Healthcare Reform and the Affordable Care Act

Study Level:  Basic
Delivery Method:  Online self-study
Provider of Record: WebCE
Tax Year: 2018
Field of Study:  Taxes
Prerequisites:  None


Students taking this course should be familiar with the general operation of:
  • payroll tax deductions
  • Flexible Spending Accounts
  • Health Savings Accounts
  • Medical Savings Accounts

Course Description:


This course will review the tax impact on individuals and businesses of the landmark legislation known as the Patient Protection and Affordable Care Act (PPACA) which was signed into law in 2010 and is likely to affect virtually every person and institution in the United States in some way. It imposes healthcare-related requirements on health plans, health insurers, employers and individuals. In addition to imposing various tax increases to increase revenue, the PPACA uses a carrot and stick approach to ensure compliance with its provisions, offering tax credits for compliance and imposing tax penalties for non-compliance.

Topics include:
  • coverage-related provisions of the PPACA addressing:
    • plan grandfathering pursuant to which health coverage in force at the time of the law's passage may be continued
    • the prohibition of pre-existing condition exclusions
    • the proscription of lifetime and annual benefit limits
    • the limitation of health coverage rescissions
    • the requirement for certain patient protections
    • the general requirement for universal health care coverage
    • the requirement that plans covering children extend child coverage until age 26
  • tax credits available to small businesses to encourage them to sponsor employee health plans
  • shared responsibility for certain large employers to provide employee health coverage and the tax penalties imposed for noncompliance
  • various personal income tax changes affecting taxpayers
  • tax credits and tax penalties authorized to help enforce the PPACA requirement that individuals maintain minimum essential coverage
Learning Objectives:
After completing this course students will be able to:
  • identify the principal health care provisions of the PPACA
  • identify the tax credits for which small businesses may be eligible when sponsoring employee health plans
  • calculate the tax penalties imposed for employers who fail to meet the shared responsibility requirements regarding employee health coverage
  • identify the tax credits and tax penalties designed to help ensure that individuals meet the requirement to maintain minimum essential coverage

Revised: Jan 2018