In the deluge of recent media stories about who will lose if Congress repeals the Affordable Care Act , one crucial provision has received short shrift from journalists: the so-called Cadillac tax, written into the law as a way to raise money for government subsidies for the uninsured. The Cadillac tax, which will affect nearly everyone with employer-sponsored coverage when it takes effect in 2020, is currently the target of bipartisan repeal efforts.