If you get help paying health insurance premiums through the Affordable Care Act’s premium tax credit (PTC), a major repayment rule changes for tax year 2026 that could sharply increase your tax bill if you don’t plan ahead. Beginning with tax year 2026, taxpayers who received advance payments of the premium tax credit (APTC), and turn out to have received more than they were eligible for, will generally have to repay the full excess on their fe…
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