I 
113TH CONGRESS 
1ST SESSION 
H. R. 779 
To repeal the Patient Protection and Affordable Care Act and the health 
care-related provisions in the Health Care and Education Reconciliation 
Act of 2010 and to amend title 5, United States Code, to establish 
a national health program administered by the Office of Personnel Man-
agement to offer Federal employee health benefits plans to individuals 
who are not Federal employees, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 15, 2013 
Mr. ISSA introduced the following bill; which was referred to the Committee 
on Energy and Commerce, and in addition to the Committees on Ways 
and Means, Oversight and Government Reform, Education and the Work-
force, Natural Resources, the Judiciary, Rules, Appropriations, and 
House Administration, 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 repeal the Patient Protection and Affordable Care Act 
and the health care-related provisions in the Health Care 
and Education Reconciliation Act of 2010 and to amend 
title 5, United States Code, to establish a national health 
program administered by the Office of Personnel Man-
agement to offer Federal employee health benefits plans 
to individuals who are not Federal employees, and for 
other purposes. 
VerDate Mar 15 2010 
04:49 Feb 28, 2013
Jkt 029200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6652
E:\BILLS\H779.IH
H779
tjames on DSK6SPTVN1PROD with BILLS
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 ‘‘Access to Insurance 
for All Americans Act’’. 
SEC. 2. REPEAL OF PPACA AND HEALTH CARE-RELATED 
PROVISIONS OF HCERA. 
(a) PPACA.—The Patient Protection and Affordable 
Care Act (Public Law 111–148) is repealed and the provi-
sions of law amended or repealed by such Act are restored 
or revived as if such Act had not been enacted. 
(b) 
HEALTH
CARE-RELATED
PROVISIONS
OF 
HCERA.— 
(1) IN GENERAL.—The health care-related pro-
visions of the Health Care and Education Reconcili-
ation Act of 2010 (Public Law 111–152) are re-
pealed and the provisions of law amended or re-
pealed by such health care-related provisions are re-
stored or revived as if such provisions had not been 
enacted. 
(2) HEALTH
CARE-RELATED
PROVISIONS
DE-
FINED.—In paragraph (1), the term ‘‘health care-re-
lated provisions’’ means, with respect to the Health 
Care and Education Reconciliation Act of 2010, title 
I and subtitle B of title II of such Act. 
VerDate Mar 15 2010 
04:49 Feb 28, 2013
Jkt 029200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H779.IH
H779
tjames on DSK6SPTVN1PROD with BILLS
SEC. 3. EXTENSION OF FEDERAL EMPLOYEE HEALTH IN-
SURANCE. 
(a) IN GENERAL.—Subpart G of part III of title 5, 
United States Code, is amended— 
(1) by redesignating chapters 89A and 89B as 
chapters 89B and 89C, respectively; and 
(2) by inserting after chapter 89 the following: 
‘‘CHAPTER 89A—HEALTH INSURANCE FOR 
NON-FEDERAL EMPLOYEES 
‘‘SEC. 8921. DEFINITIONS. 
‘‘In this chapter— 
‘‘(1) the terms defined under section 8901 shall 
have the meanings given such terms under that sec-
tion; and 
‘‘(2) the term ‘Office’ means the Office of Per-
sonnel Management. 
‘‘SEC. 8922. HEALTH INSURANCE FOR NON-FEDERAL EM-
PLOYEES. 
‘‘(a) The Office shall administer a health insurance 
program for non-Federal employees in accordance with 
this chapter. 
‘‘(b) Except as provided under this chapter, the Of-
fice shall prescribe regulations to apply the provisions of 
chapter 89 to the greatest extent practicable to eligible 
individuals covered under this chapter. 
VerDate Mar 15 2010 
04:49 Feb 28, 2013
Jkt 029200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H779.IH
H779
tjames on DSK6SPTVN1PROD with BILLS
‘‘SEC. 8923. CONTRACT REQUIREMENT. 
‘‘(a) For each calendar year, the Office shall enter 
into a contract with 1 or more carriers to make available 
1 or more health benefits plans (subject to the provisions 
of this chapter) to eligible individuals under this chapter. 
‘‘(b) In carrying out this section, the Office may re-
quire 1 or more carriers to enter into a contract described 
in subsection (a), as a condition of entering into a contract 
under section 8902. 
‘‘SEC. 8924. ELIGIBILITY OF NON-FEDERAL EMPLOYEES. 
‘‘(a) Except as provided under subsection (b), any in-
dividual may enroll in a health benefits plan under this 
section. 
‘‘(b) An individual may not enroll in a health benefits 
plan under this chapter if the individual— 
‘‘(1) is enrolled or eligible to enroll for coverage 
under a public health insurance program, includ-
ing— 
‘‘(A) title XVIII of the Social Security Act; 
‘‘(B) a State plan under title XIX of the 
Social Security Act; 
‘‘(C) a State plan under title XXI of the 
Social Security Act; or 
‘‘(D) any other program determined by the 
Office; 
VerDate Mar 15 2010 
04:49 Feb 28, 2013
Jkt 029200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H779.IH
H779
tjames on DSK6SPTVN1PROD with BILLS
‘‘(2) is enrolled or eligible to enroll in a plan 
under chapter 89; or 
‘‘(3) is a member of the uniformed services as 
defined under section 101(a)(5) of title 10. 
‘‘SEC. 8925. ALTERNATIVE CONDITIONS TO FEDERAL EM-
PLOYEE HEALTH BENEFITS PLANS. 
‘‘(a) Rates charged and premiums paid for a health 
benefits plan under this chapter may differ between or 
among geographic regions. 
‘‘(b) No Government contribution shall be made for 
any individual under this chapter. 
‘‘(c) In the administration of this chapter, the Office 
shall ensure that individuals covered under this chapter 
shall be in a risk pool that is separate from the risk pool 
maintained for individuals covered under chapter 89.’’. 
(b) TECHNICAL AND CONFORMING AMENDMENTS.— 
(1) CONTRACT REQUIREMENT UNDER CHAPTER 
89.—Section 8902 of title 5, United States Code, is 
amended by adding after subsection (o) the fol-
lowing: 
‘‘(p) Any contract under this chapter may include, 
at the discretion of the Office, a provision that the carrier 
shall enter into a contract to provide 1 or more health 
benefits plans as described under chapter 89A.’’. 
VerDate Mar 15 2010 
04:49 Feb 28, 2013
Jkt 029200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H779.IH
H779
tjames on DSK6SPTVN1PROD with BILLS