SECTION 2. ADJUSTED ITEMS

Under § 4980H(c)(5), in the case of any calendar year after 2014, the applicable dollar amounts of $2,000 and $3,000 under § 4980H(c)(1) and (b)(1), respectively, are increased by an amount equal to the product of such dollar amount and the premium adjustment percentage (as defined in § 1302(c)(4) of the Patient Protection and Affordable Care Act ¹ ) for the calendar

year. If the amount of any increase is not a multiple of $10, such increase is rounded to the next lowest multiple of $10.

The Department of Health and Human Services (HHS) published the premium adjustment percentage for 2024 on December 12, 2022, using the most recent National Health Expenditure Accounts (NHEA) income and premium data that was available at the time of publication. For calculation of the 2024 benefit year payment parameters, HHS used the NHEA Projections 2021-2030, the data source that reflected the most recent projections available. Using the NHEA Projections 2021-2030, the premium adjustment percentage for 2024 is the percentage (if any) by which the NHEA Projections 20212030 value for per enrollee ESI premiums for 2023 ($7,292) exceeds the NHEA Projections 2021-2030 value for per enrollee ESI premiums for 2013 ($4,894) carried out to ten significant digits. Using this formula, the applicable premium adjustment percentage is 1.4899877401. ² For calendar year 2024, the adjusted $2,000 amount under § 4980H(c)(1) is $2,970 ($2,000

1 Pub. L. 111–148, 124 Stat. 119 (2010).

2 See https://www.cms.gov/files/document/2024-papi-parameters-guidance-2022-12-12.pdf.

March 27, 2023 604 Bulletin No. 2023–13

26 CFR 301.7705: Applying for and maintaining certification as a certified professional employer organization.