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Human Resource & Payroll Services And Solutions - Houston, Dallas, Austin - Texas www.hrp.net. Two new surtaxes are kicking in on January 1, 2013 for some taxpayers. These taxes have nothing to do with the expiring tax breaks involved in the "fiscal cliff." The first is a 3.8 percent Medicare tax on net investment income. The second is an additional 0.9 percent Medicare tax on wages and self-employment income. It's possible for a taxpayer to be subject to both taxes. This presentation explains how the new 0.9 percent Medicare tax works.