The Federal Income Tax Filing Deadline is April 15, 2024

ACE TA Center

Ryan White HIV/AIDS Program (RWHAP) clients should be sure to file their federal taxes, or request an extension, by April 15, 2024.

Taxes and Health Coverage (Resource for People with HIV): This ACE TA Center tool helps consumers understand the relationship between health coverage and taxes. It also outlines how to reconcile advance premium tax credits through tax filing. Also available in Spanish and Haitian Creole.

Relationship Between Taxes and Health Coverage

While the relationship between taxes and health coverage can be confusing, it is an important one to understand. As we head into tax season, it’s essential for RWHAP staff and clients to know not just what needs to be done, but why. 

Taxes and health coverage are connected in two ways: 

  1. Providing proof of health coverage where it is required.
  2. Reconciling underpaid or overpaid premium tax credits for individuals who had Marketplace health coverage.

Proof of Health Coverage

The federal individual mandate was eliminated beginning in 2019, meaning individuals are no longer required to prove they had health insurance when they file their federal income taxes. If a client did not have health coverage in 2023, they will not be penalized by the federal government when they go to file their 2023 taxes this season. Some states - including California, Massachusetts, New Jersey, Rhode Island, and Vermont, as well as D.C. - have implemented their own individual health insurance mandates for their residents, and may charge uninsured residents a penalty on their state taxes. 

Reconciling Tax Credits

Through the Marketplace, there are two types of financial assistance available to eligible individuals that can help cover health insurance costs for plans purchased on the Marketplace, Premium Tax Credits (PTCs) and Cost-Sharing Reductions (CSRs). 

A Premium Tax Credit (PTC) is a subsidy that helps lower the cost of premiums for health coverage purchased through the Health Insurance Marketplace. Advance payments of the premium tax credit (called Advance Premium Tax Credits, or APTCs) can be used immediately to lower monthly premium costs.

  • Clients must file a federal income tax return after the end of the year regardless of whether they received the premium tax credit in advance or plan to claim it as a lump sum. The client will then use the return to reconcile the difference between the APTC payments and the actual amount of the credit that the client is eligible for at the end of the year.
  • If the APTC amount that a person received is different from the amount that they actually qualified for, the difference will be reconciled when they file their taxes. They may owe or be refunded money when they file their federal taxes. 
  • In past years, not filing taxes could make a person ineligible for tax credits, however in July 2022, the Centers for Medicare and Medicaid Services (CMS) announced that it would not enforce this “failure to reconcile” policy. In April, 2023, CMS announced the pause in these “failure to reconcile” operations would be extended for this plan year. 
    • The requirement that all individuals who received APTCs file federal taxes remains in place, even though the enforcement of this requirement is temporarily suspended. We encourage case managers and enrollment assisters to support clients in filing taxes in 2024.

A Cost-Sharing Reduction (CSR) is a discount that lowers the amount individuals and families have to pay out-of-pocket for deductibles, coinsurance, and copayments. CSRs are NOT used to pay premiums. 

There is no relationship between the CSR and filing taxes. This means that there is no reconciliation process for the CSR when an individual files taxes.

Questions? Contact the ACE TA Center.

Documents and Tax Filing Help

Ensure Clients Have the Following Documents on Hand When Filing Their Taxes

  • IRS Form 1095-A (Health Insurance Marketplace Statement): Clients do not need to file this form with their taxes, but should keep it for their records and use it to help them complete IRS Form 8962 (Premium Tax Credit). 
Income and Tax Information for the Tax Year 
  • W-2 forms from all employers.
  • Unique Exemption Certificate Number or ECN if you applied for an exemption from the Marketplace.
  • Information about any self-employment income.
  • Unemployment compensation.
  • Social Security benefits.
Information for Each Household Member 
  • Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN).
  • Dates of birth.

Tax Filing Assistance

  • Volunteer Income Tax Assistance (VITA) program. Offers free tax help to people who generally make less than $64,000, people with disabilities, and limited English-speaking taxpayers who need assistance in preparing their own tax returns. IRS-certified volunteers provide free basic income tax return preparation with electronic filing to qualified individuals.
  • Tax Counseling for the Elderly (TCE) program. Offers free tax help for people who are aged 60 and older. IRS-certified volunteers specialize in questions about pensions and retirement-related issues unique to seniors.
  • Free Tax Filing Software. The IRS provides a free filing option for people with an adjusted gross income of $79,000 or less. It may also be able to assist with state tax preparations.
  • Some RWHAPs also offer tax preparation services through their organization or a local partner. This is allowable according to Policy Clarification Notice 16-02 under “Other Allowable Professional Services,” which includes “income tax preparation services to assist clients in filing federal tax returns that are required by the Affordable Care Act for all individuals receiving PTCs.”