Is the fee charged to program a patient's medical history and insurance information onto a smart card subject to Texas sales tax?
Apply this to your situation
This page answers the general question as of 1997. Ezel answers yours, under current Texas tax law, with citations.
Plain-English summary
A company asked about the taxability of programming a patient's medical history onto a "smart card" — a credit-card-sized card with an embedded computer memory chip carrying an individual's health and insurance information, readable at ambulances, hospital emergency departments, pharmacies, nursing homes, home health care agencies, and doctors' offices. The only charge to the patient/customer would be a programming fee; the smart card itself would not be separately charged for.
The Comptroller held that this service meets the definition of data processing, which is a taxable service under Rule 3.330 — so the programming fee is subject to Texas sales tax.
What this means for you
Health-technology and smart-card companies
Charging a fee to enter, format, and store data (like a patient's medical/insurance history) onto a smart card or similar device is taxable data processing, regardless of whether you separately charge for the physical card — the classification turns on the data-entry/manipulation service, not on whether hardware changes hands for a fee.
Common questions
Q: Is a fee to program medical data onto a smart card taxable?
A: Yes — it's taxable data processing under Rule 3.330.
Q: Does it matter that there's no separate charge for the smart card itself?
A: No — the programming fee alone is enough to make the service taxable.
Q: Can another company rely on this exact letter?
A: No. This is a Texas STAR letter ruling binding on the Comptroller only for the taxpayer it addresses (34 Tex. Admin. Code Rules 3.1, 3.10); confirm your own facts with a tax professional.
Citations and references
Rules:
- 34 Tex. Admin. Code § 3.330 (data processing services)
Source
- STAR search: https://star.comptroller.texas.gov/search?doc_type_code=L&tax_type_code=SST
- Opinion: https://star.comptroller.texas.gov/view/9709711L
Original ruling text
September 15, 1997
Dear***:
Thank you for your letter dated September 10, 1997, concerning the taxability
of programming a patient's medical history onto a smart card.
The card is the size of a credit card and has a computer memory chip embedded
in it. The chip carries all of an individual's health and insurance
information which is then able to be read in the ambulances, emergency
departments of the hospitals, pharmacies, nursing homes, home health care
agencies and doctors' offices, etc.
The only fee charged will be a programming fee. There will be no charge for
the smart card.
Response: The service provided meets the definition of data processing, which
is a taxable service. See enclosed Rule 3.330.
Sales tax rules are available on the Internet
.
This opinion is based on the facts you submitted and current law. Other facts
though similar, may result in different answers.
If you have any questions or need more information, you may call me toll free
at 1-800-531-5441, ext. 50330. The direct line is 512/475-0330. You may also
write to Tax Policy Division, Comptroller of Public Accounts.
Sincerely,
Bettie Peterson
Tax Policy Division
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