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Sen. Rick Scott, R-Fla. Credit: Scott

Life Health > Health Insurance > Medicare Planning

Senate Republican Calls for Tightening Net Investment Income Tax Rules

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A wealthy Senate Republican called Wednesday for tightening the rules taxpayers use when determining whether income should be subject to the 3.8% net investment income tax.

Sen. Rick Scott, R-Fla., talked about the NIIT, or Medicare tax, during a hearing the Senate Budget Committee held to discuss ideas for raising revenue for the Medicare program and increasing its solvency.

Sen. Sheldon Whitehouse, D-R.I., the chairman of the committee, is trying to round up support for S. 1174, a bill that would increase the net investment income tax rate to 5% for some high-income taxpayers, and broaden the base of that tax, by applying the tax to earnings from active S corporations and the earnings of active limited partners.

Scott pointed out during the hearing that President Joe Biden and his wife, Jill Biden, took some income from books and speeches out of their net investment income tax calculations by classifying the income as “S corporation” income, or income earned by a company organized under subchapter S in chapter 1 of the Internal Revenue Code.

“That’s clearly something that ought to be fixed,” Scott said. “Because it’s clearly unfair that people are doing that.”

What it means: Democrats and independents who caucus with them hold 50 seats in the Senate and use votes from Vice President Kamala Harris to break ties.

Republicans have 50 seats in the Senate.

If Scott is open to the idea of expanding the reach of the net investment income tax, that could increase the odds that lawmakers trying to cut the federal budget deficit or fund new programs will suggest using net investment income tax scope expansion as a “pay for.”

Medicare solvency: Whitehouse held the hearing because of concerns that the trust fund supporting the Medicare Part A hospitalization program will run dry in 2031.

If the trust fund empties, Congress takes no action, and the program and the economy perform as government forecasters expect, Medicare would generate about enough revenue from current payroll tax revenue and premium payments to pay 89% of the expected claims.

Whitehouse said that, as of early Wednesday, the federal government was nearing a possible shutdown because “House Republicans are once again trying to make the tax system even less fair, to give more freebies to Big Business and billionaires.”

“Republicans over there want to maintain the massive exemption for inheritances to wealthy heirs,” Whitehouse added, referring to efforts to extend a provision in the Tax Cuts and Jobs Act of 2017 that doubled the estate tax exemption. The provision was temporary and is set to expire in 2026.

Sen. Charles Grassley, R-Iowa, the highest-ranking Republican on the committee, rejected the idea that Republicans are hostile to Medicare.

“We all recognize that Medicare as well as Social Security are very much a part of the social fabric of America,” Grassley said. “They may be government programs, but they also interact with the private sector retirement and health benefits as well, so it’s not something that just government does.”

The net investment income tax: Tax rules let taxpayers classify certain kinds of income as wages and some as business income. That flexibility affects all Medicare and Social Security payroll tax bills.

When the Affordable Care Act of 2010 added the net investment income tax, the flexibility also affected the tax base for the NIIT.

The NIIT adds a 3.8% surtax when an individual’s modified adjusted gross income exceeds a threshold of $200,000 for single filers and $250,000 for married couples filing jointly.

Members of Congress, White House officials and interest groups have been fighting over the “pass-through” rules, or rules for when the income of a business does or does not pass through to the owners, for years. The issue came up during tax plan negotiations in 2022, for example.

White House budget analysts predicted last year that applying the net investment income tax to the pass-through business income of high-income taxpayers could raise about $306 billion in extra revenue over 10 years.

S. 1174 would impose the new, higher 5% rates on single filers with MAGI of $400,000 or higher and joint filers with MAGI of $500,000 or higher.

Grassley’s criticisms: Whitehouse obtained an analysis from Medicare’s Office of the Actuary showing that S. 1174 could extend the solvency of the Medicare hospital insurance trust fund indefinitely.

Grassley noted that Medicare’s chief actuary included a note stating that the office had not assessed the reasonableness of supporters’ estimates of how much revenue the changes might bring in.

S. 1174 would increase the top marginal federal income tax rate over 50% and impose a 37.4% top rate on income from capital gains, and some analysts have predicted it could eliminate 700,000 jobs, Grassley said.

The bill’s backers say the new top 5% net investment income tax rate would apply only to filers in the top 2% in terms of income, but the thresholds are not adjusted for inflation, and the Social Security chief actuary has predicted the rate could eventually apply to 25% of households by the end of the projection period, Grassley said.

The Social Security chief actuary’s projection period ends in 2097.

The rich: During questioning by Scott, Chye-Ching Huang, executive director of the New York University law school tax law center, noted that very wealthy U.S. families typically pay a rate of 8% on much of their real income, because of their ability to control classification of income and control when, or if, certain types of gains count as taxable income.

“I think that there’s a long way to go from something like 8% to either the the marginal or even the average rates that most ordinary filers face,” Huang said.

Scott himself is wealthy: He helped found the hospital company now known as HCA, and he has been estimated to have a net worth of about $300 million.

Scott also asked Huang what would happen if Congress reversed the impact of tax cuts established during the administrations of former President George W. Bush and former President Donald Trump.

Huang predicted reversal of the cuts would increase federal revenue by about 3% of gross domestic product and dramatically improve the debt-to-GDP ratio.

Sen. Rick Scott, R-Fla. 


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