Beginning in 2014, the Affordable Care Act (ACA) imposed a tax that is projected to exceed $145 billion over 10 years (2017-2026) in what is essentially a sales tax on health insurance coverage. Actuarial analyses found that the health insurance tax negatively impacts consumers and employers by adding to the cost of coverage purchased directly from a health insurance plan in the individual and employer markets, as well as beneficiaries in public programs like Medicaid and Medicare.
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