Does anyone know how this bill will affect American Ex-pats living in other countries? Will they be required to also purchase a health plan and if they are, will they be able to use it in whatever country they live in? It doesnt seem fair if you had to purchase a health plan that you could never use in the country you are in. (Not that this healthcare was meant to be fair)
In the legislation as of two months ago, ex-pats were excluded, haven't kept up since. More problematic will be the test or definition for those outside the US, most of the the year, without a permanent visa. Is that 6 months+a day, 9 months, 330 days (similar to the earned foreign income exclusion), or flat a permanent resident/work visa, a long term lease? Requiring 330 days outside seems draconian and that a traveller with half a brain is going to know whether medical tourism outside is probably the better deal. (ie US is last choice for medical robbery)