Cutting refreshments, Canton Ticino attacks health tax

Photograph of Lugano with a protest sign in front of the town hall

State Councillor Christian Vitta said he wanted to attack the mechanism of refunds for border workers.

Context

In a nutshell

  • State Councillor Christian Vitta stated that he wanted to attack the mechanism of refreshments for border workers.
  • The Canton of Ticino wants to cut the share of border workers paid as' compensation '.

The health tax

The so-called health tax is the contribution to the Italian National Health Service set by Law 213/2023 (Art. 1, paragraphs 237-239): from 3% to 6% of the net salary earned in Switzerland, with a minimum of 30 and a maximum of 200 euros for each month worked, set each year by the region of residence.

The intent of the Councilor of State

State Councillor Christian Vitta said he wanted to attack the mechanism of refunds for border workers.

Operational details

Key facts

  • Tax at source on income from work: ONLY withheld in Switzerland for border workers.
  • New Frontier Agreement: signed on 23 December 2020, in force since 17 July 2023, applicable from 1 January 2024.
  • Old cross-border workers remain taxed only in Switzerland (Art. 9 of the 2020 Agreement).
  • The Article 9 transitional regime applies only to workers who meet the Agreement’s definition and worked in Graubünden, Ticino or Valais between 31 December 2018 and 17 July 2023; covered employment income of these old cross-border workers is taxable exclusively in Switzerland. The ordinary regime applies in other cases, with Italian taxation and credit for Swiss tax where applicable. The €10,000 in Article 4 of Law 83/2023 is only the income limit referred to in Article 1(175) of Law 147/2013, not a general allowance. FTA factsheet · Agreement, Article 9 · Normattiva, Article 4.

Canton Ticino Attacks Health Tax: Cutting Refreshments The so-called health tax is the contribution to the Italian National Health Service set by Law 213/2023 (Art. 1, paragraphs 237-239): from 3% to 6% of the net salary earned in Switzerland, with a minimum of 30 and a maximum of 200 euros for each month worked, set each year by the region of residence.

Useful tools to protect your net income

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Key points

Practical analysis

State Councillor Christian Vitta said he wanted to attack the mechanism of refunds for border workers. The share of border workers paid as' compensation 'could be cut.

The so-called health tax is the contribution to the Italian National Health Service set by Law 213/2023 (Art. 1, paragraphs 237-239): from 3% to 6% of the net salary earned in Switzerland, with a minimum of 30 and a maximum of 200 euros for each month worked, set each year by the region of residence.

For a precise net salary calculation, use our tax comparator: compare take-home pay between G and B permits with all 2026 deductions.

Source: ilgiorno.it

Article 1(237–238) of Italian Law No. 213/2023 does not apply indiscriminately to all cross-border workers. It covers: (a) Italian residents who work and stay in Switzerland and use the Italian SSN; (b) frontier workers under Article 9(1) of the Italy–Switzerland Agreement whose income is taxable only in Switzerland and who exercised the legal right to choose health insurance; and (c) dependants of those two categories. Paragraph 238 sets a progressive 3–6% share of net Swiss salary, with a €30 minimum and an ordinary €200 maximum for each month worked from 2024. The cap may be doubled in cases of omitted payment or omitted communication specified in Article 1(100) of Law No. 207/2024. The Region of residence sets the rates and procedure each year.

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