Medicare Tax is Increasing for High Wage Earners

Beth Dean 12.05.12
112 Desk Brown Tones

Health care reform’s Affordable Care Act (ACA) includes a provision in which high wage earners will be subject to increased Medicare taxes once an earnings threshold has been met.

Employee wages are currently subject to a 1.45% Medicare tax rate, paid by both the employee and the employer. Effective January 1, 2013, the employee portion of Medicare tax withholding will increase from 1.45% to 2.35% once the employee has earned $200,000 in the calendar year.

Only wages earned over $200,000 in a calendar year are subject to the increased tax rate; all wages earned before the threshold is met will be taxed at 1.45%. If married filing jointly, the Medicare tax threshold amount increases to $250,000. In accordance with the IRS, this variation will be reconciled on the individual’s tax return rather than through paycheck deductions.

Example: An employee and spouse each earn $150,000 per year. Since they individually earn less than $200,000, neither will have increased Medicare taxes deducted from their paychecks. However, their combined income is $300,000, so $50,000 of those earnings will be subject to additional taxes when filing their joint tax return.

This increase affects the employee only; the employer portion will remain unchanged at 1.45% regardless of the employee’s earnings.

Nextep has already made necessary changes to comply with this law and ensure that all employees will be properly taxed. No further action is needed by Nextep clients at this time.

For additional information, please refer to the IRS guidance or contact Nextep’s Payroll Department.

Also on Nextep

Summer heat does not wait for paperwork. When temperatures surge past triple digits across the South and Midwest, heat safety is compromised. Your crew on the asphalt or inside an unconditioned warehouse faces real danger within minutes. OSHA updated its National Emphasis Program for heat hazards to sharpen its enforcement focus. They added 22 industries […]
Read more
Mark your calendars! New compliance rules take effect this October, and protecting your business starts with knowing what is changing. The latest updates bring major changes to state and federal employment laws, changing everything from workplace policies to payroll. Key changes include the federal repeal of OFCCP affirmative action mandates and Alabama’s ban on sexual […]
Read more
States are enacting new workplace artificial intelligence laws that focus on transparency and worker privacy. If your business uses software to score applicants or screen current employees, state laws now demand clear notices and strict record-keeping. Connecticut will require a disclosure starting in October when AI informs major employment decisions. Colorado mandates notices for job […]
Read more
When shopping for the right PEO for your business, you’ll naturally look for a few checkpoints, such as technology, employee benefit options, and customer service. But perhaps the biggest point you’ll need assurance on is their trustworthiness. That’s where ESAC accreditation comes in. The Employer Services Assurance Corporation (ESAC) is one of the Professional Employer […]
Read more
It can be tricky to determine whether to classify your employees as exempt vs nonexempt. Good thing we’re here to help.  Exempt vs. Nonexempt: Exempt means that an employee doesn’t receive overtime pay regardless of hours worked. Nonexempt means that an employee must receive overtime pay (typically at a rate of time and a half) […]
Read more
July brings a fresh wave of state and federal compliance updates. Nextep has the complete rundown to keep your business on track. Get started using these quick links: Part 1: Federal Compliance Spotlight: New EEOC National Enforcement Plan On June 4, 2026, the Equal Employment Opportunity Commission (EEOC) voted to replace its previous Strategic Enforcement […]
Read more
When a week of snow plows across the United States, it leaves a few important questions. Is travel to the workplace safe? Who absolutely needs to be there? And which employees will get paid? How do I prepare for inclement weather days? Having an inclement-weather policy answers all the questions above in advance for you […]
Read more
If your employee needs health-related time off, the Family and Medical Leave Act (FMLA) may require your company to provide it. This FMLA 101 guide will help you navigate the process. Now that we’ve covered the basics, this guide will explain the Family and Medical Leave Act (FMLA) to help you handle employees’ leave requests […]
Read more
It’s that time of the year again! To stay current with the latest federal regulations, ensure your workplace labor posters are up to date. This helps you avoid potential fines and stay compliant. Several state compliance laws have changed at the start of the new year, which may require you to update your employees’ posters. […]
Read more
For years, HR teams have asked: If an employee has a 30-minute appointment, but it takes them an hour to get there, is that drive time Family Medical Leave Act (FMLA)-protected? The Department of Labor (DOL) just gave us a definitive answer in Opinion Letter FMLA2026-2. For employers, this is both a compliance requirement and […]
Read more
In December 2025, the Occupational Safety and Health Administration (OSHA) highlighted seven specific Letters of Interpretation (LOI). Below is a summary of what this means for the employer and how these resources can be used to mitigate risk. The Big Picture: Why This Matters OSHA is signaling a shift toward a “compliance assistance” model. Rather […]
Read more
As we kick off 2026, we’d like to give you a heads-up regarding changes to Federal Unemployment taxes (FUTA) for employees in California, the Virgin Islands, and New York. Some states are subject to a “Credit Reduction,” which essentially means employers in those states pay a higher federal unemployment tax rate to cover outstanding federal […]
Read more

Download the Elevate by Nextep™ App


Download the Nextep Mobile App in Apple iOS or Google Play