PCORI Fees Due
August 1, 2022
In December 2019, the “Further Consolidated Appropriations Act” was signed into law. This Act reinstated the PCORI (Patient-Centered Outcomes Research Institute) fee for an additional 10 years, ensuring that the Institute and its research will continue.
PCORI fees are due each year on July 31 from health insurers and the plan sponsors of self-insured plans. The fee is paid annually using Form 720, Quarterly Federal Excise Tax Return.
Q: What is the PCORI fee?
A: The Patient-Centered Outcomes Research Trust Fund fee is a fee on issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans that helps to fund the Patient-Centered Outcomes Research Institute (PCORI). The institute will assist, through research, patients, clinicians, purchasers and policy-makers, in making informed health decisions by advancing the quality and relevance of evidence-based medicine. The institute will compile and distribute comparative clinical effectiveness research findings.
Q: Who is responsible for reporting and paying the PCORI fee?
A: Issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans are responsible for reporting and paying the PCORI fee.
Get more information at: PCORI Q & A
Q: How much is the PCORI fee?
A: The amount of the PCORI fee is equal to the average number of lives covered during the policy year or plan year multiplied by the applicable dollar amount for the year. The applicable dollar amount is adjusted yearly to reflect inflation in National Health Expenditures, as determined by the Secretary of Health and Human Services.
For policy and plan years ending:
- after September 30, 2021, but before October 1, 2022, the applicable dollar amount was $2.79;
- after September 30, 2020, but before October 1, 2021, the applicable dollar amount was $2.66;
- after September 30, 2019, but before October 1, 2020, the applicable dollar amount was $2.54;
- after September 30, 2018, but before October 1, 2019, the applicable dollar amount was $2.45;
- after September 30, 2017, but before October 1, 2018, the applicable dollar amount was $2.39;
- after September 30, 2016, but before October 1, 2017, the applicable dollar amount was $2.26;
- after September 30, 2015, but before October 1, 2016, the applicable dollar amount was $2.17;
- after September 30, 2014, but before October 1, 2015, the applicable dollar amount was $2.08;
- after September 30, 2013, but before October 1, 2014, the applicable dollar amount was $2.00;
- after September 30, 2012, but before October 1, 2013, the applicable dollar amount was $1.00.