I 
111TH CONGRESS 
2D SESSION 
H. R. 4951 
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 HOUSE OF REPRESENTATIVES 
MARCH 25, 2010 
Mr. BURGESS (for himself, Mr. HERGER, Mr. CARTER, Mr. BOEHNER, Mr. 
KIRK, Mr. ISSA, Mr. PLATTS, Mr. CULBERSON, Mr. POE of Texas, Mr. 
YOUNG of Alaska, Mr. THOMPSON of Pennsylvania, Mr. MICA, Mr. CAL-
VERT, Mr. NEUGEBAUER, Mr. GINGREY of Georgia, Mr. WILSON of 
South Carolina, Mr. ROGERS of Michigan, Mrs. BACHMANN, Mrs. 
BLACKBURN, Mr. ROE of Tennessee, Mr. PAUL, Mr. SCALISE, Mr. SAM 
JOHNSON of Texas, Mr. HELLER, Mr. SMITH of Texas, Mr. HALL of 
Texas, Mr. CAMPBELL, and Mr. FORTENBERRY) introduced the following 
bill; which was referred to the Committee on Oversight and Government 
Reform, and in addition to the Committees on House Administration and 
Energy and Commerce, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To amend the Patient Protection and Affordable Care Act 
to provide for participation in the Exchange of the Presi-
dent, Vice-President, Members of Congress, political ap-
pointees, and congressional staff. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. PARTICIPATION OF PRESIDENT, VICE PRESI-
DENT, MEMBERS OF CONGRESS, POLITICAL 
APPOINTEES, AND CONGRESSIONAL STAFF IN 
THE EXCHANGE. 
(a) IN GENERAL.—Section 1312(d)(3)(D) of the Pa-
tient Protection and Affordable Care Act is amended to 
read as follows: 
‘‘(D) PRESIDENT, VICE PRESIDENT, POLIT-
ICAL
APPOINTEES, MEMBERS
OF
CONGRESS, 
AND
CONGRESSIONAL
STAFF
IN
THE
EX-
CHANGE.— 
‘‘(i) IN
GENERAL.—Notwithstanding 
chapter 89 of title 5, United States Code, 
or any provision of this title— 
‘‘(I) the President, the Vice 
President, each political appointee, 
each Member of Congress, and each 
Congressional employee shall be treat-
ed as a qualified individual entitled to 
the right under this paragraph to en-
roll in a qualified health plan in the 
individual market offered through an 
Exchange in the State in which the 
individual resides; and 
‘‘(II) any employer contribution 
under such chapter on behalf of the 
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of section 2701(a)(1)(A) of the Public 
Health Service Act); and 
‘‘(II) the employer contributions 
may be made directly to an Exchange 
for payment to an issuer. 
‘‘(iii) POLITICAL APPOINTEE.—In this 
subparagraph, the term ‘political ap-
pointee’ means any individual who— 
‘‘(I) is employed in a position de-
scribed under sections 5312 through 
5316 of title 5, United States Code, 
(relating to the Executive Schedule); 
‘‘(II) is a limited term appointee, 
limited emergency appointee, or non-
career appointee in the Senior Execu-
tive Service, as defined under para-
graphs (5), (6), and (7), respectively, 
of section 3132(a) of title 5, United 
States Code; or 
‘‘(III) is employed in a position 
in the executive branch of the Govern-
ment of a confidential or policy-deter-
mining character under schedule C of 
subpart C of part 213 of title 5 of the 
Code of Federal Regulations. 
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‘‘(iv) CONGRESSIONAL
EMPLOYEE.— 
In this subparagraph, the term ‘Congres-
sional employee’ means an employee whose 
pay is disbursed by the Secretary of the 
Senate or the Chief Administrative Officer 
of the House of Representatives.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall take effect as if included in the Patient 
Protection and Affordable Care Act. 
Æ 
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