Universal HealthcareBy NextBestFit

Set up the new taxes

Months 0–18 · Treasury, IRS, SSADiscuss this step
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Task 1.12.1 of 6

Employer tax: add a line to Form 941 (quarterly payroll); exempt the first $250,000 of annual payroll per employer (aggregated across controlled groups to prevent splitting).

Who does it
IRS
When
Month 6–12
Trade-off

A $250,000 payroll exemption protects the smallest firms but invites firm-splitting and reduces revenue.

Part of: Set up the new taxes

IRS and Treasury implement the employer health payroll tax (7.5%), the household income-based premium (4.0% above an exemption), and the top-end surtaxes, each phased in with the enrollment waves.

This step changes 6 existing laws, programs, or institutions. See the list.