I'll tell, you what it means Keith. If you don't buy Health Insurance the IRS will be able to hound you,lock up your assets and deny your refund .
The department of health and human services are going to be in cahoots with the IRS. It won't be long until high cholesterol tests will result in higher tax rates,or denial of your overpayment refund.
But now that it is to be treated as a tax,which house of Congress wrote the bill. By law, all tax bills"revenue bills' are to be written by the house.
If it was originated in the Senate,perhaps we have another quandry!