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Health care reform saga continues

October 14, 2009

After all the drama and political posturing, the health care reform bill approved yesterday by the Senate Finance Committee looks very much like it did when the process started months ago.

Most of what I blogged about previously in Senate health care, take two is in the bill that now goes to the full Senate. That includes:

Taxing High-Cost Insurance Policies
Expensive insurance policies, dubbed Cadillac plans, wouid face a nondeductible excise tax of 40 percent that would be levied on insurance companies and plan administrators beginning in 2013.

What is considered high-dollar? Any health coverage above the threshold of $8,000 for singles and $21,000 for family plans.

The threshold would be $1,850 higher for individual plans and $5,000 for family plans for workers with high risk jobs or for retirees aged 55 and up.

Limiting FSA Contributions
You could contribute a maximum of $2,500 per year to your workplace medical flexible spending accounts (FSA). This cap would kick in beginning in 2011.

That means you don't have to worry about the limit this open season when your select your 2010 health care benefits. But you might want to contribute as much as you can and schedule any uncovered medical procedures for next year to take full advantage of your FSA money.

Increasing Itemized Deduction Threshold
Now your medical expenses must be more than 7.5 percent of your
adjusted gross income before you can deduct them. In 2013,
that percentage would go to 10 percent of AGI. 

Older taxpayers (over age of 65) would be able to use the 7.5 percent limit through 2016.

Standardizing Medical Expense Definitions
Beginning in 2010, the definition of qualified medical expenses for Health Savings Accounts (HSAs), medical FSAs, and Health Reimbursement Arrangements (HRAs) will be the same as the one used for itemized medical deductions.

There would be an exception for doctor-prescribed over‐the‐counter medicines, which reminds me of a Caribbean trip where the hubby fell ill and the island physician wrote him an Rx for Pepto-Bismol. But that's for another time.

Hiking HSA Penalty
This provision would, beginning in 2011, increase the additional tax for nonqualified HSA withdrawals from 10 percent to 20 percent.

What's next? A fight on the Senate floor. Senate leadership (and the White House) must take the Finance Committee bill and tweak it so it gets the 60 votes necessary to avoid a filibuster.

That won't be easy, since some Senate Democrats, both on the liberal and conservative edges of the party, have reservations about the bill. The Wall Street Journal looks at six key figures to watch as the health care debate moves to this next stage.

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TAX-SAVVY WAYS 
TO WRAP UP 2026

It’s over! With October’s extended filing deadline behind us, it is now time to focus on year-end moves to reduce your 2026 tax bill. 

You’ll find ways to do just that on the Tax Tips page (see the More Tax Posts drop-down menu at the top of the blog), as well as the separate tax tip pages for each month, notably October through December. If you’re on the Tax Tips page, you’ll find a monthly list at the end of this column. If you’re on another blog page, you can head straight to the October tips; at the bottom of that tips page you’ll find links to all the other 11 months’ collections of tax advice.

Not to spoil what you’ll find in that tax advice, but it does cover such things as tax deductions for charitable donations, investment moves that could reduce tax due, and ways to max out your tax-favored retirement savings. 

Finally, as the year winds down, things get hectic. There are lots of other things to occupy our time, like the much more fun upcoming holidays. But don’t lose sight of taxes, since timing is key. To be of use, most tax moves must be made by the end of the tax year. That’s Thursday, Dec. 31, which also is the last business day of the year. 

So that you don’t miss that final tax year deadline, also keep an eye on the countdown clock below. It will keep you on top of just how much time is left to make important, tax-saving moves. (Note: I’m in the Central Time Zone, so adjust accordingly for where you live.)

Comments
  • I really do think that it’s finally time and that they will pass something useful. Hopefully the FSA stuff doesn’t make the cut though.

  • This new information was based on a study performed by Price Waterhouse, who was hired by the insurance lobbyist. This study looked at the cost, without any attention being payed to the cost savings within the bill. The overall result was so inaccurate, that the accountants who participated in the study distanced themselves, and explained just that. To look at this for what it really is, is to know that the insurance companies are basically saying, pass this bill and we raise your premiums!

  • I think most of us will agree that we need some kind of healthcare reform. This bill, however, does not accomplish that task.

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