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Health insurance contribution changes for entrepreneurs from 2026

The act introduces new rules for calculating health insurance contributions for self-employed individuals. Entrepreneurs will pay a lower rate of 4.9% or 3.5% on the portion of income/revenue above specified thresholds, instead of the current flat 9% rate. The changes take effect on January 1, 2026.
Key points
Lower contribution rates: 4.9% for general tax settlement and 3.5% for flat-rate taxpayers on income/revenue above the limit.
New calculation base: 75% of minimum wage plus excess income/revenue above 1.5-times or 3-times the average wage.
Annual settlement: entrepreneurs will settle contributions annually, with possibility of refund for overpayment or additional payment for underpayment.
End of tax deduction: health insurance contribution will no longer reduce income tax.
Changes effective January 1, 2026; 2025 settlement follows old rules.
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VOTING RESULTS
2025-04-04
For 213
Against 190
Abstain 25
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Status:
Vetoed
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Additional Information
Rządowy projekt ustawy o zmianie ustawy o świadczeniach opieki zdrowotnej finansowanych ze środków publicznych oraz niektórych innych ustaw.
Print number: PROJEKT USTAWY 838
Process start date: 2024-11-19
Voting date: 2025-04-04
Voting no: 17