I 
112TH CONGRESS 
1ST SESSION 
H. R. 360 
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 
JANUARY 20, 2011 
Mr. BURGESS
(for himself, Mr. PAUL, Mr. ROE
of Tennessee, Mr. 
NEUGEBAUER, Mr. BROUN of Georgia, Mr. MCCAUL, Mr. JONES, Mr. 
LATOURETTE, Mr. HELLER, Mrs. BLACKBURN, Mr. PLATTS, Mr. MICA, 
Mr. BONNER, Mr. MARCHANT, Mr. ROGERS of Michigan, Mr. YOUNG of 
Alaska, Mr. WITTMAN, Mr. MURPHY of Pennsylvania, Mrs. MYRICK, Mr. 
WALDEN, Mr. CRAWFORD, Mr. CALVERT, Mr. OLSON, Mrs. MCMORRIS 
RODGERS, Mr. KLINE, Mr. POSEY, and Mr. NUNNELEE) introduced the 
following bill; which was referred to the Committee on Oversight and 
Government Reform, and in addition to the Committees on House Ad-
ministration and Energy and Commerce, for a period to be subsequently 
determined by the Speaker, in each case for consideration of such provi-
sions 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 (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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