II 

115TH CONGRESS 

1ST SESSION S. 1201 

To allow individuals living in areas without qualified health plans offered 

through an Exchange to have similar access to health insurance coverage 

as Members of Congress and congressional staff. 

IN THE SENATE OF THE UNITED STATES 

MAY 22, 2017 

Mrs. MCCASKILL introduced the following bill; which was read twice and 

referred to the Committee on Finance 

A BILL 

To allow individuals living in areas without qualified health 

plans offered through an Exchange to have similar access 

to health insurance coverage as Members of Congress 

and congressional staff. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Health Care Options 

5 for All Act’’. 


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•S 1201 IS

1 SEC. 2. ACCESS TO COVERAGE FOR INDIVIDUALS IN AREAS 

2 WITHOUT ANY AVAILABLE EXCHANGE PLANS. 

3 Part 2 of subtitle D of title I of the Patient Protec4 tion and Affordable Care Act (42 U.S.C. 18031 et seq.) 

5 is amended by adding at the end the following: 

6 ‘‘SEC. 1314. ACCESS TO COVERAGE FOR INDIVIDUALS IN 

7 AREAS WITHOUT ANY AVAILABLE EXCHANGE 

8 PLANS. 

9 ‘‘(a) IN GENERAL.— 

10 ‘‘(1) COVERAGE THROUGH DC SHOP EX11 CHANGE.—Not later than 3 months after the date of 

12 enactment of this section, the Secretary, in consulta13 tion with the Secretary of the Treasury and the Di14 rector of the Office of Personnel Management, shall 

15 establish a mechanism to ensure that, for any plan 

16 year beginning on or after the date described in sub17 section (c), any individual described in paragraph 

18 (2) may enroll in health insurance coverage in the 

19 small group market through the Exchange operating 

20 in the District of Columbia, including the health in21 surance coverage that is available to Members of 

22 Congress and congressional staff (as defined in sec23 tion 1312(d)(3)(D)). 

24 ‘‘(2) INDIVIDUAL DESCRIBED.—An individual 

25 described in this paragraph is any individual who— 


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•S 1201 IS

1 ‘‘(A) is eligible to purchase health insur2 ance coverage through the Exchange operating 

3 in the State of residence of the individual; and 

4 ‘‘(B) resides in a rating area or county in 

5 which the Secretary certifies that no qualified 

6 health plan is offered through an Exchange es7 tablished under this title. 

8 ‘‘(b) PREMIUM ASSISTANCE TAX CREDITS AND

9 COST-SHARING.—Any individual described in subsection 

10 (a)(2) who enrolls in health insurance coverage through 

11 the Exchange operating in the District of Columbia pursu12 ant to subsection (a)(1) shall be eligible for any premium 

13 tax credit under section 36B of the Internal Revenue Code 

14 of 1986, or reduced cost-sharing under section 1402, that 

15 the individual would otherwise be eligible for if enrolling 

16 in health insurance coverage in the individual market 

17 through the Exchange operating in the State of the indi18 vidual. 

19 ‘‘(c) DATE DESCRIBED.—The date described in this 

20 subsection is the date on which the Secretary establishes 

21 the mechanism under subsection (a)(1).’’. 

Æ 


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