,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #cjgf  ,,in ,,the ,,house ,,of  
,,representatives  ,september #aj1      
#bjac,mr4 ,de,santis 7for himself1 ,mr4 
,sanford1 ,mr4 ,ross1 ,mr4 ,latta1 ,mr4 
,westmoreland1 ,mr4 ,meadows1 ,mr4      
,salmon1 ,mr4 ,gingrey of ,georgia1 ,mr4
 ,yoho1 ,mr4 ,jordan1 ,mr4 ,rothfus1    
,mr4 ,massie1 ,mr4 ,smith of ,missouri1 
,mr4 ,mulvaney1 ,mr4 ,duncan of ,south  
,carolina1 and ,mr4 ,cotton7 introduced 
the following bill2 which was referred  
to the ,committee on ,oversight and     
,government ,reform1 and in addition to 
the ,committees on ,house               
,administration1 ,ways and ,means1 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  
with respect to health insurance        
coverage for certain congressional staff

 and political appointees in the        
executive branch1 and for other         
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,james ,madison     
,congressional ,accountability ,act4    
#b4 ,health insurance coverage for      
certain ,congressional staff and members
 of the executive branch ,section       
#acab7;d77#c77;,d7 of the ,patient      
,protection and ,affordable ,care ,act  
7#db ,u4,s4,c4 #ahjcb7;d77#c77;,d77 is  
amended-- 7#a7 by striking the          
subparagraph heading and inserting the  
following3  7,d7 ,members of ,congress1 
congressional staff1 and political      
appointees in the exchange  2  7#b7 in  
clause 7i71 in the matter preceding     
subclause 7,i7-- 7,a7 by striking and   
congressional staff with and inserting 1
 congressional staff1 the ,president1   
the ,vice ,president1 and political     
appointees with2 and  7,b7 by striking  
or congressional staff shall and        
inserting 1 congressional staff1 the    
,president1 the ,vice ,president1 or a  

political appointee shall2  7#c7 in     
clause 7ii7-- 7,a7 in subclause 7,,ii71 
by inserting after ,congress1 the       
following3 of a committee of ,congress1 
or of a leadership office of ,congress12
 and  7,b7 by adding at the end the     
following3  7,,iii7 ,political appointee
 ,the term political appointee means any
 individual who-- 7aa7 is employed in a 
position described under sections #ecab 
through #ecaf of title #e1 ,united      
,states ,code1 7relating to the         
,executive ,schedule72  7bb7 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  7cc7 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  2 and  7#d7 by adding at 
the end the following3  7iii7           
,government contribution ,no ,government
 contribution under section #hijf of    
title #e1 ,united ,states ,code1 shall  
be provided on behalf of an individual  
who is a ,member of ,congress1 a        
congressional staff member1 the         
,president1 the ,vice ,president1 or a  
political appointee for coverage under  
this paragraph4  7iv7 ,limitation on    
amount of tax credit or cost-sharing ,an
 individual enrolling in health         
insurance coverage pursuant to this     
paragraph shall not be eligible to      
receive a tax credit under section      
#cf;,b of the ,internal ,revenue ,code  
of #aihf or reduced cost sharing under  
section #adjb of this ,act in an amount 
that exceeds the total amount for which 
a similarly situated individual 7who is 
not so enrolled7 would be entitled to   
receive under such sections4  7v7       
,limitation on discretion for           
designation of staff ,notwithstanding   

any other provision of law1 a ,member of
 ,congress shall not have discretion in 
determinations with respect to which    
employees employed by the office of such
 ,member are eligible to enroll for     
coverage through an ,exchange4  4