Carl Macko, a CFP in Smyrna, Ga., has been getting that question, too. He told one high earner in his mid-60s that he faces higher Medicare payroll taxes beginning in 2013, which will require additional tax planning in the future.

But a middle-income couple was pleased to learn that their son, who's living at home and having a hard time finding a job following his graduation from a state university, could remain on their health insurance.

Macko plans to email clients highlights of the final bill by early next week, assuming the Senate quickly approves some final adjustments to the legislation.

Consumers need help digesting this giant law and separating fact from partisan characterizations, he says.

"It's so big and so complex," Macko says. "It affects everyone across the country."

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