Don't know what s/h/it is worried about. If you structure your deductions right, and you have no refund from the IRS at tax time, they (HHS) can't fee you for not buying into the Demoncare.
They can't dun you.
They can't put a lien on your assets.
They can't collect except through withholding your tax refund money.
If you can hold out until 2017, it will all be gone, well mostly gone.