It goes further than that. That also includes the total spent at any one vendor that totals 600 for the year. Example:: If you go to say Office Depot and buy items today totaling 150, next month go back and spend 300 then go back a few weeks later and spend 200 you have met the 600 thresh hold. You then have to save all of those reciepts. The cost of this stupidity is estimated to be in the billions. Thus, even the smallest of businesses must save every reciept and catalog them. Best way to rectify this mess is to vote out every person who voted for this bill and will vote repeal this mess.
After a 18 months of research and reading the HC bill I found that this bill will drive costs up not down not to mention add to our deficit. I did find ways to lower costs. Two things that will drive costs down are:
1: If you are a NON-citizen and you got to the ER and cannot pay ICE will meet you at the door, your immigration status is revoked and you will be deported. Your employer will then pay that cost plus 25%.
2: Eliminate lawyers and use a system such as TX uses with workman's comp. You are awarded money based on the injury/malpractice. Monies recived will be about the same as sueing and paid at the time of the offense, not tied up in court for years saving about 2/3ds of the cost. Malpractice insurance runs from 20,000 a year to 250,000 a year.
These are basic ideas without details.
I'm there, Old, Tired, Broke and Henpecked