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Hardship Exemptions: Insights, Mechanics, and Impact

Last updated 01/03/2024 by

Bamigbola Paul

Edited by

Fact checked by

Summary:
The hardship exemption, a facet of the Patient Protection and Affordable Care Act (ACA) implemented in 2010, served as a mechanism for individuals grappling with financial or personal challenges to be excused from the obligation of maintaining health insurance. This exemption spared individuals from penalties associated with the individual mandate or Shared Responsibility Payment. However, with the cessation of the individual mandate in 2019, the relevance of hardship exemptions dwindled. This comprehensive article delves into the intricacies of hardship exemptions, the qualifying conditions, and the shifts introduced by the Tax Cuts and Jobs Act in 2019.

Understanding the hardship exemption in depth

The hardship exemption, a crucial component of the ACA enacted in 2010, played a pivotal role in providing reprieve for individuals confronting financial or personal constraints that hindered them from affording health insurance. It functioned as a safety net, allowing eligible individuals to sidestep penalties associated with the individual mandate or Shared Responsibility Payment.

Operational mechanics of hardship exemptions

The ACA, colloquially referred to as Obamacare, aimed to enhance healthcare accessibility by instituting health care exchanges, widening Medicaid eligibility, and penalizing those without coverage. From 2014 onwards, individuals were mandated to possess minimum essential coverage, and non-compliance led to a fee, known as the individual mandate or Shared Responsibility Payment.
Hardship exemptions provided relief for individuals facing specific circumstances, such as homelessness, eviction, domestic violence, or bankruptcy. These exemptions were applicable for tax years spanning from 2015 to 2018, encompassing diverse situations where individuals found it challenging to meet the financial demands of healthcare.
WEIGH THE RISKS AND BENEFITS
Here is a detailed analysis of the benefits and drawbacks associated with hardship exemptions.
Pros
  • Provided a lifeline for individuals facing financial or personal hardships.
  • Exempted individuals from the individual mandate or Shared Responsibility Payment.
  • Encompassed a broad spectrum of circumstances, including homelessness, eviction, and domestic violence.
Cons
  • Hardship exemptions ceased to be applicable after 2019.
  • The elimination of the individual mandate in 2019 marked a significant shift.

Evolution of hardship exemptions: Trump administration’s impact

In 2019, the Trump administration eliminated the individual mandate, resulting in the removal of penalties for those without health insurance. Simultaneously, the conditions for approval of hardship exemptions underwent broadening, simplifying the process for individuals seeking to avoid penalties up until 2018. Noteworthy adjustments included considerations for residing in areas devoid of marketplace plans, or facing challenges in finding affordable plans without abortion coverage.
It’s pertinent to highlight that President Biden’s health care plan is set to reinstate the individual mandate, signaling a potential shift in the landscape of healthcare obligations.

Special considerations for hardship exemptions

Typically, hardship exemptions covered the month before, the month of, and the month after the hardship period. In some instances, the exemption period could extend up to an entire calendar year, especially for those ineligible for Medicaid due to their state’s non-expansion. Individuals applying for exemptions often needed to furnish documentation supporting their application.

Frequently asked questions

How did the individual mandate end?

The individual mandate came to an end in 2019 with the enactment of the Tax Cuts and Jobs Act.

Are hardship exemptions still applicable?

No, hardship exemptions ceased to be applicable after the elimination of the individual mandate in 2019.

What changes did the Trump administration make to hardship exemptions?

The Trump administration eliminated the individual mandate in 2019 and broadened the conditions for approval of hardship exemptions, making it easier for individuals to avoid penalties until 2018.

How does President Biden’s health care plan impact hardship exemptions?

President Biden’s health care plan aims to reinstate the individual mandate, which may influence the landscape of healthcare obligations and hardship exemptions.

Key takeaways

  • Hardship exemptions provided a crucial lifeline for individuals facing financial or personal challenges.
  • Exemptions spared individuals from penalties linked to the individual mandate or Shared Responsibility Payment.
  • The Trump administration’s changes in 2019 reshaped the landscape of hardship exemptions.
  • President Biden’s health care plan signifies a potential reinstatement of the individual mandate.

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