05/19/2026
Day one of the NAIFA Congressional Conference in DC. Tomorrow I meet with Senator Schumer's team, Senator Gillibrand's team, and representatives from across New York.
The biggest takeaway from today: Congress has figured out how to raise taxes without calling them taxes. They do it through fees, and one of the clearest examples is IRMAA.
IRMAA is the income-based surcharge on your Medicare Part B and Part D premiums. The more you earn, the more you pay. Since 2012-2013, the surcharge has grown 4.6 percent a year on average. Last year it went up 5.9 percent. This year, 9.1 percent. No vote. No tax bill. No headline.
If you are a high earner approaching 65, or already on Medicare, this matters. A one-time income event (a Roth conversion, a business sale, a large capital gain) can push you into a higher IRMAA bracket two years later and cost you thousands in surcharges you did not see coming.
This is the kind of thing that does not get covered on the news but shows up in your bank account. Planning around it is part of the job.