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It depends greatly upon what day you want to discuss, the definition is constantly changing. Broadly speaking it was intended to charge a tax/penalty/fee to the companies that purchased health care plans that have premiums and deductibles of more than $8500 for an individual and $14000 for 2 people. There was some sort of floor on this for "families" which was in the $23000 level. However, everyone realized there was a boat load of problems here. Some regions have significantly higher healthcare costs than others. Some plans cover populations with higher median aged employees, therefor costing more. And Unions and other collective barganing groups had negotiated generous benefits in exchange for wage reductions, and these contracts last for years. They are now negotiating new rules as we speak.
The concept was based upon the assertion that generous plans cause health care costs to rise. If you tax them, the companies will seek to lower the costs. The problem is, that because the deductible and the premium both go into defining a cadillac plan, the companies were going to be in a pickle. There was little they could do directly to lower their costs. All they can do is restrict the access to particular procedures and care so that they are exposed to lower risks. So it will be harder to get an MRI. You can pay for it out of your own pocket, but they won't count it against your deductible. It's trying to get the market place to restrict your access to healthcare.
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