Does Obamacare Require Everyone To Have Health Insurance? 
The word require is the operative word here . Because Obamacare is ultimately means tested many Americans will not pay for health care . Some will have their premiums mitigated , again through means testing . Those who choice not to pay for health care will be subject to a penalty when they file their IRS 1040 . Keep in mind that this is a federal program . Half the country pays no federal taxes , i.e. any overrun costs from Obamacare will fall on American federal tax payers . 