--- title: Changes to Healthcare for Same Sex Spouses and Domestic Partnerships description: There have been changes to healthcare for gay lesbian same sex marriage couple domestic partners. image: https://blog.nonstophealth.com/hubfs/Blog_pictures/gay_marriage-2.jpg --- [![Nonstop](https://blog.nonstophealth.com/hs-fs/hubfs/2022-nonstop/images/Nonstop_Logo-22-Horizontal%20(2).png?width=1501&name=Nonstop_Logo-22-Horizontal%20(2).png "Nonstop")](https://www.nonstophealth.com/) ** - [ Outcomes ](https://blog.nonstophealth.com/changes-to-healthcare-for-same-sex-spouses-and-domestic-partnerships#) - [![icon-1](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-1.svg) Benefits Nonstop Health can improve benefits and lower costs for employees and employers. ](https://www.nonstophealth.com/benefits) - [![icon-2](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-2.svg) Services & Technology Get the most out of your plan with easy administration and usage tracking. ](https://www.nonstophealth.com/services) - [ Resources ](https://blog.nonstophealth.com/changes-to-healthcare-for-same-sex-spouses-and-domestic-partnerships#) - [![icon-1](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-1.svg) Support Our support team is ready to help, whether you’re an employer, member, or broker. ](https://www.nonstophealth.com/support) - [![icon-3](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-3.svg) Case Studies Seeing our solution in action. ](https://offers.nonstophealth.com/case-studies) - [![icon-4](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-4.svg) Blog Insights and updates to help navigate the health insurance landscape. ](https://blog.nonstophealth.com) - [![icon-5](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-5.svg) Podcasts A collection of conversations built to inspire. ](https://www.nonstophealth.com/podcast) - [![icon-6](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-6.svg) Webinar & Guides Insights and resources to help your organization thrive. ](https://offers.nonstophealth.com/resources) - [ About Us ](https://blog.nonstophealth.com/changes-to-healthcare-for-same-sex-spouses-and-domestic-partnerships#) - [![icon-7](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-7.svg) Our Team Learn about who we are and what drives us. ](https://www.nonstophealth.com/about-us) - [![icon-8](https://blog.nonstophealth.com/hubfs/2022-nonstop/images/icon-8.svg) Careers Discover rewarding employment opportunities with Nonstop. ](https://www.nonstophealth.com/careers) - [ Account login ](https://www.nonstophealth.com/alert) - [ For employees ](https://members.prod.nonstophealth.com/) - [ For employers ](https://clients.nonstophealth.com/) - [ For brokers ](https://channel.nonstophealth.com/) - [ Contact Us ](https://www.nonstophealth.com/contact-us) # Changes to Healthcare for Same Sex Spouses and Domestic Partnerships ![](https://blog.nonstophealth.com/hubfs/Blog_pictures/gay_marriage-2.jpg) ![gay_marriage-2.jpg](https://blog.nonstophealth.com/hs-fs/hubfs/Blog_pictures/gay_marriage-2.jpg?width=640&name=gay_marriage-2.jpg "gay_marriage-2.jpg")*Photo: theblaze.com* As a result of both the *US vs Windsor* case in 2013 and the recent Supreme Court decision legalizing same sex marriage in all 50 states, same sex spouses are now able to receive spousal support for healthcare, if a company offers that benefit, without any imputation of income from the employed spouse.  Employees with same sex spouses who were previously covered under domestic partner benefits should have implemented a change in marriage status with their employer after the Supreme Court decision to ensure that income was no longer imputed for their spouse. However, the Supreme Court decision brings about new changes when it comes to domestic partnerships.  Companies that previously offered domestic partner benefits may no longer choose to do so since same sex spouses are now recognized.  And if companies do continue to offer domestic partner benefits, they are not recognized as spousal benefits under the ACA and therefore should continue to require income to be imputed. As we begin the 2016 tax year, it is recommended that all organizations that offer spousal benefits and/or domestic partner benefits work closely with their payroll provider to ensure income is properly imputed if required and that income is not imputed for those employees with same sex spouses. It is also suggested that employers look for their specific state tax guidance around taxation/imputation for spousal and domestic partner benefits. In addition, it is recommended that human resource departments ensure clear and consistent communication has been distributed to employees about policy changes.  For more information, please refer to [IRS Notice 2015-86](https://www.irs.gov/pub/irs-drop/n-15-86.pdf), which details the impact of *Obergefell vs Hodges* on employee benefits in more detail. 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