Obamacare (Affordable Care Act) and the Expat

Obamacare (Affordable Care Act) goes into effect January 1, 2014.

How will it affect Expats living in Ecuador or elsewhere outside of the US? And more specifically, how will Obamacare affect those who live here full-time but use an address in the states as your residence address for banking, tax returns and social security?

From what I have read it can affect us in our pocketbooks.

If the US government has not been informed that we are living abroad then we will be considered living in the US and we’ll be required to participate in the new health care program, not usable in Ecuador. Or pay a fine.

We have read that 15,000 to 20,000 new enforcement agents will be hired for the IRS to enforce this new law.

Anyone who is interested in researching this further can go online Expat and Obamacare.  One more question would be if you have Medicare or other insurance, does that fulfill your requirements even if you show a US residence address?