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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.
110 Journal of American Physicians and Surgeons Volume 20 Number 4 Winter 2015. The Patient Protection and Affordable Care Act (ACA) is. made up of numerous moving parts surrounded by truth. and fiction, promises and deceptionâelements coming. from both inside and outside government and making. congressional oversight nearly impossible.