The Affordable Health Care Act will continue to roll out in 2014, meaning that uninsured individuals have some choices to make that could have tax implications. The health reform act will continue through March 31, 2014 If you don't buy an insurance plan, you could face a penalty. The charge for 2014 is either 1% of your yearly household income or $95 per uninsured adult and $47.50 per child, up to $285 for a family. You pay whichever amount is higher. If you get insurance for part of the year, your penalty will be prorated. You'll pay the penalty when you file your 2014 tax return in 2015. If you're getting a refund, the IRS will subtract your penalty from the amount you were to get back. If your refund isn't large enough to cover the penalty, the IRS will send you a bill. If you ignore the bill the IRS will take the amount out of future tax refunds.