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Tom Feran
By Tom Feran June 12, 2013

Rep. Dave Joyce says the IRS must carry out 47 provisions of the health care law

A number of Republican lawmakers recently have sought to link two longtime targets of conservatives: President Barack Obama’s health care law and the Internal Revenue Service, which is under fire for its role in scrutinizing some Tea Party groups and others.


PolitiFact, like our colleagues at FactCheck.org and the Washington Post Fact Checker, has examined several related claims from lawmakers including Rep. Michele Bachmann of Minnesota and Senate GOP leader Mitch McConnell of Kentucky.


We rated as False the claim that the IRS is "going to be in charge of our health care." We found the claim that the IRS will be in charge of "a huge national database" on health care that will include Americans’ "personal, intimate, most close-to-the-vest-secrets" so ridiculous that we gave it our Pants on Fire! rating.


Rep. David Joyce of Russell Township made a claim that looked to have a more solid foundation in a Tweet posted June 5:


"47 - New provisions ObamaCare charges the IRS with implementing, according to the Government Accountability Office."


We quickly found the source, the GAO's report to Congress of June 2012, and we did not have to look far into it.


The report begins: "The Internal Revenue Service's implementation of the Patient Protection and Affordable Care Act is a massive undertaking that involves 47 statutory provisions and extensive coordination across not only IRS, but multiple agencies and external partners."

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That backs up Joyce's statement. But we thought knowing more about  the 47 provisions would be useful.


The IRS has posted a list of its roles in implementing the health care law, which include everything from levying additional payroll taxes on certain high-income Americans to taxation of medical devices and brand-name drugs. Among the key roles are approving subsidies for Americans seeking insurance on newly created health exchanges, and confirming that taxpayers have health insurance -- and assessing a financial penalty if they do not. (The penalties start at $95 per adult in 2013 and rise to $695 per adult in 2016.)


The revenue provisions are vital to the health care law, the Treasury Department Inspector General said in a report this year.


"Revenue provisions contained in the legislation are designed to generate $438 billion to help pay for the overall cost of health care reform," the report said. "More than 40 of these provisions added to or amended the Internal Revenue Code and represent the largest set of tax law changes the IRS has had to implement in more than 20 years."


"Indeed," the Post's Fact Checker noted, "the Supreme Court upheld the law precisely because the individual mandate fell within Congress’s taxation power (even though the Obama administration had tried hard to claim this was not a tax)."


Other federal agencies, such as the Department of Health and Human Services, are also involved in implementation of the law. Far more responsibility falls on the Department of Health and Human Services, which has taken the lead in organizing its implementation, providing information to the public about the law and providing oversight.


Joyce’s statement is accurate. On the Truth-O-Meter, it rates as True.

Our Sources

Rep. Dave Joyce, @RepDaveJoyce, June 5, 2013


Interview with Joyce communications director Christyn Keyes, June 5, 2013


PolitiFact, "Michele Bachmann says the IRS is 'going to be in charge of our health care,'" May 20, 2013


PolitiFact, "Michele Bachmann decries 'huge national database' run by IRS with 'personal, intimate' details," May 20, 2013


Cincinnati Enquirer, "Fact check: No, IRS won't be in charge of 'Obamacare,'" May 31, 2013


PolitiFact, "GOP group targets Barrow's health care votes," June 4, 2013


FactCheck.org, "Republican Overreach on IRS," May 21, 2013


U.S. Government Accountability Office, "Patient Protection and Affordable Care Act: IRS managing implementation risks, but its approach could be refined," June 13 2012


Internal Revenue Service, Affordable Care Act Tax Provisions, June 3, 2013


Washington Post, "Fact Checker: The NRCC’s claim that the IRS will be ‘in charge of your health care,’" May 29, 2013


U.S. Treasury Inspector General for Tax Administration, "Affordable Care Act:  Implementation of Key Information Reporting Provisions," March 29, 2013

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More by Tom Feran

Rep. Dave Joyce says the IRS must carry out 47 provisions of the health care law

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