Health subsidies could trigger surprise tax bills
Changes in income pose p otential problem
By Stephen Ohlemacher
Associated Press
WASHINGTON — Millions of people who take advantage of government subsidies to help buy health insurance next year could get stung by surprise tax bills if they don’t accurately project their income. President Barack Obama’s new health care law will offer subsidies to help people buy private health insurance on state-based exchanges if they don’t already get coverage through their employers. The subsidies are based on income. The lower your income, the bigger the subsidy.
But the government doesn’t know how much money you’re going to make next year. And when you apply for the subsidy this fall, it won’t even know how much you’re making this year. So, unless you tell the government otherwise, it will rely on the best information it has: your 2012 tax return, filed this spring. What happens if you or your spouse gets a raise and your family income goes up in 2014? You could end up with a bigger subsidy than you are entitled to. If that happens, the law says you have to pay back at least part of the money when you file your tax return in the spring of 2015.
That could result in smaller tax refunds or surprise tax bills for millions of middle-income families.
“That’s scary,” said Joan Baird of Springfield, Va. “I had no idea, and I work in health care.”
Health care providers, advocates and tax experts say the vast majority of Americans know very little about the new health care law.
A draft of the application for insurance asks people to project their 2014 income if their current income is not steady or if they expect it to change. The application runs 15 pages for a threeperson family, but nowhere does it warn people that they may have to repay part of the subsidy if their income increases. There’s another wrinkle: The vast majority of taxpayers won’t actually receive the subsidies. Instead, the money will be paid directly to insurance companies and consumers will get the benefit in reduced premiums. The subsidies, which are technically tax credits because they are administered through the tax code, will help lowand middle-income families buy health insurance through the statebased exchanges. Under the new law, nearly every American will be required to have health insurance starting in 2014, or face penalties.
The enrollment season starts Oct. 1.


