Primary Department: Human Resources and Talent
Primary Department Head/Elected Official: Andrea Coughlin Rowley, Chief People Officer
Secondary Department: N/A
Secondary Department Head/Elected Official: N/A
Regular or Supplemental RCA: Regular RCA
Type of Request: Financial Authorization
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable): N/A
Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item
Request Summary (Agenda Caption): Affordable Care Act Patient-Centered Outcomes Research Institute Fee
title
Request for approval to submit the annual Patient-Centered Outcomes Research Institute report and payment in the estimated amount of $154,706.48 to the Internal Revenue Service in compliance with the Affordable Care Act.
end
Background and Discussion:
The Affordable Care Act assesses an annual fee on issuers of health insurance policies and certain self-insured health plans to help fund the Patient-Centered Outcomes Research Institute (P-CORI). The Institute was established to research and assist patients, clinicians, purchasers, and policymakers in making informed health decisions by advancing the quality and relevance of evidence-based medicine. The fee must be reported annually on the second-quarter Internal Revenue Service Form 720 (Quarterly Federal Excise Tax Return) and paid by July 31st.
Expected Impact:
For plan year 2025, the fee is approximately $154,706.48 and is based on $3.47 per the average number of covered lives during the plan year and includes all active employees, retirees, dependents and COBRA participants for all entities covered under the medical plan (Harris County, Harris County Flood Control District, Greater Harris County 9-1-1 Emergency Network, Harris County Community Supervision & Corrections, Harris County Sports & Convention Corporation, and Harris County Housing Authority.). The fee will be paid from the Health Insurance Fund.
Alternative Options: N/A
County Strategic Plan Goal: N/A
County Strategic Plan Objective: N/A
Justice/Safety Initiative (Goal 1): N/A
Infrastructure Initiative (Goal 2): N/A
Economy Initiative (Goal 3): N/A
Health Initiative (Goal 4): N/A
Climate/Resilience Initiative (Goal 5): N/A
Housing Initiative (Goal 6): N/A
Additional notes related to the Strategic Plan:
Prior Court Action (if any):
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Location: Sheila Jackson Lee Administration Building
Address (if applicable): 1111 Fannin St., Houston, TX, 77002
Precinct(s): Countywide
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$154,706.48 |
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Grant Funds Applied for/Awarded (Total) |
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Personnel (Fill out section only if requesting new Position Control Numbers (PCN)s) |
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County Attorney’s Office Legal Review (for Harris County Code Items only) |
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CAO Reviewer Name and Title |
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CAO Review Completion Date |
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Anticipated Court Date: 6/25/2026
Anticipated Implementation Date (if different from Court date): 6/25/2026
Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item
Contact(s) name, title, department: Andrea Coughlin Rowley, Chief People Officer, Human Resources and Talent
Attachments (if applicable):
• N/A