New BBB Course!
Stay ahead of the curve—enroll now to master the One Big Beautiful Bill Act and confidently guide your clients through its sweeping tax changes.
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Are you a California CNA?
The Patient Protection and Affordable Care Act (PPACA) is deemed to represent the single most significant change in the delivery and financing of healthcare since the establishment of Medicare in 1965. Although certain health plans are exempt from some of the act’s provisions, the PPACA generally prohibits the imposition of pre-existing condition exclusions, forbids a health plan to place a cap on benefits considered “essential,” permits a health plan to rescind coverage only for specified reasons and mandates certain patient protections. In an attempt to ensure that the cost of coverage issued within the act's requirements does not become prohibitively expensive, PPACA—as initially passed into law—also required that individuals maintain health insurance coverage or face a financial penalty. However, the Tax Cuts and Jobs Act of 2017 (TCJA) reduced the financial penalty tax for failing to maintain coverage to zero for plan years ending after 2018. This chapter will look briefly at the significant non-tax provisions of PPACA affecting individuals.
Course Publication Date: April 07, 2026
This course is available with NO ADDITIONAL FEE if you have an active self study membership or all access membership!
| Author: | Paul Winn |
| Course No: | TAX-AFFCAR-620182 |
| Recommended CPE: | 2.00 |
| Delivery Method: | QAS Self Study |
| Recommended Field of Study: | Taxes
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Learning Objectives
Identify the rules applicable to – - Grandfathered health plans,
- The use of pre-existing condition exclusions, and
- Annual and lifetime benefit limits;
List the conditions that would permit an insurer to rescind health insurance coverage; and Recognize the requirements imposed by healthcare reform legislation with respect to – - Patient protection provisions,
- The individual’s requirement to maintain minimum essential coverage, and
- Dependent coverage for young adults.
Identify the changes made by the PPACA related to – - The treatment of costs for over-the-counter drugs and medical expense FSA contributions,
- The tax penalty for nonqualified Archer MSA and HSA distributions,
- Medical expense deductions,
- The additional taxation on the earnings of high-income taxpayers,
- The additional tax on high-income taxpayers’ net investment income, and
- The additional tax on estate’s and non-grantor trust’s undistributed net investment income; and
Calculate the amount of the premium assistance tax credit available to taxpayers whose household income is less than 400% of the federal poverty line.
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