Assuring Medicare’s Promise Act of 2025

This bill changes a tax called the net investment tax to help fund the part of Medicare that covers hospital stays. Right now, higher-income individuals pay a 3.8% tax on their investment income, but this bill would raise the income thresholds for some filers and expand what counts as taxable income under this tax — including more types of business income, gains from selling business property, and certain foreign income. The bill also sends the money collected from this tax to the trust fund that pays for Medicare Part A and requires the IRS to provide more guidance on how the tax works.

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