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Program Expirations Timeline

Updated January 7, 2020

January 1, 2020

The Affordable Care Act (ACA)’s health insurer tax is reinstated (see Issue Brief 19-30). The tax is repealed effective January 1, 2021.

The ACA’s “Cadillac” health care plan tax is repealed.

The ACA’s excise tax on medical devices is repealed.

February 10, 2020

The White House plans to release the FY 2021 federal budget.

May 23, 2020

Mandatory funding for Temporary Assistance for Needy Families (TANF), the mandatory/matching portion of the Child Care and Development Fund (CCDF), and other related programs expire.

Community Mental Health Services Demonstration expires.

Mandatory funding for the following health programs expires:

  • Consolidated Health Centers
  • Health Profession Opportunity Grants
  • Medicare Enrollment Assistance Program
  • National Health Service Corps
  • Personal Responsibility Education Program
  • Sexual Risk Avoidance Education
  • Teaching Health Center Graduate Medical Education

Medicaid disproportionate share hospital (DSH) allotments are cut (see Issue Brief 19-27). 

October 1, 2020

FY 2021 begins

The federal matching rate for CHIP declines due to full phase-out of an ACA provision (see Issue Brief 19-26).

The following programs expire:

  • Every Student Succeeds Act (ESSA)
  • National Flood Insurance Program (NFIP)
  • Secure Rural Schools (SRS)
  • Workforce Innovation and Opportunity Act (WIOA)
  • FAST Act

Because ESSA and WIOA are discretionary programs, they may still receive funding through the appropriations process. SRS and FAST Act programs require current authorization to receive funding, although SRS funding is paid with a one-year lag.

January 1, 2021

The ACA’s health insurer tax is repealed.

July 31, 2021

The federal debt limit is reinstated.

October 1, 2021

FY 2022 begins.

The additional Medicaid funding for territories, with higher matching rate, expires.


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