Assuring Medicare’s Promise Act of 2025

Section 1817(a) of the Social Security Act (42 U.S.C. 1395i(a)) is amended—

(1) by striking and at the end of paragraph (1);

(2) by striking the period at the end of paragraph (2) and inserting; and; and

(3) by inserting after paragraph (2) the following new paragraph:

(3) the taxes imposed by section 1411 of the Internal Revenue Code of 1986 reported to the Secretary of the Treasury or the Secretary’s delegate on tax returns under subtitle F of such Code.

The amendments made by this section shall apply with respect to taxes imposed for taxable years beginning after December 31, 2025.

Section 1411 of the Internal Revenue Code of 1986 is amended by adding at the end the following new subsection:

In the case of any individual whose modified adjusted gross income for the taxable year exceeds the high income threshold amount, subsection (a)(1) shall be applied by substituting the greater of specified net income or net investment income for net investment income in subparagraph (A) thereof.

The increase in the tax imposed under subsection (a)(1) by reason of the application of paragraph (1) of this subsection shall not exceed the amount which bears the same ratio to the amount of such increase (determined without regard to this paragraph) as—

(A) the excess described in paragraph (1), bears to

(B) $100,000 (½ such amount in the case of a married taxpayer (as defined in section 7703) filing a separate return).

For purposes of this subsection, the term high income threshold amount means—

(A) except as provided in subparagraph (B) or (C), $400,000,

(B) in the case of a taxpayer making a joint return under section 6013 or a surviving spouse (as defined in section 2(a)), $500,000, and

(C) in the case of a married taxpayer (as defined in section 7703) filing a separate return, ½ of the dollar amount determined under subparagraph (B).

For purposes of this section, the term specified net income means net investment income determined—

(A) without regard to the phrase other than such income which is derived in the ordinary course of a trade or business not described in paragraph (2), in subsection (c)(1)(A)(i),

(B) without regard to the phrase described in paragraph (2) in subsection (c)(1)(A)(ii),

(C) without regard to the phrase other than property held in a trade or business not described in paragraph (2) in subsection (c)(1)(A)(iii),

(D) without regard to paragraphs (2), (3), and (4) of subsection (c), and

(E) by treating paragraphs (5) and (6) of section 469(c) (determined without regard to the phrase To the extent provided in regulations, in such paragraph (6)) as applying for purposes of subsection (c) of this section.

Section 1411(a)(2)(A) of such Code is amended by striking undistributed net investment income and inserting the greater of undistributed specified net income or undistributed net investment income.

Section 1411(c)(6) of such Code is amended to read as follows:

Net investment income shall not include—

(A) any item taken into account in determining self-employment income for such taxable year on which a tax is imposed by section 1401(b),

(B) wages received with respect to employment on which a tax is imposed under section 3101(b) or 3201(a) (including amounts taken into account under section 3121(v)(2)), and

(C) wages received from the performance of services earned outside the United States for a foreign employer.

Section 1411(c)(1)(B) of such Code is amended by inserting (other than section 172) after this subtitle.

Section 1411(c)(1)(A) of such Code is amended by striking and at the end of clause (ii), by striking over at the end of clause (iii) and inserting and, and by adding at the end the following new clause:

(iv) any amount includible in gross income under section 951, 951A, 1293, or 1296, over

Section 1411(c) of such Code is amended by adding at the end the following new paragraph:

The Secretary shall issue regulations or other guidance providing for the treatment of—

(A) distributions of amounts previously included in gross income for purposes of chapter 1 but not previously subject to tax under this section, and

(B) distributions described in section 962(d).

The amendments made by this section shall apply to taxable years beginning after December 31, 2025.

The regulations or other guidance issued by the Secretary under section 1411(c)(7) of the Internal Revenue Code of 1986 (as added by this section) shall include provisions which provide for the proper coordination and application of clauses (i) and (iv) of section 1411(c)(1)(A) with respect to—

(1) taxable years beginning on or before December 31, 2025, and

(2) taxable years beginning after such date.