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The Affordable Care Act created an annual fee on certain health insurance providers beginning in 2014. On Nov. 26, 2013, the Treasury Department and IRS issued final regulations on this annual fee imposed on covered entities engaged in the business of providing health insurance for United States health risks.
Medicare Provisions in the Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Congressional Research Service 12 20% in 1998; 40% in 1999; 60% in 2000; 80% in 2001; and 100% in 2002. The BBA 97 does not include a provision for a carve out of DSH payments from Medicare HMO payment rates.edicare Provisions in the Balanced Budget Act of 1997 (BBA 97, P.L. 105-33) Congressional Research Service 5 Issues Medicare is the second largest social welfare program in the federal budget, exceeded only by the Social Security program.