Warner pushes for fix to tax issue preventing families from enrolling in ACA

U.S. Sen. Mark Warner has sent a letter to IRS Commissioner Charles Rettig and Centers for Medicare & Medicaid Services Administrator Seema Verma urging them to ensure that families aren’t denied critical financial assistance needed in order to purchase quality health insurance through the Affordable Care Act.

The letter comes after Sen. Warner’s office heard from Virginia families, including the Burger family, who discovered that they were wrongfully denied tax credits due to delays in processing 2019 tax filings that are required to purchase affordable health insurance through the ACA marketplace exchanges.

The deadline to enroll for the ACA is Dec. 15.

“I am writing to draw your attention to an issue that could cause a significant number of individuals to be denied affordable health insurance on the Affordable Care Act (ACA) Marketplace. It is my understanding that due to delayed processing of 2019 tax returns, numerous Americans have been deemed in violation of the Marketplace’s ‘failure to file and reconcile’ requirement (FTR), and will be ineligible for advanced premium tax credits (APTCs) to ensure affordable health coverage starting January 1, 2021,” wrote Sen. Warner to IRS Commissioner Rettig and Administrator Verma.

The Affordable Care Act established advanced premium tax credits to help working families purchase affordable health insurance through the exchanges. In order to receive the tax credit during this year’s enrollment period, individuals have to complete their 2019 tax return.

Because of the COVID-19 pandemic, the IRS has not been able to process these returns in a timely manner due to reduced staff hours at the agency. As a result, individuals who would normally be eligible for the credit cannot receive it because the IRS has not yet processed their returns.

“Put simply, a number of Americans will be denied an APTC in the Marketplace through no fault of their own, because their tax returns were delayed. I have already heard from several Virginians who – as a direct result of delayed tax returns – have been unable to or confused about their ability to enroll in health care coverage during this years’ open enrollment period,” Sen. Warner wrote. “Financial assistance is essential to millions of working class Americans and their families to ensure affordable health coverage on the Marketplace. I am concerned that individuals will be wrongfully denied coverage and that a failure to address this issue could result in these families going without health care coverage during the peak of an unprecedented global pandemic.”

In his letter, Sen. Warner also pressed the administration to suspend termination of the 2021 APTC, inform affected enrollees of this change, and extend the deadline to apply for 2021 ACA coverage through a special open enrollment period for individuals and families wrongfully denied financial assistance.

Text of the letter is available here.