Browse Arkansas Code titles and sections
26 U.S.C. § 36B — Refundable credit for coverage under a
Federal law — U.S. Code and appendices · legal_authorities
Page 161
TITLE 26—INTERNAL REVENUE CODE
§ 36B
1 So in original. Probably should be preceded by ‘‘section’’.
[amending this section] shall apply to residences pur-
chased after June 30, 2010.’’
EFFECTIVE DATE OF 2009 AMENDMENT
Pub. L. 111–92, § 11(j)(1)–(3), Nov. 6, 2009, 123 Stat. 2991,
provided that:
‘‘(1) IN
GENERAL.—The amendments made by sub-
sections (b), (c), (d), and (g) [amending this section]
shall apply to residences purchased after the date of
the enactment of this Act [Nov. 6, 2009].
‘‘(2) EXTENSIONS.—The amendments made by sub-
sections (a) [amending this section], (f) [amending this
section], and (i) [amending section 1400C of this title]
shall apply to residences purchased after November 30,
2009.
‘‘(3) WAIVER OF RECAPTURE.—The amendment made by
subsection (e) [amending this section] shall apply to
dispositions and cessations after December 31, 2008.’’
Pub. L. 111–92, § 12(e), Nov. 6, 2009, 123 Stat. 2992, pro-
vided that:
‘‘(1) IN
GENERAL.—Except as otherwise provided in
this subsection, the amendments made by this section
[amending this section and section 6213 of this title]
shall apply to purchases after the date of the enact-
ment of this Act [Nov. 6, 2009].
‘‘(2) DOCUMENTATION REQUIREMENT.—The amendments
made by subsection (b) [amending this section] shall
apply to returns for taxable years ending after the date
of the enactment of this Act [Nov. 6, 2009].
‘‘(3) TREATMENT AS MATHEMATICAL AND CLERICAL ER-
RORS.—The
amendments
made
by
subsection
(d)
[amending section 6213 of this title] shall apply to re-
turns for taxable years ending on or after April 9, 2008.’’
Pub. L. 111–5, div. B, title I, § 1006(f), Feb. 17, 2009, 123
Stat. 317, provided that: ‘‘The amendments made by
this section [amending this section and sectio
Source: Supplied 2024 U.S. Code historical extraction · 26 U.S.C. § 36B
Stored review status: historical_2024_not_currentness_verified. A text match is a research starting point; applicability is not established.
Original supplied file — preserved unchanged
Download original Markdown file
File SHA-256: 94ab19270b08e0d6796fa7f8e6c0da090bb599ef43090a9eaf6e39e03f835071. The original may include catalog metadata, neighboring provisions, or embedded records outside this collection's scope. Search shows only the selected federal record. Historical editions and unverified snapshots are not a statement of current law.
Authority boundary: historical or unconfirmed source not current law verified.
Open the recorded source website ↗
Record provenance
Stable record: federal_law:legal_authorities:usc2024-ce0e09c44dc0b51848e38194
Source file: Laws/federal/codes/united-states-code-2024/title-26/section-36b-refundable-credit-for-coverage-under-a--387119f9e9.md
Pages: Not recorded – Not recorded
Passage SHA-256: a889b4d606d2d0be8f9df7964c18786415379413367ca75d943f346d6f6f33ba
Source location: USCODE-2024-title26-subtitleA-chap1-subchapA-partIV-subpartC-sec36B.pdf
Stored source content
Page 161
TITLE 26—INTERNAL REVENUE CODE
§ 36B
1 So in original. Probably should be preceded by ‘‘section’’.
[amending this section] shall apply to residences pur-
chased after June 30, 2010.’’
EFFECTIVE DATE OF 2009 AMENDMENT
Pub. L. 111–92, § 11(j)(1)–(3), Nov. 6, 2009, 123 Stat. 2991,
provided that:
‘‘(1) IN
GENERAL.—The amendments made by sub-
sections (b), (c), (d), and (g) [amending this section]
shall apply to residences purchased after the date of
the enactment of this Act [Nov. 6, 2009].
‘‘(2) EXTENSIONS.—The amendments made by sub-
sections (a) [amending this section], (f) [amending this
section], and (i) [amending section 1400C of this title]
shall apply to residences purchased after November 30,
2009.
‘‘(3) WAIVER OF RECAPTURE.—The amendment made by
subsection (e) [amending this section] shall apply to
dispositions and cessations after December 31, 2008.’’
Pub. L. 111–92, § 12(e), Nov. 6, 2009, 123 Stat. 2992, pro-
vided that:
‘‘(1) IN
GENERAL.—Except as otherwise provided in
this subsection, the amendments made by this section
[amending this section and section 6213 of this title]
shall apply to purchases after the date of the enact-
ment of this Act [Nov. 6, 2009].
‘‘(2) DOCUMENTATION REQUIREMENT.—The amendments
made by subsection (b) [amending this section] shall
apply to returns for taxable years ending after the date
of the enactment of this Act [Nov. 6, 2009].
‘‘(3) TREATMENT AS MATHEMATICAL AND CLERICAL ER-
RORS.—The
amendments
made
by
subsection
(d)
[amending section 6213 of this title] shall apply to re-
turns for taxable years ending on or after April 9, 2008.’’
Pub. L. 111–5, div. B, title I, § 1006(f), Feb. 17, 2009, 123
Stat. 317, provided that: ‘‘The amendments made by
this section [amending this section and section 1400C of
this title] shall apply to residences purchased after De-
cember 31, 2008.’’
EFFECTIVE DATE
Section applicable to residences purchased on or after
Apr. 9, 2008, in taxable years ending on or after such
date, see section 3011(c) of Pub. L. 110–289, set out as an
Effective Date of 2008 Amendment note under section 26
of this title.
[§ 36A. Repealed. Pub. L. 113–295, div. A, title II,
§ 221(a)(5)(A), Dec. 19, 2014, 128 Stat. 4037]
Section, added Pub. L. 111–5, div. B, title I, § 1001(a),
Feb. 17, 2009, 123 Stat. 309, related to making work pay
credit.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF REPEAL
Repeal effective Dec. 19, 2014, subject to a savings
provision, see section 221(b) of Pub. L. 113–295, set out
as an Effective Date of 2014 Amendment note under sec-
tion 1 of this title.
TREATMENT OF POSSESSIONS
Pub. L. 111–5, div. B, title I, § 1001(b), Feb. 17, 2009, 123
Stat. 310, with respect to taxable years beginning in
2009 and 2010, required the Secretary of the Treasury to
pay each possession of the United States with a mirror
code tax system amounts equal to the loss to that pos-
session by reason of the making work pay credit and to
pay certain possessions without a mirror code tax sys-
tem amounts estimated as being equal to aggregate
benefits that would have been provided to its residents,
and provided that, for purposes of section 1324(b)(2) of
Title 31, Money and Finance, such payments to posses-
sions would be treated in the same manner as a refund
due from the credit formerly allowed under this sec-
tion.
§ 36B. Refundable credit for coverage under a
qualified health plan
(a) In general
In the case of an applicable taxpayer, there
shall be allowed as a credit against the tax im-
posed by this subtitle for any taxable year an
amount equal to the premium assistance credit
amount of the taxpayer for the taxable year.
(b) Premium assistance credit amount
For purposes of this section—
(1) In general
The
term
‘‘premium
assistance
credit
amount’’ means, with respect to any taxable
year, the sum of the premium assistance
amounts determined under paragraph (2) with
respect to all coverage months of the taxpayer
occurring during the taxable year.
(2) Premium assistance amount
The premium assistance amount determined
under this subsection with respect to any cov-
erage month is the amount equal to the lesser
of—
(A) the monthly premiums for such month
for 1 or more qualified health plans offered
in the individual market within a State
which cover the taxpayer, the taxpayer’s
spouse, or any dependent (as defined in sec-
tion 152) of the taxpayer and which were en-
rolled in through an Exchange established
by the State under 1311 1 of the Patient Pro-
tection and Affordable Care Act, or
(B) the excess (if any) of—
(i) the adjusted monthly premium for
such month for the applicable second low-
est cost silver plan with respect to the tax-
payer, over
(ii) an amount equal to 1/12 of the prod-
uct of the applicable percentage and the
taxpayer’s household income for the tax-
able year.
(3) Other terms and rules relating to premium
assistance amounts
For purposes of paragraph (2)—
(A) Applicable percentage
(i) In general
Except as provided in clause (ii), the ap-
plicable percentage for any taxable year
shall be the percentage such that the ap-
plicable
percentage
for
any
taxpayer
whose household income is within an in-
come tier specified in the following table
shall increase, on a sliding scale in a linear
manner, from the initial premium percent-
age to the final premium percentage speci-
fied in such table for such income tier:
In the case of house-
hold income (ex-
pressed as a percent
of poverty line) with-
in the following in-
come tier:
The initial
premium per-
centage is—
The final pre-
mium per-
centage is—
Up to 133%
2.0%
2.0%
133% up to 150%
3.0%
4.0%
150% up to 200%
4.0%
6.3%
200% up to 250%
6.3%
8.05%
Page 162
TITLE 26—INTERNAL REVENUE CODE
§ 36B
2 See References in Text note below.
In the case of house-
hold income (ex-
pressed as a percent
of poverty line) with-
in the following in-
come tier:
The initial
premium per-
centage is—
The final pre-
mium per-
centage is—
250% up to 300%
8.05%
9.5%
300% up to 400%
9.5%
9.5%.
(ii) Indexing
(I) In general
Subject to subclause (II), in the case of
taxable years beginning in any calendar
year after 2014, the initial and final ap-
plicable percentages under clause (i) (as
in effect for the preceding calendar year
after application of this clause) shall be
adjusted to reflect the excess of the rate
of premium growth for the preceding cal-
endar year over the rate of income
growth for the preceding calendar year.
(II) Additional adjustment
Except as provided in subclause (III),
in the case of any calendar year after
2018, the percentages described in sub-
clause (I) shall, in addition to the adjust-
ment under subclause (I), be adjusted to
reflect the excess (if any) of the rate of
premium growth estimated under sub-
clause (I) for the preceding calendar year
over the rate of growth in the consumer
price index for the preceding calendar
year.
(III) Failsafe
Subclause (II) shall apply for any cal-
endar year only if the aggregate amount
of premium tax credits under this sec-
tion and cost-sharing reductions under
section 1402 of the Patient Protection
and Affordable Care Act for the pre-
ceding calendar year exceeds an amount
equal to 0.504 percent of the gross domes-
tic product for the preceding calendar
year.
(iii)
Temporary
percentages
for
2021
through 2025
In the case of a taxable year beginning
after December 31, 2020, and before Janu-
ary 1, 2026—
(I) clause (ii) shall not apply for pur-
poses of adjusting premium percentages
under this subparagraph, and
(II) the following table shall be applied
in lieu of the table contained in clause
(i):
In the case of house-
hold income (ex-
pressed as a percent
of poverty line) with-
in the following in-
come tier:
The initial
premium per-
centage is—
The final pre-
mium per-
centage is—
Up to 150.0 percent
0.0
0.0
150.0 percent up to
200.0 percent
0.0
2.0
200.0 percent up to
250.0 percent
2.0
4.0
250.0 percent up to
300.0 percent
4.0
6.0
300.0 percent up to
400.0 percent
6.0
8.5
In the case of house-
hold income (ex-
pressed as a percent
of poverty line) with-
in the following in-
come tier:
The initial
premium per-
centage is—
The final pre-
mium per-
centage is—
400.0 percent and
higher
8.5
8.5
(B) Applicable second lowest cost silver plan
The applicable second lowest cost silver
plan with respect to any applicable taxpayer
is the second lowest cost silver plan of the
individual market in the rating area in
which the taxpayer resides which—
(i) is offered through the same Exchange
through which the qualified health plans
taken into account under paragraph (2)(A)
were offered, and
(ii) provides—
(I) self-only coverage in the case of an
applicable taxpayer—
(aa) whose tax for the taxable year is
determined under section 1(c) 2 (relat-
ing to unmarried individuals other
than surviving spouses and heads of
households) and who is not allowed a
deduction under section 151 for the tax-
able year with respect to a dependent,
or
(bb) who is not described in item (aa)
but who purchases only self-only cov-
erage, and
(II) family coverage in the case of any
other applicable taxpayer.
If a taxpayer files a joint return and no cred-
it is allowed under this section with respect
to 1 of the spouses by reason of subsection
(e), the taxpayer shall be treated as de-
scribed in clause (ii)(I) unless a deduction is
allowed under section 151 for the taxable
year with respect to a dependent other than
either spouse and subsection (e) does not
apply to the dependent.
(C) Adjusted monthly premium
The adjusted monthly premium for an ap-
plicable second lowest cost silver plan is the
monthly premium which would have been
charged (for the rating area with respect to
which the premiums under paragraph (2)(A)
were determined) for the plan if each indi-
vidual covered under a qualified health plan
taken into account under paragraph (2)(A)
were covered by such silver plan and the pre-
mium was adjusted only for the age of each
such individual in the manner allowed under
section 2701 of the Public Health Service
Act. In the case of a State participating in
the wellness discount demonstration project
under section 2705(d) of the Public Health
Service Act, the adjusted monthly premium
shall be determined without regard to any
premium discount or rebate under such
project.
(D) Additional benefits
If—
(i) a qualified health plan under section
1302(b)(5) of the Patient Protection and Af-
Page 163
TITLE 26—INTERNAL REVENUE CODE
§ 36B
fordable Care Act offers benefits in addi-
tion to the essential health benefits re-
quired to be provided by the plan, or
(ii) a State requires a qualified health
plan under section 1311(d)(3)(B) of such Act
to cover benefits in addition to the essen-
tial health benefits required to be provided
by the plan,
the portion of the premium for the plan
properly allocable (under rules prescribed by
the Secretary of Health and Human Serv-
ices) to such additional benefits shall not be
taken into account in determining either
the monthly premium or the adjusted
monthly premium under paragraph (2).
(E) Special rule for pediatric dental coverage
For purposes of determining the amount of
any monthly premium, if an individual en-
rolls in both a qualified health plan and a
plan described in section 1311(d)(2)(B)(ii)(I) 2
of the Patient Protection and Affordable
Care Act for any plan year, the portion of
the premium for the plan described in such
section that (under regulations prescribed
by the Secretary) is properly allocable to pe-
diatric dental benefits which are included in
the essential health benefits required to be
provided by a qualified health plan under
section 1302(b)(1)(J) of such Act shall be
treated as a premium payable for a qualified
health plan.
(c) Definition and rules relating to applicable
taxpayers, coverage months, and qualified
health plan
For purposes of this section—
(1) Applicable taxpayer
(A) In general
The term ‘‘applicable taxpayer’’ means,
with respect to any taxable year, a taxpayer
whose household income for the taxable year
equals or exceeds 100 percent but does not
exceed 400 percent of an amount equal to the
poverty line for a family of the size involved.
(B) Special rule for certain individuals law-
fully present in the United States
If—
(i) a taxpayer has a household income
which is not greater than 100 percent of an
amount equal to the poverty line for a
family of the size involved, and
(ii) the taxpayer is an alien lawfully
present in the United States, but is not eli-
gible for the medicaid program under title
XIX of the Social Security Act by reason
of such alien status,
the taxpayer shall, for purposes of the credit
under this section, be treated as an applica-
ble taxpayer with a household income which
is equal to 100 percent of the poverty line for
a family of the size involved.
(C) Married couples must file joint return
If the taxpayer is married (within the
meaning of section 7703) at the close of the
taxable year, the taxpayer shall be treated
as an applicable taxpayer only if the tax-
payer and the taxpayer’s spouse file a joint
return for the taxable year.
(D) Denial of credit to dependents
No credit shall be allowed under this sec-
tion to any individual with respect to whom
a deduction under section 151 is allowable to
another taxpayer for a taxable year begin-
ning in the calendar year in which such indi-
vidual’s taxable year begins.
(E) Temporary rule for 2021 through 2025
In the case of a taxable year beginning
after December 31, 2020, and before January
1, 2026, subparagraph (A) shall be applied
without regard to ‘‘but does not exceed 400
percent’’.
(2) Coverage month
For purposes of this subsection—
(A) In general
The term ‘‘coverage month’’ means, with
respect to an applicable taxpayer, any
month if—
(i) as of the first day of such month the
taxpayer, the taxpayer’s spouse, or any de-
pendent of the taxpayer is covered by a
qualified health plan described in sub-
section (b)(2)(A) that was enrolled in
through an Exchange established by the
State under section 1311 of the Patient
Protection and Affordable Care Act, and
(ii) the premium for coverage under such
plan for such month is paid by the tax-
payer (or through advance payment of the
credit under subsection (a) under section
1412 of the Patient Protection and Afford-
able Care Act).
(B) Exception for minimum essential cov-
erage
(i) In general
The term ‘‘coverage month’’ shall not in-
clude any month with respect to an indi-
vidual if for such month the individual is
eligible for minimum essential coverage
other than eligibility for coverage de-
scribed in section 5000A(f)(1)(C) (relating to
coverage in the individual market).
(ii) Minimum essential coverage
The term ‘‘minimum essential coverage’’
has the meaning given such term by sec-
tion 5000A(f).
(C) Special rule for employer-sponsored min-
imum essential coverage
For purposes of subparagraph (B)—
(i) Coverage must be affordable
Except as provided in clause (iii), an em-
ployee shall not be treated as eligible for
minimum essential coverage if such cov-
erage—
(I) consists of an eligible employer-
sponsored plan (as defined in section
5000A(f)(2)), and
(II) the employee’s required contribu-
tion (within the meaning of section
5000A(e)(1)(B)) with respect to the plan
exceeds 9.5 percent of the applicable tax-
payer’s household income.
This clause shall also apply to an indi-
vidual who is eligible to enroll in the plan
Page 164
TITLE 26—INTERNAL REVENUE CODE
§ 36B
by reason of a relationship the individual
bears to the employee.
(ii) Coverage must provide minimum value
Except as provided in clause (iii), an em-
ployee shall not be treated as eligible for
minimum essential coverage if such cov-
erage consists of an eligible employer-
sponsored plan (as defined in section
5000A(f)(2)) and the plan’s share of the
total allowed costs of benefits provided
under the plan is less than 60 percent of
such costs.
(iii) Employee or family must not be cov-
ered under employer plan
Clauses (i) and (ii) shall not apply if the
employee (or any individual described in
the last sentence of clause (i)) is covered
under the eligible employer-sponsored plan
or the grandfathered health plan.
(iv) Indexing
In the case of plan years beginning in
any calendar year after 2014, the Secretary
shall adjust the 9.5 percent under clause
(i)(II) in the same manner as the percent-
ages
are
adjusted
under
subsection
(b)(3)(A)(ii).
(3) Definitions and other rules
(A) Qualified health plan
The term ‘‘qualified health plan’’ has the
meaning given such term by section 1301(a)
of the Patient Protection and Affordable
Care Act, except that such term shall not in-
clude a qualified health plan which is a cata-
strophic plan described in section 1302(e) of
such Act.
(B) Grandfathered health plan
The term ‘‘grandfathered health plan’’ has
the meaning given such term by section 1251
of the Patient Protection and Affordable
Care Act.
(4) Special rules for qualified small employer
health reimbursement arrangements
(A) In general
The term ‘‘coverage month’’ shall not in-
clude any month with respect to an em-
ployee (or any spouse or dependent of such
employee) if for such month the employee is
provided a qualified small employer health
reimbursement
arrangement
which
con-
stitutes affordable coverage.
(B) Denial of double benefit
In the case of any employee who is pro-
vided a qualified small employer health re-
imbursement arrangement for any coverage
month (determined without regard to sub-
paragraph (A)), the credit otherwise allow-
able under subsection (a) to the taxpayer for
such month shall be reduced (but not below
zero) by the amount described in subpara-
graph (C)(i)(II) for such month.
(C) Affordable coverage
For purposes of subparagraph (A), a quali-
fied small employer health reimbursement
arrangement shall be treated as constituting
affordable coverage for a month if—
(i) the excess of—
(I) the amount that would be paid by
the employee as the premium for such
month for self-only coverage under the
second lowest cost silver plan offered in
the relevant individual health insurance
market, over
(II) 1⁄12
of the employee’s permitted
benefit
(as
defined
in
section
9831(d)(3)(C)) under such arrangement,
does not exceed—
(ii) 1⁄12 of 9.5 percent of the employee’s
household income.
(D) Qualified small employer health reim-
bursement arrangement
For purposes of this paragraph, the term
‘‘qualified small employer health reimburse-
ment arrangement’’ has the meaning given
such term by section 9831(d)(2).
(E) Coverage for less than entire year
In the case of an employee who is provided
a qualified small employer health reim-
bursement arrangement for less than an en-
tire year, subparagraph (C)(i)(II) shall be ap-
plied by substituting ‘‘the number of months
during the year for which such arrangement
was provided’’ for ‘‘12’’.
(F) Indexing
In the case of plan years beginning in any
calendar year after 2014, the Secretary shall
adjust the 9.5 percent amount under sub-
paragraph (C)(ii) in the same manner as the
percentages are adjusted under subsection
(b)(3)(A)(ii).
(d) Terms relating to income and families
For purposes of this section—
(1) Family size
The family size involved with respect to any
taxpayer shall be equal to the number of indi-
viduals for whom the taxpayer is allowed a de-
duction under section 151 (relating to allow-
ance of deduction for personal exemptions) for
the taxable year.
(2) Household income
(A) Household income
The term ‘‘household income’’ means, with
respect to any taxpayer, an amount equal to
the sum of—
(i) the modified adjusted gross income of
the taxpayer, plus
(ii) the aggregate modified adjusted
gross incomes of all other individuals
who—
(I) were taken into account in deter-
mining the taxpayer’s family size under
paragraph (1), and
(II) were required to file a return of tax
imposed by section 1 for the taxable
year.
(B) Modified adjusted gross income
The term ‘‘modified adjusted gross in-
come’’ means adjusted gross income in-
creased by—
(i) any amount excluded from gross in-
come under section 911,
(ii) any amount of interest received or
accrued by the taxpayer during the taxable
year which is exempt from tax, and
Page 165
TITLE 26—INTERNAL REVENUE CODE
§ 36B
(iii) an amount equal to the portion of
the taxpayer’s social security benefits (as
defined in section 86(d)) which is not in-
cluded in gross income under section 86 for
the taxable year.
(3) Poverty line
(A) In general
The term ‘‘poverty line’’ has the meaning
given that term in section 2110(c)(5) of the
Social Security Act (42 U.S.C. 1397jj(c)(5)).
(B) Poverty line used
In the case of any qualified health plan of-
fered through an Exchange for coverage dur-
ing a taxable year beginning in a calendar
year, the poverty line used shall be the most
recently published poverty line as of the 1st
day of the regular enrollment period for cov-
erage during such calendar year.
(e) Rules for individuals not lawfully present
(1) In general
If 1 or more individuals for whom a taxpayer
is allowed a deduction under section 151 (relat-
ing to allowance of deduction for personal ex-
emptions) for the taxable year (including the
taxpayer or his spouse) are individuals who
are not lawfully present—
(A) the aggregate amount of premiums
otherwise taken into account under clauses
(i) and (ii) of subsection (b)(2)(A) shall be re-
duced by the portion (if any) of such pre-
miums which is attributable to such individ-
uals, and
(B) for purposes of applying this section,
the determination as to what percentage a
taxpayer’s household income bears to the
poverty level for a family of the size in-
volved shall be made under one of the fol-
lowing methods:
(i) A method under which—
(I) the taxpayer’s family size is deter-
mined by not taking such individuals
into account, and
(II) the taxpayer’s household income is
equal to the product of the taxpayer’s
household income (determined without
regard to this subsection) and a frac-
tion—
(aa) the numerator of which is the
poverty line for the taxpayer’s family
size determined after application of
subclause (I), and
(bb) the denominator of which is the
poverty line for the taxpayer’s family
size determined without regard to sub-
clause (I).
(ii) A comparable method reaching the
same result as the method under clause (i).
(2) Lawfully present
For purposes of this section, an individual
shall be treated as lawfully present only if the
individual is, and is reasonably expected to be
for the entire period of enrollment for which
the credit under this section is being claimed,
a citizen or national of the United States or an
alien lawfully present in the United States.
(3) Secretarial authority
The Secretary of Health and Human Serv-
ices, in consultation with the Secretary, shall
prescribe rules setting forth the methods by
which calculations of family size and house-
hold income are made for purposes of this sub-
section. Such rules shall be designed to ensure
that the least burden is placed on individuals
enrolling in qualified health plans through an
Exchange and taxpayers eligible for the credit
allowable under this section.
(f) Reconciliation of credit and advance credit
(1) In general
The amount of the credit allowed under this
section for any taxable year shall be reduced
(but not below zero) by the amount of any ad-
vance payment of such credit under section
1412 of the Patient Protection and Affordable
Care Act.
(2) Excess advance payments
(A) In general
If the advance payments to a taxpayer
under section 1412 of the Patient Protection
and Affordable Care Act for a taxable year
exceed the credit allowed by this section (de-
termined without regard to paragraph (1)),
the tax imposed by this chapter for the tax-
able year shall be increased by the amount
of such excess.
(B) Limitation on increase
(i) In general
In the case of a taxpayer whose house-
hold income is less than 400 percent of the
poverty line for the size of the family in-
volved for the taxable year, the amount of
the increase under subparagraph (A) shall
in no event exceed the applicable dollar
amount determined in accordance with the
following table (one-half of such amount in
the case of a taxpayer whose tax is deter-
mined under section 1(c) 2 for the taxable
year):
If the household income (expressed as a per-
cent of poverty line) is:
The ap-
plicable
dollar
amount
is:
Less than 200% ....................................
$600
At least 200% but less than 300% ........
$1,500
At least 300% but less than 400% ........
$2,500.
(ii) Indexing of amount
In the case of any calendar year begin-
ning after 2014, each of the dollar amounts
in the table contained under clause (i)
shall be increased by an amount equal to—
(I) such dollar amount, multiplied by
(II) the cost-of-living adjustment de-
termined under section 1(f)(3) for the cal-
endar year, determined by substituting
‘‘calendar year 2013’’ for ‘‘calendar year
2016’’ in subparagraph (A)(ii) thereof.
If the amount of any increase under clause
(i) is not a multiple of $50, such increase
shall be rounded to the next lowest mul-
tiple of $50.
(iii) Temporary modification of limitation
on increase
In the case of any taxable year beginning
in 2020, for any taxpayer who files for such
Page 166
TITLE 26—INTERNAL REVENUE CODE
§ 36B
3 So in original. Probably should be ‘‘affordability’’.
4 So in original. Probably should be followed by a period.
taxable year an income tax return recon-
ciling any advance payment of the credit
under this section, the Secretary shall
treat subparagraph (A) as not applying.
(3) Information requirement
Each Exchange (or any person carrying out
1 or more responsibilities of an Exchange
under section 1311(f)(3) or 1321(c) of the Patient
Protection and Affordable Care Act) shall pro-
vide the following information to the Sec-
retary and to the taxpayer with respect to any
health plan provided through the Exchange:
(A) The level of coverage described in sec-
tion 1302(d) of the Patient Protection and Af-
fordable Care Act and the period such cov-
erage was in effect.
(B) The total premium for the coverage
without regard to the credit under this sec-
tion or cost-sharing reductions under section
1402 of such Act.
(C) The aggregate amount of any advance
payment of such credit or reductions under
section 1412 of such Act.
(D) The name, address, and TIN of the pri-
mary insured and the name and TIN of each
other individual obtaining coverage under
the policy.
(E) Any information provided to the Ex-
change,
including
any
change
of
cir-
cumstances, necessary to determine eligi-
bility for, and the amount of, such credit.
(F) Information necessary to determine
whether a taxpayer has received excess ad-
vance payments.
(g) Special rule for individuals who receive un-
employment compensation during 2021
(1) In general
For purposes of this section, in the case of a
taxpayer who has received, or has been ap-
proved to receive, unemployment compensa-
tion for any week beginning during 2021, for
the taxable year in which such week begins—
(A) such taxpayer shall be treated as an
applicable taxpayer, and
(B) there shall not be taken into account
any household income of the taxpayer in ex-
cess of 133 percent of the poverty line for a
family of the size involved.
(2) Unemployment compensation
For purposes of this subsection, the term
‘‘unemployment compensation’’ has the mean-
ing given such term in section 85(b).
(3) Evidence of unemployment compensation
For purposes of this subsection, a taxpayer
shall not be treated as having received (or
been approved to receive) unemployment com-
pensation for any week unless such taxpayer
provides self-attestation of, and such docu-
mentation as the Secretary shall prescribe
which demonstrates, such receipt or approval.
(4) Clarification of rules remaining applicable
(A) Joint return requirement
Paragraph (1)(A) shall not affect the appli-
cation of subsection (c)(1)(C).
(B) Household income and affordabillity 3
Paragraph (1)(B) shall not apply to any de-
termination of household income for pur-
poses of paragraph (2)(C)(i)(II) or (4)(C)(ii) of
subsection (c) 4
(h) Regulations
The Secretary shall prescribe such regulations
as may be necessary to carry out the provisions
of this section, including regulations which pro-
vide for—
(1) the coordination of the credit allowed
under this section with the program for ad-
vance payment of the credit under section 1412
of the Patient Protection and Affordable Care
Act, and
(2) the application of subsection (f) where
the filing status of the taxpayer for a taxable
year is different from such status used for de-
termining the advance payment of the credit.
(Added and amended Pub. L. 111–148, title I,
§ 1401(a), title X, §§ 10105(a)–(c), 10108(h)(1), Mar.
23, 2010, 124 Stat. 213, 906, 914; Pub. L. 111–152,
title I, §§ 1001(a), 1004(a)(1)(A), (2)(A), (c), Mar. 30,
2010, 124 Stat. 1030, 1034, 1035; Pub. L. 111–309,
title II, § 208(a), (b), Dec. 15, 2010, 124 Stat. 3291,
3292; Pub. L. 112–9, § 4(a), Apr. 14, 2011, 125 Stat.
36; Pub. L. 112–10, div. B, title VIII, § 1858(b)(1),
Apr. 15, 2011, 125 Stat. 168; Pub. L. 112–56, title
IV, § 401(a), Nov. 21, 2011, 125 Stat. 734; Pub. L.
114–255, div. C, title XVIII, § 18001(a)(3), Dec. 13,
2016, 130 Stat. 1341; Pub. L. 115–97, title I,
§ 11002(d)(1)(E), Dec. 22, 2017, 131 Stat. 2060; Pub.
L. 117–2, title IX, §§ 9661(a), (b), 9662(a), 9663(a),
Mar. 11, 2021, 135 Stat. 182, 183; Pub. L. 117–169,
title I, § 12001(a), (b), Aug. 16, 2022, 136 Stat. 1905.)
INFLATION ADJUSTED ITEMS FOR CERTAIN YEARS
For inflation adjustment of certain items in
this section, see Revenue Procedures listed in a
table under section 1 of this title.
Editorial Notes
REFERENCES IN TEXT
Sections 1251, 1301, 1302, 1311, 1321, 1402, and 1412 of the
Patient Protection and Affordable Care Act, referred to
in text, are classified to sections 18011, 18021, 18022,
18031, 18041, 18071, and 18082, respectively, of Title 42,
The Public Health and Welfare.
Section 1(c), referred to in subsecs. (b)(3)(B)(ii)(I)(aa)
and (f)(2)(B)(i), to be treated, for purposes of the rate of
tax, as a reference to the corresponding rate bracket
under section 1(j)(2)(C) of this title, see section
1(j)(2)(F) of this title.
Sections 2701 and 2705(d) of the Public Health Service
Act, referred to in subsec. (b)(3)(C), are classified to
sections 300gg and 300gg–4(d), respectively, of Title 42,
The Public Health and Welfare. The reference to sec-
tion 2705(d) probably should be a reference to section
2705(l), which relates to wellness program demonstra-
tion project and is classified to section 300gg–4(l) of
Title 42.
Section 1311(d)(2)(B)(ii)(I) of the Patient Protection
and Affordable Care Act, referred to in subsec. (b)(3)(E),
probably means section 1311(d)(2)(B)(ii) of Pub. L.
111–148, which is classified to section 18031(d)(2)(B)(ii) of
Title 42, The Public Health and Welfare, and which does
not contain subclauses.
The Social Security Act, referred to in subsec.
(c)(1)(B)(ii), is act Aug. 14, 1935, ch. 531, 49 Stat. 620.
Title XIX of the Act is classified generally to sub-
chapter XIX (§ 1396 et seq.) of chapter 7 of Title 42, The
Public Health and Welfare. For complete classification
of this Act to the Code, see section 1305 of Title 42 and
Tables.
Page 167
TITLE 26—INTERNAL REVENUE CODE
§ 36B
AMENDMENTS
2022—Subsec. (b)(3)(A)(iii). Pub. L. 117–169, § 12001(a),
substituted ‘‘2021 through 2025’’ for ‘‘2021 and 2022’’ in
heading and ‘‘after December 31, 2020, and before Janu-
ary 1, 2026’’ for ‘‘in 2021 or 2022’’ in introductory provi-
sions.
Subsec. (c)(1)(E). Pub. L. 117–169, § 12001(b), sub-
stituted ‘‘2021 through 2025’’ for ‘‘2021 and 2022’’ in head-
ing and ‘‘after December 31, 2020, and before January 1,
2026’’ for ‘‘in 2021 or 2022’’ in text.
2021—Subsec. (b)(3)(A)(iii). Pub. L. 117–2, § 9661(a),
added cl. (iii).
Subsec. (c)(1)(E). Pub. L. 117–2, § 9661(b), added subpar.
(E).
Subsec. (f)(2)(B)(iii). Pub. L. 117–2, § 9662(a), added cl.
(iii).
Subsecs. (g), (h). Pub. L. 117–2, § 9663(a), added subsec.
(g) and redesignated former subsec. (g) as (h).
2017—Subsec. (f)(2)(B)(ii)(II). Pub. L. 115–97 sub-
stituted ‘‘for ‘calendar year 2016’ in subparagraph
(A)(ii)’’ for ‘‘for ‘calendar year 1992’ in subparagraph
(B)’’.
2016—Subsec. (c)(4). Pub. L. 114–255 added par. (4).
2011—Subsec. (c)(2)(D). Pub. L. 112–10 struck out sub-
par. (D). Prior to amendment, text read as follows:
‘‘The term ‘coverage month’ shall not include any
month in which such individual has a free choice
voucher provided under section 10108 of the Patient
Protection and Affordable Care Act.’’
Subsec. (d)(2)(B)(iii). Pub. L. 112–56 added cl. (iii).
Subsec. (f)(2)(B)(i). Pub. L. 112–9 amended cl. (i) gen-
erally. Prior to amendment, cl. (i) consisted of text and
a table limiting increase in amount recovered on rec-
onciliation of health insurance tax credit and advance
of that credit for households with income below 500 per-
cent of Federal poverty line.
2010—Subsec.
(b)(3)(A)(i).
Pub.
L.
111–152,
§ 1001(a)(1)(A), substituted ‘‘for any taxable year shall
be the percentage such that the applicable percentage
for any taxpayer whose household income is within an
income tier specified in the following table shall in-
crease, on a sliding scale in a linear manner, from the
initial premium percentage to the final premium per-
centage specified in such table for such income tier:’’
for ‘‘with respect to any taxpayer for any taxable year
is equal to 2.8 percent, increased by the number of per-
centage points (not greater than 7) which bears the
same ratio to 7 percentage points as—’’ in introductory
provisions, inserted table, and struck out subcls. (I) and
(II) which read as follows:
‘‘(I) the taxpayer’s household income for the taxable
year in excess of 100 percent of the poverty line for a
family of the size involved, bears to
‘‘(II) an amount equal to 200 percent of the poverty
line for a family of the size involved.’’
Subsec. (b)(3)(A)(ii). Pub. L. 111–152, § 1001(a)(1)(B),
added cl. (ii) and struck out former cl. (ii). Text read as
follows: ‘‘If a taxpayer’s household income for the tax-
able year equals or exceeds 100 percent, but not more
than 133 percent, of the poverty line for a family of the
size involved, the taxpayer’s applicable percentage
shall be 2 percent.’’
Pub. L. 111–148, § 10105(a), substituted ‘‘equals or ex-
ceeds’’ for ‘‘is in excess of’’.
Subsec. (b)(3)(A)(iii). Pub. L. 111–152, § 1001(a)(1)(B),
struck out cl. (iii). Text read as follows: ‘‘In the case of
taxable years beginning in any calendar year after 2014,
the Secretary shall adjust the initial and final applica-
ble percentages under clause (i), and the 2 percent
under clause (ii), for the calendar year to reflect the ex-
cess of the rate of premium growth between the pre-
ceding calendar year and 2013 over the rate of income
growth for such period.’’
Subsec. (c)(1)(A). Pub. L. 111–148, § 10105(b), inserted
‘‘equals or’’ before ‘‘exceeds’’.
Subsec. (c)(2)(C)(i)(II). Pub. L. 111–152, § 1001(a)(2)(A),
substituted ‘‘9.5 percent’’ for ‘‘9.8 percent’’.
Subsec. (c)(2)(C)(iv). Pub. L. 111–152, § 1001(a)(2), sub-
stituted
‘‘9.5
percent’’
for
‘‘9.8
percent’’
and
‘‘(b)(3)(A)(ii)’’ for ‘‘(b)(3)(A)(iii)’’.
Pub. L. 111–148, § 10105(c), substituted ‘‘subsection
(b)(3)(A)(iii)’’ for ‘‘subsection (b)(3)(A)(ii)’’.
Subsec. (c)(2)(D). Pub. L. 111–148, § 10108(h)(1), added
subpar. (D).
Subsec. (d)(2)(A)(i), (ii). Pub. L. 111–152, § 1004(a)(1)(A),
substituted ‘‘modified adjusted gross’’ for ‘‘modified
gross’’.
Subsec. (d)(2)(B). Pub. L. 111–152, § 1004(a)(2)(A),
amended subpar. (B) generally. Prior to amendment,
text read as follows: ‘‘The term ‘modified gross income’
means gross income—
‘‘(i) decreased by the amount of any deduction al-
lowable under paragraph (1), (3), (4), or (10) of section
62(a),
‘‘(ii) increased by the amount of interest received
or accrued during the taxable year which is exempt
from tax imposed by this chapter, and
‘‘(iii) determined without regard to sections 911,
931, and 933.’’
Subsec. (f)(2)(B). Pub. L. 111–309, § 208(a), amended
generally subpar. heading and cl. (i). Prior to amend-
ment, text of cl. (i) read as follows: ‘‘In the case of an
applicable taxpayer whose household income is less
than 400 percent of the poverty line for the size of the
family involved for the taxable year, the amount of the
increase under subparagraph (A) shall in no event ex-
ceed $400 ($250 in the case of a taxpayer whose tax is de-
termined under section 1(c) for the taxable year).’’
Subsec. (f)(2)(B)(ii). Pub. L. 111–309, § 208(b), inserted
‘‘in the table contained’’ after ‘‘each of the dollar
amounts’’ in introductory provisions.
Subsec. (f)(3). Pub. L. 111–152, § 1004(c), added par. (3).
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2022 AMENDMENT
Pub. L. 117–169, title I, § 12001(c), Aug. 16, 2022, 136
Stat. 1906, provided that: ‘‘The amendments made by
this section [amending this section] shall apply to tax-
able years beginning after December 31, 2022.’’
EFFECTIVE DATE OF 2021 AMENDMENT
Pub. L. 117–2, title IX, § 9661(c), Mar. 11, 2021, 135 Stat.
183, provided that: ‘‘The amendments made by this sec-
tion [amending this section] shall apply to taxable
years beginning after December 31, 2020.’’
Pub. L. 117–2, title IX, § 9662(b), Mar. 11, 2021, 135 Stat.
183, provided that: ‘‘The amendment made by this sec-
tion [amending this section] shall apply to taxable
years beginning after December 31, 2019.’’
Pub. L. 117–2, title IX, § 9663(b), Mar. 11, 2021, 135 Stat.
184, provided that: ‘‘The amendments made by this sec-
tion [amending this section] shall apply to taxable
years beginning after December 31, 2020.’’
EFFECTIVE DATE OF 2017 AMENDMENT
Amendment by Pub. L. 115–97 applicable to taxable
years beginning after Dec. 31, 2017, see section 11002(e)
of Pub. L. 115–97, set out as a note under section 1 of
this title.
EFFECTIVE DATE OF 2016 AMENDMENT
Pub. L. 114–255, div. C, title XVIII, § 18001(a)(7), Dec.
13, 2016, 130 Stat. 1343, provided that:
‘‘(A) IN GENERAL.—Except as otherwise provided in
this paragraph, the amendments made by this sub-
section [amending this section, sections 106, 4980I, 6051,
6652, and 9831 of this title, and section 18081 of Title 42,
The Public Health and Welfare] shall apply to years be-
ginning after December 31, 2016.
‘‘(B) TRANSITION RELIEF.—The relief under Treasury
Notice 2015–17 shall be treated as applying to any plan
year beginning on or before December 31, 2016.
‘‘(C) COORDINATION WITH HEALTH INSURANCE PREMIUM
CREDIT.—The amendments made by paragraph (3)
[amending this section] shall apply to taxable years be-
ginning after December 31, 2016.
‘‘(D) EMPLOYEE NOTICE.—
‘‘(i) IN GENERAL.—The amendments made by para-
graph (5) [amending section 6652 of this title] shall
Page 168
TITLE 26—INTERNAL REVENUE CODE
[§ 36C
apply to notices with respect to years beginning after
December 31, 2016.
‘‘(ii) TRANSITION RELIEF.—For purposes of section
6652(o) of the Internal Revenue Code of 1986 (as added
by this Act), a person shall not be treated as failing
to provide a written notice as required by section
9831(d)(4) of such Code if such notice is so provided
not later than 90 days after the date of the enactment
of this Act [Dec. 13, 2016].
‘‘(E) W–2 REPORTING.—The amendments made by para-
graph (6)(A) [amending section 6051 of this title] shall
apply to calendar years beginning after December 31,
2016.
‘‘(F) INFORMATION PROVIDED BY EXCHANGE SUBSIDY AP-
PLICANTS.—
‘‘(i) IN GENERAL.—The amendments made by para-
graph (6)(B) [amending section 18081 of Title 42] shall
apply to applications for enrollment made after De-
cember 31, 2016.
‘‘(ii) VERIFICATION.—Verification under section 1411
of the Patient Protection and Affordable Care Act [42
U.S.C. 18081] of information provided under section
1411(b)(3)(B) of such Act shall apply with respect to
months beginning after October 2016.
‘‘(iii) TRANSITIONAL RELIEF.—In the case of an appli-
cation for enrollment under section 1411(b) of the Pa-
tient Protection and Affordable Care Act [42 U.S.C.
18081(b)] made before April 1, 2017, the requirement of
section 1411(b)(3)(B) of such Act shall be treated as
met if the information described therein is provided
not later than 30 days after the date on which the ap-
plicant receives the notice described in section
9831(d)(4) of the Internal Revenue Code of 1986.’’
EFFECTIVE DATE OF 2011 AMENDMENT
Pub. L. 112–56, title IV, § 401(b), Nov. 21, 2011, 125 Stat.
734, provided that: ‘‘The amendments made by this sec-
tion [amending this section] shall take effect on the
date of the enactment of this Act [Nov. 21, 2011].’’
Pub. L. 112–10, div. B, title VIII, § 1858(d), Apr. 15, 2011,
125 Stat. 169, provided that: ‘‘The amendments made by
this section [amending this section, sections 162, 4980H,
and 6056 of this title, and section 218b of Title 29, Labor,
and repealing section 139D of this title and section 18101
of Title 42, The Public Health and Welfare] shall take
effect as if included in the provisions of, and the
amendments made by, the provisions of the Patient
Protection and Affordable Care Act [Pub. L. 111–148] to
which they relate.’’
Pub. L. 112–9, § 4(b), Apr. 14, 2011, 125 Stat. 37, provided
that: ‘‘The amendment made by this section [amending
this section] shall apply to taxable years ending after
December 31, 2013.’’
EFFECTIVE DATE OF 2010 AMENDMENT
Pub. L. 111–309, title II, § 208(c), Dec. 15, 2010, 124 Stat.
3292, provided that: ‘‘The amendments made by this
section [amending this section] shall apply to taxable
years beginning after December 31, 2013.’’
Pub. L. 111–148, title X, § 10108(h)(2), Mar. 23, 2010, 124
Stat. 914, provided that: ‘‘The amendment made by this
subsection [amending this section] shall apply to tax-
able years beginning after December 31, 2013.’’
EFFECTIVE DATE
Pub. L. 111–148, title I, § 1401(e), Mar. 23, 2010, 124 Stat.
220, provided that: ‘‘The amendments made by this sec-
tion [enacting this section and amending sections 280C
and 6211 of this title and section 1324 of Title 31, Money
and Finance] shall apply to taxable years ending after
December 31, 2013.’’
SUBSTANTIATION REQUIREMENTS
Pub. L. 114–255, div. C, title XVIII, § 18001(a)(8), Dec.
13, 2016, 130 Stat. 1343, provided that: ‘‘The Secretary of
the Treasury (or his designee) may issue substantiation
requirements as necessary to carry out this subsection
[amending this section, sections 106, 4980I, 6051, 6652,
and 9831 of this title, and section 18081 of Title 42, The
Public Health and Welfare, and enacting provisions set
out as a note under this section].’’
NO IMPACT ON SOCIAL SECURITY TRUST FUNDS
Pub. L. 112–56, title IV, § 401(c), Nov. 21, 2011, 125 Stat.
734, provided that:
‘‘(1) ESTIMATE OF SECRETARY.—The Secretary of the
Treasury, or the Secretary’s delegate, shall annually
estimate the impact that the amendments made by
subsection (a) [amending this section] have on the in-
come and balances of the trust funds established under
section 201 of the Social Security Act (42 U.S.C. 401).
‘‘(2) TRANSFER OF FUNDS.—If, under paragraph (1), the
Secretary of the Treasury or the Secretary’s delegate
estimates that such amendments have a negative im-
pact on the income and balances of such trust funds,
the Secretary shall transfer, not less frequently than
quarterly, from the general fund an amount sufficient
so as to ensure that the income and balances of such
trust funds are not reduced as a result of such amend-
ments.’’
[§ 36C. Renumbered § 23]
§ 37. Overpayments of tax
For credit against the tax imposed by this subtitle
for overpayments of tax, see section 6401.
(Aug. 16, 1954, ch. 736, 68A Stat. 16, § 38; renum-
bered § 39, Pub. L. 87–834, § 2(a), Oct. 16, 1962, 76
Stat. 962; renumbered § 40, Pub. L. 89–44, title
VIII, § 809(c), June 21, 1965, 79 Stat. 167; renum-
bered § 42, Pub. L. 92–178, title VI, § 601(a), Dec.
10, 1971, 85 Stat. 553; renumbered § 43, Pub. L.
94–12, title II, § 203(a), Mar. 29, 1975, 89 Stat. 29;
renumbered § 44, Pub. L. 94–12, title II, § 204(a),
Mar. 29, 1975, 89 Stat. 30; renumbered § 45, Pub. L.
94–12, title II, § 208(a), Mar. 29, 1975, 89 Stat. 32;
renumbered § 35, Pub. L. 98–369, div. A, title IV,
§ 471(c), July 18, 1984, 98 Stat. 826; renumbered
§ 36, Pub. L. 107–210, div. A, title II, § 201(a), Aug.
6, 2002, 116 Stat. 954; renumbered § 37, Pub. L.
110–289, div. C, title I, § 3011(a), July 30, 2008, 122
Stat. 2888.)
Editorial Notes
PRIOR PROVISIONS
A prior section 37 was renumbered section 22 of this
title.
SUBPART D—BUSINESS RELATED CREDITS
Sec.
38.
General business credit.
39.
Carryback and carryforward of unused cred-
its.
40.
Alcohol, etc., used as fuel.
40A.
Biodiesel and renewable diesel used as fuel.
40B.
Sustainable aviation fuel credit.
41.
Credit for increasing research activities.
42.
Low-income housing credit.
43.
Enhanced oil recovery credit.
44.
Expenditures to provide access to disabled in-
dividuals.
[44A–H.
Renumbered, Repealed.]
45.
Electricity produced from certain renewable
resources, etc.
45A.
Indian employment credit.
45B.
Credit for portion of employer social security
taxes paid with respect to employee cash
tips.
45C.
Clinical testing expenses for certain drugs for
rare diseases or conditions.
45D.
New markets tax credit.
45E.
Small employer pension plan startup costs.
45F.
Employer-provided child care credit.
Cross-references
Connections may be documented source relationships, shared citations or nearby passages. Each explains its basis; a connection alone does not establish applicability to your situation.
Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** In the case of an applicable taxpayer, there shall be allowed as a credit against the tax imposed by this subtitle for any taxable year an amount equal to the premium assistance credit amount of the taxpayer for the taxable year.
**(b) Premium assistance credit amount** For purposes of this section—
(1) **In general** — The term “premium assistance credit amount” means, with respect to any taxable year, the sum of the premium assistance amounts determined under paragraph (2) with respect to all coverage months of the taxpayer occurring during the taxable year.
(2) **Premium assistance amount** — The premium assistance amount determined under this subsection with respect to any coverage month is the amount equal to the lesser of—
(A) the monthly premiums for such month for 1 or more qualified health plans offered in the individual market within a State which cover the taxpayer, the taxpayer’s spouse, or any dependent (as defined in section 152) of the taxpayer and which were enrolled in through an Exchange established by the State under 1311 11 So in original. Probably should be preceded by “section”. of the Patient Protection and Affordable Care Act, or
(B) the excess (if any) of—
(i) the adjusted monthly premium for such month for the applicable second lowest cost silver plan with respect to the taxpayer, over
(ii) an amount equal to 1/12 of the product of the applicable percentage and the taxpayer’s household income for the taxable year.
(3) **Other terms and rules relating to premium assistance amounts** — For purposes of paragraph (2)—
(A) *Applicable percentage*
(i) *In general* — Except as provided in clause (ii), the applicable percentage for any taxable year shall be the percentage such that the applicable percentag
Source: Supplied U.S. Code snapshot — release unconfirmed · 26 U.S.C. § 36B
Stored review status: release_metadata_unconfirmed. Same stored citation; legal effect and authority still require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Child health assistance** For purposes of this subchapter, the term “child health assistance” means payment for part or all of the cost of health benefits coverage for targeted low-income children that includes any of the following (and includes, in the case described in [section 1397ee(a)(1)(D)(i) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1397ee/a/1/D/i&num=0&edition=prelim), payment for part or all of the cost of providing any of the following), as specified under the State plan:
(1) Inpatient hospital services.
(2) Outpatient hospital services.
(3) Physician services.
(4) Surgical services.
(5) Clinic services (including health center services) and other ambulatory health care services.
(6) Prescription drugs and biologicals and the administration of such drugs and biologicals, only if such drugs and biologicals are not furnished for the purpose of causing, or assisting in causing, the death, suicide, euthanasia, or mercy killing of a person.
(7) Over-the-counter medications.
(8) Laboratory and radiological services.
(9) Prenatal care and prepregnancy family planning services and supplies.
(10) Inpatient mental health services, other than services described in paragraph (18) but including services furnished in a State-operated mental hospital and including residential or other 24-hour therapeutically planned structured services.
(11) Outpatient mental health services, other than services described in paragraph (19) but including services furnished in a State-operated mental hospital and including community-based services.
(12) Durable medical equipment and other medically-related or remedial devices (such as prosthetic devices, implants, eyeglasses, hearing aids, dental devices, and adaptive devices).
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1397jj
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 1397jj. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 4501
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1397jj
use of American Community Survey estimates
(in lieu of, or in combination with the Current
Population
Survey
estimates,
as
rec-
ommended), provided that any such transition
is implemented in a manner that is designed
to avoid adverse impacts upon States with ap-
proved State child health plans under this sub-
chapter.
(4) Appropriation
Out of any money in the Treasury of the
United States not otherwise appropriated,
there are appropriated $20,000,000 for fiscal
year 2009 and each fiscal year thereafter for
the purpose of carrying out this subsection
(except that only with respect to fiscal year
2008, there are appropriated $20,000,000 for the
purpose of carrying out this subsection, to re-
main available until expended).
(Aug. 14, 1935, ch. 531, title XXI, § 2109, as added
Pub. L. 105–33, title IV, § 4901(a), Aug. 5, 1997, 111
Stat. 567; amended Pub. L. 106–113, div. B,
§ 1000(a)(6) [title VII, §§ 703(a), 705(c)], Nov. 29,
1999, 113 Stat. 1536, 1501A–400, 1501A–403; Pub. L.
110–173, title II, § 205, Dec. 29, 2007, 121 Stat. 2514;
Pub. L. 111–3, title VI, § 602, Feb. 4, 2009, 123 Stat.
98; Pub. L. 111–148, title II, § 2102(a)(6), Mar. 23,
2010, 124 Stat. 288.)
Editorial Notes
REFERENCES IN TEXT
The Employee Retirement Income Security Act of
1974, referred to in subsec. (a)(1), is Pub. L. 93–406, Sept.
2, 1974, 88 Stat. 832. Part 7 of subtitle B of title I of the
Act is classified generally to part 7 (§ 1181 et seq.) of
subtitle B of subchapter I of chapter 18 of Title 29,
Labor. For complete classification of this Act to the
Code, see Short Title note set out under section 1001 of
Title 29 and Tables.
The Public Health Service Act, referred to in subsec.
(a)(1), is act July 1,
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1397jj
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1397jj. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment of program** The Secretary shall establish a program meeting the requirements of this section for determining—
(1) whether an individual who is to be covered in the individual market by a qualified health plan offered through an Exchange, or who is claiming a premium tax credit or reduced cost-sharing, meets the requirements of sections 18032(f)(3), 18071(e), and 18082(d) of this title and [section 36B(e) of title 26](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title26-section36B/e&num=0&edition=prelim) that the individual be a citizen or national of the United States or an alien lawfully present in the United States;
(2) in the case of an individual claiming a premium tax credit or reduced cost-sharing under [section 36B of title 26](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title26-section36B&num=0&edition=prelim) or [section 18071 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18071&num=0&edition=prelim)—
(A) whether the individual meets the income and coverage requirements of such sections; and
(B) the amount of the tax credit or reduced cost-sharing;
(3) whether an individual’s coverage under an employer-sponsored health benefits plan is treated as unaffordable under sections 36B(c)(2)(C) and 5000A(e)(2) of title 26; 11 See References in Text note below. and
(4) whether to grant a certification under [section 18031(d)(4)(H) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section18031/d/4/H&num=0&edition=prelim) attesting that, for purposes of the individual responsibility requirement under [section 5000A of title 26](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title26-section5000A&num=0&edition=prelim), a
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 18081
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 18081. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 9130
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 18081
1 See References in Text note below.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2021 AMENDMENT
Pub. L. 117–2, title II, § 2305(b), Mar. 11, 2021, 135 Stat.
40, provided that: ‘‘The amendment made by this sec-
tion [amending this section] shall apply to plan years
beginning after December 31, 2020.’’
PART B—ELIGIBILITY DETERMINATIONS
§ 18081. Procedures for determining eligibility
for Exchange participation, premium tax
credits and reduced cost-sharing, and indi-
vidual responsibility exemptions
(a) Establishment of program
The Secretary shall establish a program meet-
ing the requirements of this section for deter-
mining—
(1) whether an individual who is to be cov-
ered in the individual market by a qualified
health plan offered through an Exchange, or
who is claiming a premium tax credit or re-
duced cost-sharing, meets the requirements of
sections 18032(f)(3), 18071(e), and 18082(d) of this
title and section 36B(e) of title 26 that the in-
dividual be a citizen or national of the United
States or an alien lawfully present in the
United States;
(2) in the case of an individual claiming a
premium tax credit or reduced cost-sharing
under section 36B of title 26 or section 18071 of
this title—
(A) whether the individual meets the in-
come and coverage requirements of such sec-
tions; and
(B) the amount of the tax credit or reduced
cost-sharing;
(3) whether an individual’s coverage under
an employer-sponsored health benefits plan is
treated
as
unaffordable
under
sections
36B(c)(2)(C) and 5000A(e)(2) of title 26; 1 and
(4) whether to grant a certification under
section 18031(d)(4)(H) of this title attesting
that, for purposes of the individual responsi-
bility requireme
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 18081
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 18081. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Federal Old-Age and Survivors Insurance Trust Fund** There is hereby created on the books of the Treasury of the United States a trust fund to be known as the “Federal Old-Age and Survivors Insurance Trust Fund”. The Federal Old-Age and Survivors Insurance Trust Fund shall consist of the securities held by the Secretary of the Treasury for the Old-Age Reserve Account and the amount standing to the credit of the Old-Age Reserve Account on the books of the Treasury on January 1, 1940, which securities and amount the Secretary of the Treasury is authorized and directed to transfer to the Federal Old-Age and Survivors Insurance Trust Fund, and, in addition, such gifts and bequests as may be made as provided in subsection (i)(1), and such amounts as may be appropriated to, or deposited in, the Federal Old-Age and Survivors Insurance Trust Fund as hereinafter provided. There is hereby appropriated to the Federal Old-Age and Survivors Insurance Trust Fund for the fiscal year ending June 30, 1941, and for each fiscal year thereafter, out of any moneys in the Treasury not otherwise appropriated, amounts equivalent to 100 per centum of—
(1) the taxes (including interest, penalties, and additions to the taxes) received under subchapter A of chapter 9 of the Internal Revenue Code of 1939 (and covered into the Treasury) which are deposited into the Treasury by collectors of internal revenue before January 1, 1951; and
(2) the taxes certified each month by the Commissioner of Internal Revenue as taxes received under subchapter A of chapter 9 of such Code which are deposited into the Treasury by collectors of internal revenue after December 31, 1950, and before January 1, 1953, with respect to assessments of such taxes made before January 1, 1951; and
(3) the taxes imposed by
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 401
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 401. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 1800
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 401
§ 401. Trust Funds
(a) Federal Old-Age and Survivors Insurance
Trust Fund
There is hereby created on the books of the
Treasury of the United States a trust fund to be
known as the ‘‘Federal Old-Age and Survivors
Insurance Trust Fund’’. The Federal Old-Age
and Survivors Insurance Trust Fund shall con-
sist of the securities held by the Secretary of
the Treasury for the Old-Age Reserve Account
and the amount standing to the credit of the
Old-Age Reserve Account on the books of the
Treasury on January 1, 1940, which securities
and amount the Secretary of the Treasury is au-
thorized and directed to transfer to the Federal
Old-Age and Survivors Insurance Trust Fund,
and, in addition, such gifts and bequests as may
be made as provided in subsection (i)(1), and
such amounts as may be appropriated to, or de-
posited in, the Federal Old-Age and Survivors
Insurance Trust Fund as hereinafter provided.
There is hereby appropriated to the Federal Old-
Age and Survivors Insurance Trust Fund for the
fiscal year ending June 30, 1941, and for each fis-
cal year thereafter, out of any moneys in the
Treasury not otherwise appropriated, amounts
equivalent to 100 per centum of—
(1) the taxes (including interest, penalties,
and additions to the taxes) received under sub-
chapter A of chapter 9 of the Internal Revenue
Code of 1939 (and covered into the Treasury)
which are deposited into the Treasury by col-
lectors of internal revenue before January 1,
1951; and
(2) the taxes certified each month by the
Commissioner of Internal Revenue as taxes re-
ceived under subchapter A of chapter 9 of such
Code which are deposited into the Treasury by
collectors of internal revenue after December
31, 1950, and before Ja
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 401
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 401. This identifies an authority to review, not proof of applicability.