I 
115TH CONGRESS 
1ST SESSION H. R. 2770 
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 HOUSE OF REPRESENTATIVES 
JUNE 2, 2017 
Mr. LOEBSACK introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, 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 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Health Care Options 
for All Act’’. 
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SEC. 2. ACCESS TO COVERAGE FOR INDIVIDUALS IN AREAS 
WITHOUT ANY AVAILABLE EXCHANGE PLANS. 
Part 2 of subtitle D of title I of the Patient Protec-
tion and Affordable Care Act (42 U.S.C. 18031 et seq.) 
is amended by adding at the end the following: 
‘‘SEC. 1314. ACCESS TO COVERAGE FOR INDIVIDUALS IN 
AREAS WITHOUT ANY AVAILABLE EXCHANGE 
PLANS. 
‘‘(a) IN GENERAL.— 
‘‘(1) COVERAGE
THROUGH
DC
SHOP
EX-
CHANGE.—Not later than 3 months after the date of 
enactment of this section, the Secretary, in consulta-
tion with the Secretary of the Treasury and the Di-
rector of the Office of Personnel Management, shall 
establish a mechanism to ensure that, for any plan 
year beginning on or after the date described in sub-
section (c), any individual described in paragraph 
(2) may enroll in health insurance coverage in the 
small group market through the Exchange operating 
in the District of Columbia, including the health in-
surance coverage that is available to Members of 
Congress and congressional staff (as defined in sec-
tion 1312(d)(3)(D)). 
‘‘(2) INDIVIDUAL
DESCRIBED.—An individual 
described in this paragraph is any individual who— 
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‘‘(A) is eligible to purchase health insur-
ance coverage through the Exchange operating 
in the State of residence of the individual; and 
‘‘(B) resides in a rating area or county in 
which the Secretary certifies that no qualified 
health plan is offered through an Exchange es-
tablished under this title. 
‘‘(b) PREMIUM
ASSISTANCE
TAX
CREDITS
AND 
COST-SHARING.—Any individual described in subsection 
(a)(2) who enrolls in health insurance coverage through 
the Exchange operating in the District of Columbia pursu-
ant to subsection (a)(1) shall be eligible for any premium 
tax credit under section 36B of the Internal Revenue Code 
of 1986, or reduced cost-sharing under section 1402, that 
the individual would otherwise be eligible for if enrolling 
in health insurance coverage in the individual market 
through the Exchange operating in the State of the indi-
vidual. 
‘‘(c) DATE DESCRIBED.—The date described in this 
subsection is the date on which the Secretary establishes 
the mechanism under subsection (a)(1).’’. 
Æ 
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