Proposed Provision: F3. Expand covered earnings to include employer and employee premiums for employer-sponsored group health insurance (ESI). Starting in 2028, phase out the OASDI payroll tax exclusion for ESI premiums. Set an exclusion level at the 75th percentile of premium distribution in 2028, with amounts above that subject to the payroll tax. Reduce the exclusion level each year by 10 percent of the 2028 exclusion level until fully eliminated in 2038.

OASDI Trust Fund Ratio
(assets as a percentage of annual expenditures)

Year Current Law Provision
2024188188
2025171171
2026152152
2027134134
2028117117
2029101102
20308487
20316873
20325361
20333750
20342240
2035730
2036-921
2037-2612
2038-434
2039-60-4
2040-78-12
2041-96-21
2042-115-30
2043-135-39
2044-154-48
2045-174-58
2046-194-68
2047-215-78
2048-235-88
2049-256-98
2050-277-109
2051-299-120
2052-320-131
2053-342-142
2054-364-154
2055-386-166
2056-409-178
2057-431-191
2058-455-204
2059-478-217
2060-502-231
2061-527-246
2062-553-261
2063-579-277
2064-605-293
2065-632-309
2066-660-326
2067-688-344
2068-716-361
2069-745-380
2070-774-398
2071-803-417
2072-834-437
2073-864-457
2074-895-478
2075-927-499
2076-960-520
2077-993-543
2078-1027-565
2079-1062-589
2080-1098-613
2081-1134-637
2082-1172-662
2083-1209-687
2084-1248-713
2085-1287-739
2086-1327-766
2087-1368-793
2088-1409-820
2089-1450-847
2090-1491-875
2091-1532-902
2092-1573-928
2093-1612-954
2094-1651-980
2095-1689-1005
2096-1727-1031
2097-1764-1056
2098-1801-1080
2099-1838-1105
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