The bill defines which businesses are subject to the health care tax based upon the dollar amount of employee payroll. There even is a sliding scale right in the bill (section 501, at page 276) which tops out at 8% for businesses with $750,000 of annual payroll. Annual payroll is defined as the "aggregate wages" paid by the employer.
This provision creates incentives for businesses to keep down payroll. One way would be not to hire anyone whose compensation would fall under the definition of payroll under the bill.
In other words, outsource whatever you can. Hire a software engineer in India, or ship manufacturing to China, or structure your business in such a way that you send 1099s not W-2s to the people who work for you (and hire an accountant and tax lawyer to navigate IRS rules on independent contractors).
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