I read this as essentially levying Medicare taxes (1.45%) on the capital gains realized from selling a house that amount to as little as $250k or more. One may be exempt from the capital gains tax because they are purchasing a replacement home or for other reasons but this new tax will still apply. For a gain of $250k, that's $3625 in new taxes on individuals who are not necessarily rich.
Sec. 1402. Medicare tax. Modifies the tax to include net investment income in the taxable base. Currently, the Medicare tax does not apply to net investment income. The Medicare tax on net investment income does not apply if modified adjusted gross income is less than $250,000 in the case of a joint return, or $200,000 in the case of a single return. Net investment income is interest, dividends, royalties, rents, gross income from a trade or business involving passive activities, and net gain from disposition of property (other than property held in a trade or business). Net investment income is reduced by properly allocable deductions to such income.
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