CharlestonRealtors.com No real estate transfer tax in health care bill ISSUE: There is no national real estate transfer tax in the Health Care bill passed by Congress. WHAT THERE IS: There is a 3.8% Medicare tax on investment income as defined as interest, dividends, capital gains and net rents. The 3.8% Medicare tax is imposed ONLY on those individuals with more than $200,000 of Adjusted Gross Income (AGI) ($250,000 on a joint return).