With tax reform enacted at the end of 2017, there have been questions around the requirements to have health care coverage. Under tax reform, effective for tax year 2019 the tax penalty for not having health insurance is eliminated.
If you receive health insurance coverage in a qualified health insurance plan purchased from Healthcare.gov or through a State Marketplace, you may have received an Advanced Premium Tax Credit or subsidy to help you pay for your 2021 health insurance, which was based on your projection of your 2021 household income. If your actual income for the tax year is more than what was projected when you applied for health insurance in the Health Insurance Marketplace, then you are required to pay back a portion of the excess Advance Premium Tax Credit or subsidy that you received when you file your taxes.