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The Daily Insight

What does state income tax withheld mean?

Author

John Thompson

Published Feb 09, 2026

Withholding is the portion of an employee’s wages that is not included in their paycheck but is instead remitted directly to the federal, state, or local tax authorities. Withholding reduces the amount of tax employees must pay when they submit their annual tax returns.

What is medical tax withheld?

You must withhold 1.45% from an employee’s pay and contribute a matching 1.45%. Altogether, Medicare makes up 2.9% of the FICA tax rate of 15.3%. The rest goes toward Social Security taxes. Let’s say an employee earns $1,000 in gross wages each pay period.

What taxes are withheld from employee pay medical?

The current tax rate for social security is 6.2% for the employer and 6.2% for the employee, or 12.4% total. The current rate for Medicare is 1.45% for the employer and 1.45% for the employee, or 2.9% total.

Can you have both state and federal taxes withheld?

You can have both state and federal income taxes withheld, but you cannot have state taxes withheld and federal taxes withheld twice at both levels. State withholding works the same way as federal withholding for income tax, but states have their own versions of Form W-4.

Why are Social Security and Medicare taxes withheld?

Social Security and Medicare taxes are only withheld at the federal level. The modern tax withholding system was introduced in the 1940s to fund military operations during World War II. It expedited the tax collection process and made it much easier for governments to raise additional taxes without most taxpayers becoming aware of it.

When does an employer have to withhold taxes from an employee?

State income tax. In those states an employer is required to withhold the state income tax that an employee is expected to owe based on salaries or wages. Like its federal counterpart, the amount withheld is rarely the exact amount of income tax that the employee will owe to the state government.

What kind of taxes do I have to pay for Medicare?

The NIIT, also known as the Unearned Income Medicare Contribution Surtax, is a 3.8% Medicare tax that applies to investment income and to regular income over a certain threshold. If your Modified Adjusted Gross Income exceeds $200,000 ($250,000 if you’re married and filing jointly) you may be subject to the NIIT.