II 

111TH CONGRESS 

2D SESSION S. 3174 

To amend the Patient Protection and Affordable Care Act to provide for 

participation in the Exchange of the President, Vice President, Members 

of Congress, political appointees, and congressional staff. 

IN THE SENATE OF THE UNITED STATES 

MARCH 25, 2010 

Mr. GRASSLEY introduced the following bill; which was read twice and referred 

to the Committee on Homeland Security and Governmental Affairs 

A BILL 

To amend the Patient Protection and Affordable Care Act 

to provide for participation in the Exchange of the President, Vice President, Members of Congress, political appointees, 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 Reform Ac5 countability Act’’. 


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1 SEC. 2. PARTICIPATION OF PRESIDENT, VICE PRESIDENT, 

2 MEMBERS OF CONGRESS, POLITICAL AP3 POINTEES, AND CONGRESSIONAL STAFF IN 

4 THE EXCHANGE. 

5 (a) IN GENERAL.—Section 1312(d)(3)(D) of the Pa6 tient Protection and Affordable Care Act is amended to 

7 read as follows: 

8 ‘‘(D) PRESIDENT, VICE PRESIDENT, MEM9 BERS OF CONGRESS, POLITICAL APPOINTEES, 

10 AND CONGRESSIONAL STAFF IN THE EX11 CHANGE.— 

12 ‘‘(i) IN GENERAL.—Notwithstanding 

13 chapter 89 of title 5, United States Code, 

14 or any provision of this title— 

15 ‘‘(I) the President, Vice Presi16 dent, each Member of Congress, each 

17 political appointee, and each Congres18 sional employee shall be treated as a 

19 qualified individual entitled to the 

20 right under this paragraph to enroll in 

21 a qualified health plan in the indi22 vidual market offered through an Ex23 change in the State in which the indi24 vidual resides; and 

25 ‘‘(II) any employer contribution 

26 under such chapter on behalf of the 


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1 President, Vice President, any Mem2 ber of Congress, any political ap3 pointee, and any Congressional em4 ployee may be paid only to the issuer 

5 of a qualified health plan in which the 

6 individual enrolled in through such 

7 Exchange and not to the issuer of a 

8 plan offered through the Federal em9 ployees health benefit program under 

10 such chapter. 

11 ‘‘(ii) PAYMENTS BY FEDERAL GOV12 ERNMENT.—The Secretary, in consultation 

13 with the Director of the Office of Per14 sonnel Management, shall establish proce15 dures under which— 

16 ‘‘(I) the employer contributions 

17 under such chapter on behalf of the 

18 President, Vice President, each Mem19 ber of Congress, each political ap20 pointee, and each Congressional em21 ployee are determined and actuarially 

22 adjusted for individual or family cov23 erage, rating areas, and age (in ac24 cordance with clauses (i) through (iii) 


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1 of section 2701(a)(1)(A) of the Public 

2 Health Service Act); and 

3 ‘‘(II) the employer contributions 

4 may be made directly to an Exchange 

5 for payment to an issuer. 

6 ‘‘(iii) POLITICAL APPOINTEE.—In this 

7 subparagraph, the term ‘political ap8 pointee’ means any individual who— 

9 ‘‘(I) is employed in a position de10 scribed under sections 5312 through 

11 5316 of title 5, United States Code, 

12 (relating to the Executive Schedule); 

13 ‘‘(II) is a limited term appointee, 

14 limited emergency appointee, or non15 career appointee in the Senior Execu16 tive Service, as defined under para17 graphs (5), (6), and (7), respectively, 

18 of section 3132(a) of title 5, United 

19 States Code; or 

20 ‘‘(III) is employed in a position 

21 in the executive branch of the Govern22 ment of a confidential or policy-deter23 mining character under schedule C of 

24 subpart C of part 213 of title 5 of the 

25 Code of Federal Regulations. 


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1 ‘‘(iv) CONGRESSIONAL EMPLOYEE.— 

2 In this subparagraph, the term ‘Congres3 sional employee’ means an employee whose 

4 pay is disbursed by the Secretary of the 

5 Senate or the Chief Administrative Officer 

6 of the House of Representatives.’’. 

7 (b) EFFECTIVE DATE.—The amendment made by 

8 this section shall take effect as if included in the Patient 

9 Protection and Affordable Care Act. 

Æ 


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