Obamacare caseworkers: if you do not submit, they will take your children.

Obamacare: As noted in a September 2011 press release from the U.S. Department of Health and Human Services (HHS):
"Home visiting programs play a critical role in the nation's efforts to help children get off to a strong start. Parenting is a tough job, and helping parents succeed pays big dividends in a child's well-being and healthy development," said HHS Secretary Kathleen Sebelius.
Both the formula and competitive grants will be used by state agencies to support home visiting programs that bring nurses, social workers, or other health care professionals to meet with at-risk families that agree to meet with them in their homes. They work with families to evaluate their circumstances, help parents gain the skills they need to succeed in promoting healthy development in their children, and connect families to the kinds of help that can make a real difference in a child's health, development, and ability to learn.

Research has shown that home visiting programs can improve outcomes for children and families, including improving maternal and child health, reducing child maltreatment, increasing parental employment, and improving the rate at which children reach developmental milestones. HHS undertook an exhaustive review of the research evidence on different home visiting programs to identify the models that have been shown to work.
The PPACA defines high-risk households as:

Low-income eligible families.
Eligible families who are pregnant women who have not attained age 21.
Eligible families that have a history of child abuse or neglect or have had interactions with child welfare services.
Eligible families that have a history of substance abuse or need substance abuse treatment.
Eligible families that have users of tobacco products in the home.
Eligible families that are or have children with low student achievement.
Eligible families with children with developmental delays or disabilities.
Eligible families who, or that include individuals who, are serving or formerly served in the Armed Forces, including such families that have members of the Armed Forces who have had multiple deployments outside of the United States.