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The health reform law imposes small fees on health care plan sponsors—initially $1 per plan participant and later rising to $2 per plan participant—to fund research on medical outcomes. Newly proposed Internal Revenue Service rules resolve long-standing questions employers and others have had about the type of plans to which the fees will apply. The guidance resolves those questions, as well as provides several methodologies that plan sponsors can use to determine how many participants their plans have for calculating the total amount of the fee they must pay each year. Read the proposed IRS rules.