Skip to comments.“Medicine Cabinet” Tax a Bitter Pill for Ordinary Americans
Posted on 08/06/2012 1:28:31 PM PDT by 92nina
Section 9003 of the Patient Protection and Affordable Care Act changed the definition of medical expenses for Health Savings Accounts (HSAs), Archer Medical Savings Accounts (MSAs), health flexible spending arrangements, and health reimbursement arrangements to match that of the medical expenses deduction. Under the new definition, holders of account-based health plans will not be able to use pre-tax dollars to purchase over the counter (OTC) medications, unless they bear a prescription from a doctor. They will pay out of pocket for these products, and will not be able to deduct them come tax time. This provision went into effect in 2011.
Account-based health plans are increasingly popular among consumers looking for more control over their health dollars. Such plans have experienced substantial growth since their inception in 2003. The Employee Benefit Research Institute found that enrollment in consumer-driven (account-based) health plans stood at 21 million in December of 2011 12% of the health care market.
And available data show that these enrollees are overwhelmingly middle-class. A 2009 study by Americas Health Insurance Plans, a trade group, utilized geo-coding techniques to develop a proxy of enrollee income level. The study found that 95% of HSA enrollees live in neighborhoods with median incomes below $100,000. This suggests that adverse rules changes to account-based health plans will hurt the middle class.
And hurt them they will. Millions of middle class enrollees will face a higher tax liability resulting from deductions disallowed, and will also pay significantly more to purchase everyday OTC medicine like aspirin, cough medicine, and decongestants. Competitive Enterprise Institute economist Jon Berlau stated in a blog post that the tax increase on these medicines is an effective 40%.
Commentators have taken to referring to the rules change for account-based health plans as the medicine cabinet tax. Iain Murray put it more bluntly: the rules change is a tax on your colds and flus. Whatever it is, it will increase the tax bill and health bill of ordinary Americans, and should be opposed.
10 Year Cost to Taxpayers
Joint Committee on Taxation: $5 billion
This content is provided by the Americans for Tax Reform Foundation.
Read more: http://atr.org/medicine-cabinet-tax-bitter-pill-ordinary-a7104#ixzz22neT7hgi
I wouldn’t have such a problem with this if the government didn’t keep (steal) what remains in you HSA at the end of the year. Most people used OTC meds in December to spend down what was left in their hsa accounts.
Yes, they should let them roll year to year in case you get really sick one year. But then again, the govt does NOT like the people saving...
do you know why Obama taxed aspirin? because they're white and they work.
And....you have to pick cotton to get to them.
I don’t understand your post at all.
This is right from the IRS regs:
All deposits to an HSA become the property of the policyholder, regardless of the source of the deposit. Funds deposited but not withdrawn each year will carry over into the next year. If the policyholder ends their HSA-eligible insurance coverage, he or she loses eligibility to deposit further funds, but funds already in the HSA remain available for use.
My wife (100% apache indian) responded to that joke:
Q: Do you know why Obama taxed advil twice as much as asprin?
A: Because they’re light brown and work all day.
I think you’re referring to FSAs, not HSAs.
FSAs are the “Flex Spending Plans” that includes confiscation of unused funds at the end of the year. I believe HSAs are carried over.
They're SO talented!
I used to have a FSA and at the end of the year I would used the two or three hundred dollars remaining on OTC items.
Can't do that anymore
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