PCORI FEE

PCORI Fee

The fee funds research by the Patient-Centered Outcomes Research Institute (PCORI), which was established by the ACA to compare different medical treatments and interventions to determine what treatments are most effective.

Assessed from 2013 to 2019, the fee is:

  • $1 per average number of covered lives for plan years ending on or after Oct. 1, 2012, through Dec. 31, 2012;
  • $1 per average number of covered lives for plan years ending on or after Jan. 1, 2013, through Sept. 30, 2013;
  • $2 per average number of covered lives for plan years ending on or after Oct. 1, 2013, through Dec. 31, 2013;
  • $2 per average number of covered lives for plan years ending on or after Jan. 1, 2014, through Sept. 30, 2014;
  • $2.08 per average number of covered lives for plan years ending on or after Oct. 1, 2014, through Dec. 31, 2014;
  • $2.08 per average number of covered lives for plan years ending on or after Jan. 1, 2015, through Sept. 30, 2015;
  • $2.17 per average number of covered lives for plan years ending on or after Oct.1, 2015 through Dec. 31, 2015; and
  • $2.17 per average number of covered lives for plan years ending on or after Jan. 1, 2016, through Sept. 30, 2016.
  • $2.26 per average number of covered lives for plan years ending on or after Oct. 1 , 2016, through Dec. 31, 2016;
  • $2.26 per average number of covered lives for plan years ending on or after Jan. 1, 2017, through Sept. 30, 2017;
  • $2.39 per average number of covered lives for plan years ending on or after Oct. 1, 2017, through Dec. 31, 2017; and
  • $2.39 per average number of covered lives for plan years ending on or after Jan. 1, 2018, through Sept. 30, 2018.

Thereafter, the fee is based on increases in the projected per capita amount of the National Health Expenditures. The fee will not apply to policy or plan years that begin after Sept. 30, 2019.