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When Did the PCORI Fee Start? A Complete Guide
Jul 30 ,2026

When Did the PCORI Fee Start? A Complete Guide

When did the PCORI Fee start?

The PCORI Fee started for plan years and policy years ending after September 30, 2012.
This means:
1)The first applicable PCORI fee period began in 2012.
2)The first payments were generally made in 2013, because the fee is reported and paid by July 31 of the calendar year following the end of the applicable plan year or policy year

Example:

Plan Year End Date 

PCORI Fee Applies? 

Payment Due 

September 30, 2012 

No (not after Sept. 30) 

Not applicable 

October 1, 2012 

Yes 

July 31, 2013 

December 31, 2012 

Yes 

July 31, 2013 

June 30, 2013 

Yes 

July 31, 2014


First PCORI Fee Rate

For the first applicable period:

  • Plan/policy years ending after September 30, 2012 and before October 1, 2013

  • Fee rate: $1.00 per covered life

Example:

Average Covered Lives 

PCORI Rate 

Fee 

1,000 lives 

$1.00 

$1,000 


Why was the PCORI Fee created?

The fee was created under the Affordable Care Act (ACA) to fund the Patient-Centered Outcomes Research Trust Fund. This fund supports the work of the Patient-Centered Outcomes Research Institute (PCORI), which conducts and funds comparative clinical effectiveness research to help patients, healthcare providers, and policymakers make better healthcare decisions.

Original PCORI Fee Timeline

Year 

Event 

2010 

Affordable Care Act (ACA) established PCORI and the Patient-Centered Outcomes Research Trust Fund. 

2012 

PCORI fee became applicable for health insurance policies and self-insured health plans ending after September 30, 2012. 

2013 

First PCORI fee payments became due (for applicable 2012 plan/policy years). 

2019 

The original PCORI funding period was scheduled to end. 

2019 (December) 

The Further Consolidated Appropriations Act, 2020 extended the PCORI fee for another 10 years. 

2029 

Current extension continues the PCORI fee for plan/policy years ending before October 1, 2029. 


Current Status of PCORI Fee

The PCORI fee is still active. For plan years ending:

  • After September 30, 2025 and before October 1, 2026

  • Rate: $3.84 per covered life

The fee continues through plan/policy years ending before October 1, 2029.


PCORI and IRS

The PCORI Fee is primarily associated with the IRS because it is reported and paid through Form 720, Quarterly Federal Excise Tax Return, which is administered by the IRS. While the fee supports the funding of the Patient-Centered Outcomes Research Institute (PCORI), the rules, filing requirements, payment procedures, and compliance guidelines are governed by the IRS. 


Conclusion:
PCORI Fee has had a significant role in the funding of research in patient-centered healthcare after its enactment through the Affordable Care Act. Being aware of the inception date of the fee and its applicability will assist the plan sponsors and insurance providers to comply with their responsibilities in filing this fee. Using QuickFile720 will make your PCORI Fee calculation and filing process easier than ever before.
e-File PCORI Fees Online with QuickFile720 today!


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