New York residents must maintain minimum essential coverage health insurance or pay a tax; funds go to NY State of Health marketplace.

The bill, known as the "health PACT (personal accountability for care and treatment) act," requires New York residents to maintain minimum essential coverage health insurance or pay a tax for failing to do so. The tax funds the NY State of Health marketplace. The tax applies to applicable individuals required to file a personal income tax return. Exemptions include out-of-state residents, hardship, religious conscience, and taxpayers with gross income below the state filing threshold. The tax takes effect January 1, 2026.

New York residents must maintain minimum essential coverage health insurance or pay a tax; funds go to NY State of Health marketplace.

The bill, known as the "health PACT (personal accountability for care and treatment) act," requires New York residents to maintain minimum essential coverage health insurance or pay a tax for failing to do so. The tax funds the NY State of Health marketplace. The tax applies to applicable individuals required to file a personal income tax return. Exemptions include out-of-state residents, hardship, religious conscience, and taxpayers with gross income below the state filing threshold. The tax takes effect January 1, 2026.