I 
113TH CONGRESS 
1ST SESSION H. R. 1912 
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 
MAY 9, 2013 
Mr. COFFMAN introduced the following bill; which was referred to the Com-
mittee 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 com-
mittee 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, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Affordable Care Ac-
countability Act of 2013’’. 
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SEC. 2. PARTICIPATION OF PRESIDENT, VICE PRESIDENT, 
MEMBERS OF CONGRESS, POLITICAL AP-
POINTEES, AND CONGRESSIONAL STAFF IN 
THE EXCHANGE. 
(a) IN GENERAL.—Section 1312(d)(3)(D) of the Pa-
tient Protection and Affordable Care Act (42 U.S.C. 
18032(d)(3)(D)) 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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President, the Vice President, any po-
litical appointee, any Member of Con-
gress, and any Congressional em-
ployee may be paid only to the issuer 
of a qualified health plan in which the 
individual enrolled through such Ex-
change and not to the issuer of a plan 
offered through the Federal employees 
health benefit program under such 
chapter. 
‘‘(ii) PAYMENTS
BY
FEDERAL
GOV-
ERNMENT.—The Secretary, in consultation 
with the Director of the Office of Per-
sonnel Management, shall establish proce-
dures under which— 
‘‘(I) the employer contributions 
under such chapter on behalf of the 
President, the Vice President, each 
political appointee, each Member of 
Congress, and each Congressional em-
ployee are determined and actuarially 
adjusted for individual or family cov-
erage, rating areas, and age (in ac-
cordance with clauses (i) through (iii) 
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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 enact-
ment of the Patient Protection and Affordable Care Act. 
Æ 
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