It means, fines for not paying outrageous healthcare premium costs for very little coverage. If you go 12 months without some kind of coverage you will be fined and drivers license will be revoked. If you don't pay fine they will take it out our taxes and if you don't file taxes or pay the fine or not have insurance for 24 months the government will put a lien on your house and force you to sell it to pay fine. Nice hu? Obama really wants you to have health insurance but is going about it the wrong way.
It actually entails a lot. No lifetime limits, no turning down people due to pre-existing conditions, allowing parents to keep their children on their policies until they're 26. Not charging women extra, no charging older folks way more than younger ones. In states that implemented it, expanded Medicaid for the working poor. Makes many preventative services no co-pay. Sets up competitive marketplaces for insurance shopping which lowers prices. For it to work, all have to be insured. Including young, healthies. There is a small fine first year and the fine grows after that. If you don't have insurance or pay the fine then your tax refund can be kept but that's about as far as they've gone.
I pen highlights only! It's over 15,000 pages and growing. 1. Taxes or fines to ensure the uninsured become insured. Each individual must purchase or they get taxed. 2. Businesses mandated to cover tier employees, or pay a tax of $2,000 per employee. 3. Each state is to expand Medicaid for indigent, and 90+% of the cost of expansion will be paid by the Federal government. 37 states have decided not to. 4. Each state is to institute an "exchange," where all willing providers in the state are matched up with willing purchasers. If they don't set one up, the Feds will. 5. A reduction in payments to Medicare providers for 10 years to afford to pay for a portion of it; however, CBO estimates say it will add almost 3 trillion to the debt by the end of 2013. 6. The IRS is to enforce compliance. The HHS is able to make any necessary regulations, without further Congressional oversight or direction.