This article was published by the Center for American Progress.
By Seth Hanlon
This is the first in a new CAP series called the “Tax Expenditure of the Week.” The series aims to explain the often-confusing constellation of tax breaks in a way the average taxpayer can understand. Every Wednesday we will focus on one tax expenditure, explaining what it is, what purpose it is intended to serve, and whether it is effective toward that purpose. We will also review any applicable reform proposals.
Subjecting these dozens of tax breaks to greater scrutiny is part of our broader focus on making government work better and achieving better results for the American people, which is the goal of CAP’s “Doing What Works” project.
Tax-free health insurance is the single largest tax break in the United States, estimated to cost the federal government more than $1 trillion over the next five years in foregone revenue.
CAP has argued that tax expenditures are essentially spending programs that are administered by the IRS. They therefore should be evaluated alongside direct spending programs that serve similar purposes.
The tax exemption for employer-sponsored health insurance is a rare example of a tax expenditure that was considered in the context of overall health care reform. The Patient Protection and Affordable Care Act of 2010 makes important changes to the tax treatment of health care as part of more comprehensive changes to expand affordable health coverage and slow the growth of health care costs. Below, we will consider the role and effectiveness of the tax exclusion for employer-sponsored health insurance in promoting health coverage, as well the effects of the recent reforms.
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