The next fee for Patient-Centered Outcomes Research Institute (PCORI) is due on July 31, 2020. Created by the Affordable Care Act (ACA), PCORI was founded to help patients and caretakers to make informed healthcare decisions. Under the ACA, all health plans are responsible for covering an annual PCORI fee. The ACA required annual payment of a PCORI fee for qualifying plans with terms ending after September 30, 2012, and before October 1, 2019. However, under the Further Consolidated Appropriations Act signed into law on December 20, 2019, fees have been extended for an additional 10 years to 2029.

As previously announced, the fee for plan years ending after Sept. 30, 2018 and before Oct. 1, 2019 is $2.45. Finally, on June 8, 2020, the IRS has confirmed that the fee for plan years ending on or after October 1, 2019 and before October 1, 2020 is $2.54.

Who pays the fee?

For fully insured plans, the insurance carrier pays the fee on behalf of the policyholder. Self-insured plans cover the fee themselves via IRS Form 720.

For more information on the PCORI fee and calculations for policyholders, click here