Distribution of federal tax change from the repeal of the following Affordable Care Act (ACA) taxes in 2026: the 3.8 percent Net Investment Income Tax, the 0.9 percent additional HI tax, the excise tax on employers offering inadequate health insurance coverage, the excise tax on individuals without adequate health insurance, and the excise taxes on health insurance providers, pharmaceutical manufacturers and importers, and medical device manufacturers and importers. The proposal would lower the threshold for the medical expense deduction to 7.5 percent. Analysis excludes changes to health insurance tax credits, Health Savings Accounts and Medical Flexible Spending Accounts.