Finance, Medicare & Medicaid

Roth IRA Conversion – Part 2: How IRMAA and State Taxes Could Cost Retirees Thousands

In Part 1, we explained how a Roth IRA conversion works and why the age 73 / age 75 RMD rules create a powerful planning window.

Now in Part 2, we move from theory to structured comparison.

For the HuuTri.org 55+ community, the real question is not:

“Is Roth better?”

The real question is:

“When does Roth make sense for me?”

This article provides three decision frameworks:

  1. Traditional vs Roth side-by-side comparison
  2. Medicare IRMAA impact planning
  3. California vs Georgia vs Nevada vs Texas state tax comparison

1) Traditional IRA vs Roth IRA — Side-by-Side Comparison

Feature

Traditional IRA

Roth IRA

Tax on Contributions

Pre-tax or deductible

After-tax

Tax on Growth

Tax-deferred

Tax-free

Tax on Withdrawals

Taxed as ordinary income

Tax-free (qualified)

RMD Required?

Yes (Age 73 or 75 depending on birth year)

No lifetime RMD

Best For

Lower tax rate in retirement

Same or higher future tax rate

Impact on Medicare IRMAA

Withdrawals increase income

Qualified withdrawals do NOT increase income

Estate Planning

Heirs pay income tax

Heirs receive tax-free income (subject to distribution rules)

Tax Flexibility

Limited once RMD begins

High flexibility

Key Insight

Traditional IRA = Tax later
Roth IRA = Tax now

The decision depends largely on:

  • Future tax expectations
  • Medicare premium sensitivity
  • RMD exposure
  • Estate planning goals

2) Medicare IRMAA: Why Roth Conversion Timing Matters

Many retirees underestimate how Roth conversions affect Medicare premiums.

Medicare uses a 2-year look-back rule to determine premiums.

Example:
Your 2026 Medicare premiums are based on your 2024 income.

2024 IRMAA Income Thresholds (Married Filing Jointly)

MAGI

Part B Monthly Premium (Per Person)

≤ $206,000

Standard premium

$206,001 – $258,000

Higher premium tier

$258,001 – $322,000

Higher tier

$322,001 – $386,000

Higher tier

> $386,000

Highest tier

Single filers have roughly half those thresholds.

Why This Matters for Roth Conversions

If you convert:

$150,000 in one year

That entire amount increases Modified Adjusted Gross Income (MAGI).

That may:

  • Push you into a higher IRMAA bracket
  • Increase Part B premiums
  • Increase Part D premiums

For some retirees, IRMAA increases can cost several thousand dollars per year per spouse.

Smart Planning Strategy

Instead of converting large lump sums:

✔ Convert gradually
✔ Stay just under IRMAA thresholds
✔ Model income over multiple years

This is especially important between retirement and age 73 or 75 (RMD age).

3) State Tax Comparison: California vs Georgia vs Nevada vs Texas

State tax environment significantly impacts Roth conversion decisions.

Below is a simplified retirement tax comparison.

California

  • State income tax: Yes (up to 13.3%)
  • Taxes IRA withdrawals: Yes
  • Taxes Roth qualified withdrawals: No
  • Social Security taxed: No

Implication:

Large Roth conversions may trigger high state tax in the year of conversion.

California residents must model both federal + state tax impact.

Georgia

  • State income tax: Yes (flat rate under new tax reform structure)
  • Retirement income exclusion available for seniors
  • Social Security taxed: No

Implication:

Georgia offers more favorable retirement income treatment compared to California.

Roth conversion state tax cost is typically lower than California.

Nevada

  • State income tax: None
  • IRA withdrawals taxed: No state tax
  • Social Security taxed: No

Implication:

Roth conversion only triggers federal tax.

No state tax drag.

This increases the attractiveness of Roth conversions.

Texas

  • State income tax: None
  • IRA withdrawals taxed: No state tax
  • Social Security taxed: No

Implication:

Similar to Nevada.

Retirees converting in Texas avoid state income tax on the conversion.

Practical Example

Married couple converts $120,000.

Federal tax: applies everywhere
State tax impact:

California → Could add thousands in state tax
Georgia → Moderate impact
Nevada/Texas → $0 state income tax

State residency can materially change conversion strategy.

4) Integrated Strategy Framework

When evaluating Roth conversion, consider three layers:

Layer 1 — Federal Tax Bracket
Layer 2 — Medicare IRMAA Exposure
Layer 3 — State Income Tax Environment

All three interact.

Who Benefits Most From Conversion?

Most likely to benefit:

✔ Born 1960 or later (RMD starts at 75)
✔ Large Traditional IRA balances
✔ Living in no-income-tax states
✔ In lower tax bracket during retirement gap years
✔ Concerned about Medicare premium spikes later

Who Should Be More Cautious?

⚠ High-income California residents
⚠ Near IRMAA threshold
⚠ Planning large one-time conversions
⚠ Unable to pay conversion tax from outside assets

Final Perspective for the HuuTri.org Community

Roth conversion is not a one-year decision.

It is a multi-year strategy involving:

  • Federal tax brackets
  • Medicare premium thresholds
  • State tax residency
  • RMD timing (Age 73 or 75 depending on birth year)

For those born in 1960 or later, the age 75 RMD rule creates a longer planning runway.

But smart planning means:

Convert intentionally
Model income
Avoid unnecessary IRMAA spikes
Consider state residency

-Phan Trần Hương-

Sources for Further Reading

  1. Internal Revenue Service (IRS) — Roth IRAs
    https://www.irs.gov/retirement-plans/roth-iras
  2. Internal Revenue Service (IRS) — Required Minimum Distributions (RMDs)
    https://www.irs.gov/retirement-plans/required-minimum-distributions-rmds
  3. Medicare.gov — Income-Related Monthly Adjustment Amount (IRMAA)
    https://www.medicare.gov/your-medicare-costs/part-b-costs
  4. Social Security Administration — IRMAA Overview
    https://www.ssa.gov/benefits/medicare/irmaa.html
  5. Tax Foundation — State Individual Income Tax Rates and Brackets
    https://taxfoundation.org/publications/state-individual-income-tax-rates-brackets/
  6. SECURE 2.0 Act Summary — RMD Age Changes
    https://www.congress.gov/bill/117th-congress/house-bill/2954