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File #: 25-4194    Version: 1 Name:
Type: Financial Authorization Status: Agenda Ready
File created: 6/26/2025 In control: Commissioners Court
On agenda: 7/10/2025 Final action:
Title: Request for approval to submit the annual Patient-Centered Outcomes Research Institute report and payment in the estimated amount of $285,555 to the Internal Revenue Service in compliance with the Affordable Care Act.
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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Primary Department: Management and Budget
Primary Department Head/Elected Official: Daniel Ramos

Secondary Department: Choose an item.
Secondary Department Head/Elected Official:

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):
title
Request for approval to submit the annual Patient-Centered Outcomes Research Institute report and payment in the estimated amount of $285,555 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 is required to 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 the short plan year ending December 31, 2023, the fee is approximately $135,246 and is based on $3.22 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 Sport...

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