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That exceeds by almost $200 billion the amount in pending House and Senate bills, leading some administration officials to suggest that the budget could call for additional Medicare cuts.
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*Nursing homes would receive $1.6 billion of additional Medicare payments.
One proposal the Bipartisan Policy Center experts couldn't quite bring themselves to endorse: adding "catastrophic" long-term care coverage to Medicare and paying for it through an additional Medicare payroll tax.
And for the first time in 2013, there is an additional Medicare tax for high-income taxpayers of 0.9percentt of earnings over $200,000 for individuals and $250,000 for couples.
What Obama is talking about here is over $300 billion in additional Medicare cuts, for a total of $500 billion, for payments to doctors and hospitals.
When figuring the amount of tax which might be payable, don't forget about additional taxes like the Net Investment Income Tax NIITT) (for taxpayers that have investment income above threshold amounts) and the Additional Medicare Tax (for high income taxpayers).
And the National Conference of State Legislatures said in July that additional Medicare costs for low-income people "should be 100percentt federally funded".
In the years before he lost his Pennsylvania Senate seat in 2006, Rick Santorum worked hard to win hundreds of millions of dollars in additional Medicare money for hospitals in Puerto Rico.
The graphic shows the impact of the 2 percentage point increase in FICA, or Social Security, withholding, plus the additional Medicare tax for those with incomes above $200,000 and an increase in withholding rates to the levels they were before the George Bush administration's tax cuts.
For 2013 and later years, the additional Medicare tax of 0.9percentt applies only to joint filers with wages above $250,000 $125,0000 for married couples filing separate returns) and single filers over $200,000.
The Victorian and Queensland governments have united to pressure the federal government to overhaul support for foster and kinship carers by providing additional Medicare support and tax breaks.
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