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26 U.S.C. § 36B — Refundable credit for coverage under a

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26 U.S.C. § 36B — Refundable credit for coverage under a

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

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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.

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26 U.S.C. § 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 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

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42 U.S.C. § 1397jj — Definitions

**(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).

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1397jj — Definitions

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,

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 18081 — Procedures for determining eligibility for Exchange participation, premium tax credits and reduced cost-sharing, and individual responsibility exemptions

**(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

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42 U.S.C. § 18081 — Procedures for determining eligibility

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

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 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 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

42 U.S.C. § 401 — Trust Funds

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.