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Close Capital Gains Loopholes to Fund Medicare & Medicaid
AKA “End Bureaucratic Waste in Tax Expenditures”
Which agency/agencies promulgated the regulation? *
Department of the Treasury — Internal Revenue Service (IRS)
26 CFR § 1.1223-1 (Capital asset holding period rules enabling strategic tax deferral)
26 CFR § 1.1411-10 (Exemptions under Net Investment Income Tax)
Portions of 26 CFR § 1.1001-1 (Recognition of gain or loss upon disposition of property)
—OPTIONAL--
Final Rule
Capital Gains Preferential Timing and Exemption Rules
These rules preserve tax advantages for asset-heavy households by allowing indefinite deferral and strategic realization of capital gains. Rescinding these provisions would expand the taxable base for high-net-worth individuals and generate reliable federal revenue—giving Congress the ability to strengthen Medicare and Medicaid.
Department of the Treasury
1500 Pennsylvania Avenue NW
Washington, D.C. 20220
Email: publicaffairs@treasury.gov
Phone: (202) 622-2000
Under current IRS rules, capital gains are not taxed until assets are sold, allowing indefinite deferral. Some types of investment income are further shielded from surtaxes that apply to wages. These mechanisms entrench wealth inequality and starve public programs of needed revenue. Treasury regulations currently support these loopholes by codifying strategic timing, exclusions, and realization-based taxation.
Medicare and Medicaid are repeatedly called “unaffordable” while we subsidize untaxed investment gains. These regulations institutionalize capital income privilege—undermining tax fairness and reducing general revenue. Removing preferential treatment and moving toward mark-to-market taxation for ultra-high-net-worth filers would rebalance the system and create fiscal space for robust public healthcare funding.
26 CFR § 1.1223-1 will be amended to eliminate provisions allowing indefinite deferral of capital gains through asset holding strategies.
26 CFR § 1.1411-10 will be amended to remove exclusions from the Net Investment Income Tax for high-income individuals.
26 CFR § 1.1001-1 will be amended—pending legislative authorization—to support annual mark-to-market recognition of capital gains exceeding $10 million in adjusted value.
Scott Bessent
Secretary of the Treasury