[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[S. 3174 Introduced in Senate (IS)]

111th CONGRESS
  2d Session
                                S. 3174

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 SENATE OF THE UNITED STATES

                             March 25, 2010

 Mr. Grassley introduced the following bill; which was read twice and 
referred to the Committee on Homeland Security and Governmental Affairs

_______________________________________________________________________

                                 A BILL


 
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.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Reform Accountability Act''.

SEC. 2. PARTICIPATION OF PRESIDENT, VICE PRESIDENT, MEMBERS OF 
              CONGRESS, POLITICAL APPOINTEES, AND CONGRESSIONAL STAFF 
              IN THE EXCHANGE.

    (a) In General.--Section 1312(d)(3)(D) of the Patient Protection 
and Affordable Care Act is amended to read as follows:
                    ``(D) President, vice president, members of 
                congress, political appointees, and congressional staff 
                in the exchange.--
                            ``(i) In general.--Notwithstanding chapter 
                        89 of title 5, United States Code, or any 
                        provision of this title--
                                    ``(I) the President, Vice 
                                President, each Member of Congress, 
                                each political appointee, and each 
                                Congressional employee shall be treated 
                                as a qualified individual entitled to 
                                the right under this paragraph to 
                                enroll 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 
                                President, Vice President, any Member 
                                of Congress, any political appointee, 
                                and any Congressional employee may be 
                                paid only to the issuer of a qualified 
                                health plan in which the individual 
                                enrolled in through such Exchange and 
                                not to the issuer of a plan offered 
                                through the Federal employees health 
                                benefit program under such chapter.
                            ``(ii) Payments by federal government.--The 
                        Secretary, in consultation with the Director of 
                        the Office of Personnel Management, shall 
                        establish procedures under which--
                                    ``(I) the employer contributions 
                                under such chapter on behalf of the 
                                President, Vice President, each Member 
                                of Congress, each political appointee, 
                                and each Congressional employee are 
                                determined and actuarially adjusted for 
                                individual or family coverage, rating 
                                areas, and age (in accordance with 
                                clauses (i) through (iii) 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 appointee' 
                        means any individual who--
                                    ``(I) is employed in a position 
                                described 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 
                                noncareer appointee in the Senior 
                                Executive Service, as defined under 
                                paragraphs (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 
                                Government of a confidential or policy-
                                determining character under schedule C 
                                of subpart C of part 213 of title 5 of 
                                the Code of Federal Regulations.
                            ``(iv) Congressional employee.--In this 
                        subparagraph, the term `Congressional 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.
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