If you haven't done so already, you need to explain to clients, especially your high-income clients, how portions of the Patient Protection and Affordable Care Act could add to their tax burden.

The crucial change will be a 3.8% surtax on investment income. For most clients, investment income consists primarily of interest, dividends, capital gains, non-qualified annuity distributions, and rental and royalty income. Traditional IRA distributions, as well as Roth conversions and distributions from company plans, are not considered investment income - and yet these distributions can trigger the 3.8% surtax.

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