Resources

Client Alerts, News Articles, Blog Posts, & Multimedia

Everything you need to know about BMD and the industry.

Tax Savings Potentially on the Chopping Block under President Biden’s American Jobs Plan and American Families Plan

Client Alert

Recently, President Biden has proposed several tax law changes in his American Jobs Plan and American Families Plan. Outlined below are a few of the tax savings that could be significantly changed or eliminated under Biden’s plans.

Long-term capital gains and qualified dividends

Under current tax law, when an individual sells an appreciated asset that has been held for more than one year, the gain is taxed at a graduated rate. Generally, the highest tax rate is 20% provided the net investment income tax is not applicable. This rate also applies to qualified dividends.

Under the proposed tax law, long-term capital gains and qualified dividends would be taxed as ordinary income to the extent a taxpayer’s adjusted gross income exceeds $1 million ($500,000 for married filing separately). The effect would generally make the highest tax rate 37% provided the net investment income tax is not applicable.

1031 Like-Kind Exchanges

Under the current tax law, taxpayers that sell appreciated property used in a trade or business can defer paying capital gain tax on the sale if that property is exchanged for the same type or like-kind property. If certain requirements are met, the tax is deferred until a later recognition event.

Under the proposed tax law, taxpayers would still be permitted to defer the gain on a like-kind exchange up to an aggregate amount of $500,000 per taxpayer per year ($1 million for married filing joint returns). Gains in excess of $500,000 ($1 million for married filing joint returns) would be recognized in the year the real property subject to the exchange transfers.

Carried Interests

A partnership is not subject to Federal income tax but instead passes the partnership’s income and losses to the partners. In addition, the items of income and loss retain their character when flowing through to the partners. The partners, in turn, must include the partnership items on their individual tax returns. One of the interests a partner can receive in exchange for services is an interest in future partnership profits, also referred to as “profits interests” or “carried interests.”

Under current tax law, income attributed to a profits interest is generally subject to self-employment tax, except to the extent the partnership generates income that is excluded from self-employment taxes.

Under the proposed tax law, generally, a partner’s share of income on investment services partnership interest (ISPI) in an investment partnership will be taxed as ordinary income regardless of the character of the income at the partnership level if the taxpayer’s taxable income from all sources exceeds $400,000. Additionally, the partner would be required to pay self-employment taxes on such income.

Stepped-up Basis Through Gift or Death

Under current tax law, when a taxpayer donates appreciated assets to a donee during life, neither the donor nor the donee recognizes gain on the gift. The donor’s basis is carried over to the donee and the donee recognizes the gain when the donee later disposes of the asset. In addition, when a donor dies owning appreciated assets, the donor’s heirs inherit the asset with an adjusted, or stepped-up, basis. The stepped-up basis inherited is the fair market value of the appreciated asset on the donor’s date of death.

Under the proposed tax law, a donor would realize the gain on the appreciated asset in the year of donation. The amount realized is the asset’s fair market value on the date of the gift over the donor’s basis. For a deceased owner who owns appreciated assets at death, the amount of gain realized is the fair market value on the owner’s date of death over the owner’s basis.

Social Security Tax Cap

Under current tax law, self-employment earnings and wages are subject to 12.4% social security tax and 2.9% Medicare tax on earnings either through the Self-Employment Contributions Act (SECA) or the Federal Insurance Contributions Act (FICA). The 12.4% social security tax is applicable up to a certain cap. In 2021, the cap is $142,800. An additional 0.9% Medicare tax is imposed on high-income taxpayers with income above certain levels. General partners and sole proprietors pay SECA on their net trade or business income. Limited partners are statutorily excluded from paying SECA on their distributive shares of partnership income but pay SECA on their guaranteed payments that are for services provided to, or on behalf of, the partnership. S-corporation shareholders are not subject to SECA tax. However, S-corporation shareholders must pay themselves a reasonable wage for services provided, which are subject to FICA.

Under the proposed tax law, all trade or business income of high-income taxpayers would be subject to the 3.8% Medicare tax. More specifically, for taxpayers with adjusted gross incomes above $400,000, the definition of net investment tax would be amended to include gross income and gain from any trade or business that is not otherwise subject to employment taxes. In addition, all revenue from net investment income tax, both raised under the current law and proposed expansion, would be directed to the Hospital Insurance Trust Fund. Further, limited partners and LLC members who materially participate in their respective companies and provide services would be subject to SECA tax on their distributive share of income, subject to certain threshold amounts. Further still, S-corporation owners who materially participate in the trade or business would be subject to SECA taxes on their distributive share of business income, subject to certain threshold amounts.

For additional questions related to how the potential tax changes may affect you, please contact BMD Tax Law Attorney Tracy Albanese at tlalbanese@bmdllc.com or (330) 253-9195.


Ohio House Bill 537: Proposed Regulations for Midwives and Birthing Centers

House Bill 537, introduced in the Ohio House of Representatives, proposes a comprehensive regulatory framework for certified nurse-midwives, certified midwives, licensed midwives, and traditional midwives. The legislation would clarify scope of practice, establish licensure standards, and impose new requirements for freestanding birthing centers and home births. Healthcare providers and facilities should be aware of the proposed changes and their potential operational impact.

Proposed Health Information Privacy Reform Act Expands Protections Beyond HIPAA

The Health Information Privacy Reform Act (HIPRA) seeks to extend privacy protections to health data not covered under HIPAA, including data collected by apps and wearables. HIPRA introduces broader definitions of protected health information, strengthens privacy and security requirements, establishes patient notification rights, and sets national de-identification standards. Companies processing health data should monitor developments to ensure compliance.

Medicare Updates on Skin Substitutes: LCDs Withdrawn, Payment Changes Take Effect

Medicare’s planned Final Local Coverage Determinations (LCDs) for skin substitutes were withdrawn in late December 2025, meaning previous coverage rules remain in effect. The 2026 Medicare Physician Fee Schedule introduces a single payment rate of approximately $127.14 for these products. Providers should review implications for diabetic foot and venous leg ulcer treatments.

Understanding the Seven Core Elements of an Effective Healthcare Compliance Program

The Affordable Care Act requires healthcare providers participating in Medicare, Medicaid, and CHIP to maintain an effective compliance program. Guidance from the Department of Health and Human Services and the Office of Inspector General outlines seven core elements that form the foundation of these programs, from written policies and compliance oversight to auditing, training, and corrective action. This alert highlights each element and explains how practices can tailor compliance programs to their size and risk profile while meeting federal expectations.

Preventing a Board Investigation

Healthcare professionals in Ohio are subject to licensing board investigations that can lead to disciplinary action. Staying compliant with regulations, documenting carefully, and operating within your professional scope can help prevent issues. If contacted by a board, working with an attorney is critical to protect your license and rights.