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Some people might want to know if they will be forced to pay an additional tax once obamacare goes into effect in 2014. Here is the answer In June 2012 the Supreme Court gave its approval to the Affordable Healthcare Act and many Americans living outside the USA are wondering if the law applies to them. The Supreme Court decision did not change anything in the law and Americans who are bona-fide residents overseas are presumed to have minimum essential coverage and as such do not have to pay a tax for not being insured in the US. When the law was being discussed in Congress in 2010, ACA and other action groups were able to put pressure on Congress not to include Americans abroad, especially concerning the "Requirement to maintain minimum essential coverage." Overseas Americans are not exempted; technically speaking they are presumed to have acceptable minimal coverage.