The executive summary is that the state of Massachusetts is becoming increasingly engaged in two types of legal actions: going after and fining citizens engaged in acts of civil disobedience by refusing to buy state-mandated health insurance; and defending itself in court against citizens seeking relief from said mandates and fines. Each requires expensive outside legal counsel – which was probably omitted from the original calculation of ‘free’ universal health care costs, although it certainly should have been. People often don’t like to be told that they have to engage in commerce and acquire something that they do not, in point of fact, want. So the lawsuits will continue until morale improves.
This is your future under Obamacare, by the way. Better hope that federal bureaucrats are more sympathetic to your particular situations than Massachusetts ones are!