years beginning on or after January 1, 2014, would
allow a deduction from gross income under the Personal Income Tax Law for the amounts paid or incurred by a taxpayer during the taxable year for medical insurance for medical care, as defined, and for transportation for and essential to that medical care, as provided. The bill would not allow as an itemizedbegin delete deduction, andend deletebegin insert
deduction, anend insert
amount allowed as a deduction from gross income as provided in the bill.
This bill would take effect immediately as a tax levy.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
begin insertThis act shall be known, and may be cited, as the
2California Health Insurance Fairness Act.end insert
begin insertThe Legislature finds and declares all of the following:end insert
begin insert
4(a) In 2010, Congress passed the Affordable Care Act,
5commonly known as “Obamacare,” which mandates that
6individuals obtain health insurance. This mandate is known as the
7individual mandate.
8(b) Under Obamacare, all
Californians are forced to obtain
9health insurance by March of 2014.
10(c) Under both federal and state tax laws, employer-paid
11insurance benefits are excluded from taxation and paid for with
12pretaxable income.
13(d) According to the Kaiser Family Foundation, four million
14Californians do not get their health insurance paid for by their
15employers and, in order to meet the federal mandate, they will
16have to obtain health insurance or face a penalty imposed by the
17IRS of up to 1 percent of their 2014 income, 2 percent of their 2015
18income, and 2.5 percent of their 2016 income. Tax penalties for
19uninsured children are one-half of the penalty for an adult.
20(e) Individuals and families with an income in 2014 that is
21between 138 percent and 400 percent of the poverty level will be
22able to purchase health insurance through Covered California
23and will receive a tax subsidy to offset all or part of the health
24insurance premium. If the individual’s or family’s income is less
25than these percentages, that individual or family may qualify for
26Medi-Cal.
27(f) The Kaiser Family Foundation estimates that 52 percent of
28Americans who buy individual insurance today would not be
29eligible for subsidies to help offset the cost of health care. The 48
30percent that do receive subsidies would receive an average of
31$5,548 per year, which would only cover 66 percent of the cost.
32Most individuals will face higher premiums and higher taxes to
33pay for those
subsidies that others will receive.
34(g) Around 1.2 million Californians do not receive
35employer-paid health insurance and are not eligible for Medi-Cal
36or other taxpayer paid insurance programs and must purchase
37their health insurance directly from an insurer. Individuals and
38families must buy their health insurance with after-tax dollars if
P3 1they are ineligible for a subsidy or the subsidy does not cover the
2full cost of the insurance, making their health insurance more
3expensive.
4(h) Under existing California law, a taxpayer is able to deduct
5medical expenses, including the cost of purchasing health
6insurance, that exceed 7.5 percent of their adjusted gross income.
7
Any medical expense below 7.5 percent of their income is not tax
8deductible. Only taxpayers that itemize their deductions can take
9the deduction. Because that threshold is so high, many taxpayers
10do not get any tax benefit, thus making the cost of their insurance
11more expensive.
12(i) Bringing the threshold from 7.5 percent down to 0 percent
13will level the playing field between those who receive insurance
14from an employer and those purchasing it in the individual market.
15It would also reduce the number of uninsured and, accordingly,
16would reduce the costs associated with providing health care to
17the uninsured.
Section 17072 of the Revenue and Taxation Code is
20amended to read:
(a) Section 62 of the Internal Revenue Code, relating
22to adjusted gross income defined, shall apply, except as otherwise
23provided.
24(b) Section 62(a)(2)(D) of the Internal Revenue Code, relating
25to certain expenses of elementary and secondary school teachers,
26shall not apply.
27(c) Section 62(a)(21) of the Internal Revenue Code, relating to
28attorneys fees relating to awards to whistleblowers, shall not apply.
29(d) Section 62(a) of the Internal Revenue Code is modified to
30additionally provide that the amount allowed as a deduction under
31Section 213(d)(1)(D) of the Internal
Revenue Code shall be allowed
32as a deduction for purposes of computing adjusted gross income,
33except as otherwise provided.
34(1) For purposes of this subdivision, Section 213(d)(1)(D) of
35the Internal Revenue Code is modified to provide that the phrases
36“(including amounts paid as premiums under part B of title XVIII
37of the Social Security Act, relating to supplementary medical
38insurance for the aged)” and “or for any qualified long-term care
39insurance contract (as defined in section 7702B(b))” shall not
40apply.
P4 1(2) Any amount allowed as a deduction under this subdivision
2shall not be allowed as an itemized deduction under Section 63 of
3the Internal Revenue Code, relating to taxable income defined, as
4applicable, for purposes of this part.
5(3) This subdivision shall apply to taxable years beginning on
6or after January 1, 2014.
This act provides for a tax levy within the meaning of
9Article IV of the Constitution and shall go into immediate effect.
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