,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #aiab  ,,in ,,the ,,house ,,of  
,,representatives  ,may #i1 #bjac ,mr4  
,coffman introduced the following bill2 
which was referred to the ,committee on 
,oversight and ,government ,reform1 and 
in addition to the ,committees on ,house
 ,administration and ,energy and        
,commerce1 for a period to be           
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions 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 ,president1 ,vice      
,president1 ,members of ,congress1      
political appointees1 and ,congressional
 staff4  #a4 ,short title ,this ,act may
 be cited as the ,affordable ,care      
,accountability ,act of #bjac4  #b4     
,participation of ,president1 ,vice     
,president1 ,members of ,congress1      
political appointees1 and ,congressional

 staff in the exchange  7a7 ,in general 
,section #acab7;d77#c77;,d7 of the      
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4               
#ahjcb7;d77#c77;,d77 is amended to read 
as follows3  7,d7 ,president1 ,vice     
,president1 political appointees1       
,members of ,congress1 and              
,congressional staff in the ,exchange   
7i7 ,in general ,notwithstanding chapter
 #hi of title #e1 ,united ,states ,code1
 or any provision of this title--  7,i7 
the ,president1 the ,vice ,president1   
each political appointee1 each ,member  
of ,congress1 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 resides2 
and  7,,ii7 any employer contribution   
under such chapter on behalf of the     
,president1 the ,vice ,president1 any   
political appointee1 any ,member of     

,congress1 and any ,congressional       
employee may be paid only to the issuer 
of a qualified health plan in which the 
individual enrolled through such        
,exchange and not to the issuer of a    
plan offered through the ,federal       
employees health benefit program under  
such chapter4  7ii7 ,payments by        
,federal government ,the ,secretary1 in 
consultation with the ,director of the  
,office of ,personnel ,management1 shall
 establish procedures under which--     
7,i7 the employer contributions under   
such chapter on behalf of the           
,president1 the ,vice ,president1 each  
political appointee1 each ,member of    
,congress1 and each ,congressional      
employee are determined and actuarially 
adjusted for individual or family       
coverage1 rating areas1 and age 7in     
accordance with clauses 7i7 through     
7iii7 of section #bgja7;a77#a77;,a7 of  
the ,public ,health ,service ,act72 and 
7,,ii7 the employer contributions may be
 made directly to an ,exchange for      

payment to an issuer4  7iii7 ,political 
appointee ,in this subparagraph1 the    
term political appointee means any      
individual who--  7,i7 is employed in a 
position described under sections #ecab 
through #ecaf of title #e1 ,united      
,states ,code1 7relating to the         
,executive ,schedule72  7,,ii7 is a     
limited term appointee1 limited         
emergency appointee1 or noncareer       
appointee in the ,senior ,executive     
,service1 as defined under paragraphs   
7#e71 7#f71 and 7#g71 respectively1 of  
section #cacb7;a7 of title #e1 ,united  
,states ,code2 or  7,,iii7 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 #bac  
of title #e of the ,code of ,federal    
,regulations4  7iv7 ,congressional      
employee ,in this subparagraph1 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 ,representatives4  4  7b7 ,effective 
date ,the amendment made by this section
 shall take effect as if included in the
 enactment of the ,patient ,protection  
and ,affordable ,care ,act4