…The House bill would impose a 5.4 percent surtax on individuals earning more than $500,000 a year and couples making more than $1 million. It also raises money by imposing a 2.5 percent excise tax on medical devices, by ending some tax breaks for multinational companies…and iincludes a 40% excise tax on high cost health insurance plans. Medicare payroll taxes would go up from 1.45 to 1.95 percent for individuals earning $200,000+ and for couples earning $250,000+.