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CRS – Individual Mandate and Related Information Requirements under ACA

Individual Mandate and Related Information Requirements under ACA, Janemarie Mulvey, Specialist in Health Care Financing – Hinda Chaikind, Section Research Manager, July 2, 2012

  • “On June 28, 2012, the United States Supreme Court issued its decision in National Federation of Independent Business v. Sebelius, finding that the individual mandate in § 5000A of the Internal Revenue Code (as added by § 1501 of the Patient Protection and Affordable Care Act (ACA)), is a constitutional exercise of Congress’’s authority to levy taxes. However, the Court held that it was not a valid exercise of Congress’’s power under the Commerce Clause or the Necessary and Proper Clause. This report describes the individual mandate under Section 1501 and Section 10106 of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148), as amended by Section 1002 of the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Hereinafter, ““ACA”” will refer to ACA as amended by the reconciliation act and other laws. In addition, ACA includes several reporting requirements designed, in part, to assist individuals in providing evidence of having met the mandate, as well as other related information about their health insurance. These requirements are also described in this report.”
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