,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ggi  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #ae1 #bjac   
,mr4 ,issa introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 ,ov]sight & ,gov]nm5t
 ,re=m1 ,education & ! ,work=ce1        
,natural ,res\rces1 ! ,judici>y1 ,rules1
 ,appropriations1 & ,h\se ,adm9i/ration1
 = a p]iod to be subsequ5tly det]m9$ by 
! ,speak]1 9 ea* case = consid]ation (  
su* provisions z fall )9 ! jurisdiction 
( ! committee conc]n$  ,a ,,bill  ,to   
repeal ! ,pati5t ,protection & ,af=dable
 ,c>e ,act & ! heal? c>e-relat$         
provisions 9 ! ,heal? ,c>e & ,education 
,reconciliation ,act ( #bjaj & to am5d  
title #e1 ,unit$ ,/ates ,code1 to       
e/abli% a national heal? program        
adm9i/]$ by ! ,(fice ( ,p]sonnel        
,managem5t to (f] ,f$]al employee heal? 
b5efits plans to individuals :o are n   
,f$]al employees1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  

,access to ,insurance = ,all ,am]icans  
,act4  #b4 ,repeal ( ,,ppaca & heal?    
c>e-relat$ provisions ( ,,hc]a  7a7     
,,ppaca ,! ,pati5t ,protection &        
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh7 is repeal$ & ! provisions (   
law am5d$ or repeal$ by su* ,act are    
re/or$ or reviv$ z if su* ,act _h n be5 
enact$4  7b7 ,heal? c>e-,relat$         
provisions ( ,,hc]a  7#a7 ,9 g5]al ,!   
heal? c>e-relat$ provisions ( ! ,heal?  
,c>e & ,education ,reconciliation ,act (
 #bjaj 7,public ,law #aaa-aeb7 are      
repeal$ & ! provisions ( law am5d$ or   
repeal$ by su* heal? c>e-relat$         
provisions are re/or$ or reviv$ z if su*
 provisions _h n be5 enact$4  7#b7      
,heal? c>e-relat$ provisions def9$ ,9   
p>agraph 7#a71 ! t]m heal? c>e-relat$   
provisions means1 ) respect to ! ,heal? 
,c>e & ,education ,reconciliation ,act (
 #bjaj1 title ,i & subtitle ,b ( title  
,,ii ( su* ,act4  #c4 ,ext5sion ( ,f$]al
 employee heal? insurance  7a7 ,9 g5]al 
,subp>t ,g ( "p ,,iii ( title #e1 ,unit$

 ,/ates ,code1 is am5d$--  7#a7 by      
r$esignat+ *apt]s #hi;,a & #hi;,b z     
*apt]s #hi;,b & #hi;,c1 respectively2 & 
7#b7 by ins]t+ aft] *apt] #hi ! foll[+3 
#hi;,a ,heal? insurance = non-,f$]al    
employees  #hiba4 ,def9itions ,9 ?is    
*apt]--  7#a7 ! t]ms def9$ "u section   
#hija %all h ! mean+s giv5 su* t]ms "u t
 section2 &  7#b7 ! t]m ,(fice means !  
,(fice ( ,p]sonnel ,managem5t4  #hibb4  
,heal? insurance = non-,f$]al employees 
7a7 ,! ,(fice %all adm9i/] a heal?      
insurance program = non-,f$]al employees
 9 accordance ) ?is *apt]4  7b7 ,except 
z provid$ "u ?is *apt]1 ! ,(fice %all   
prescribe regulations to apply !        
provisions ( *apt] #hi to ! greate/     
ext5t practicable to eligible           
individuals cov]$ "u ?is *apt]4  #hibc4 
,contract requirem5t  7a7 ,= ea* cal5d> 
ye>1 ! ,(fice %all ent] into a contract 
) #a or m c>ri]s to make available #a or
 m heal? b5efits plans 7subject to !    
provisions ( ?is *apt]7 to eligible     
individuals "u ?is *apt]4  7b7 ,9 c>ry+ 

out ?is section1 ! ,(fice may require #a
 or m c>ri]s to ent] into a contract    
describ$ 9 subsection 7a71 z a condition
 ( ent]+ into a contract "u section     
#hijb4  #hibd4 ,eligibility ( non-,f$]al
 employees  7a7 ,except z provid$ "u    
subsection 7b71 any individual may      
enroll 9 a heal? b5efits plan "u ?is    
section4  7b7 ,an individual may n      
enroll 9 a heal? b5efits plan "u ?is    
*apt] if ! individual--  7#a7 is enroll$
 or eligible to enroll = cov]age "u a   
public heal? insurance program1         
includ+--  7,a7 title ,,xviii ( !       
,social ,security ,act2  7,b7 a ,/ate   
plan "u title ,,xix ( ! ,social         
,security ,act2  7,c7 a ,/ate plan "u   
title ,,xxi ( ! ,social ,security ,act2 
or  7,d7 any o!r program det]m9$ by !   
,(fice2  7#b7 is enroll$ or eligible to 
enroll 9 a plan "u *apt] #hi2 or  7#c7  
is a memb] ( ! uni=m$ s]vices z def9$ "u
 section #aja7;a77#e7 ( title #aj4      
#hibe4 ,alt]native conditions to ,f$]al 
employee heal? b5efits plans  7a7 ,rates

 *>g$ & premiums paid = a heal? b5efits 
plan "u ?is *apt] may diff] betwe5 or   
among geographic regions4  7b7 ,no      
,gov]nm5t contribution %all be made =   
any individual "u ?is *apt]4  7c7 ,9 !  
adm9i/ration ( ?is *apt]1 ! ,(fice %all 
ensure t individuals cov]$ "u ?is *apt] 
%all be 9 a risk pool t is sep>ate f !  
risk pool ma9ta9$ = individuals cov]$ "u
 *apt] #hi4  4  7b7 ,te*nical & con=m+  
am5dm5ts  7#a7 ,contract requirem5t "u  
*apt] #hi ,section #hijb ( title #e1    
,unit$ ,/ates ,code1 is am5d$ by add+   
aft] subsection 7o7 ! foll[+3  7p7 ,any 
contract "u ?is *apt] may include1 at ! 
discretion ( ! ,(fice1 a provision t !  
c>ri] %all ent] into a contract to      
provide #a or m heal? b5efits plans z   
describ$ "u *apt] #hi;,a4  4  7#b7      
,table ( *apt]s ,! table ( *apt]s = "p  
,,iii ( title #e1 ,unit$ ,/ates ,code1  
is am5d$--  7,a7 by r$esignat+ ! items  
relat+ to *apt]s #hi;,a & #hi;,b z      
*apt]s #hi;,b & #hi;,c1 respectively2 & 
7,b7 by ins]t+ aft] ! item relat+ to    

*apt] #hi ! foll[+3  #hi;,a4,heal?      
,insurance = ,non-,f$]al ,employees#hiba
  4  #d4 ,d$uction = premiums paid by   
,,fehbp non-employee enrollees  7a7 ,9  
g5]al ,"p ,,vii ( sub*apt] ,b ( *apt] #a
 ( ! ,int]nal ,rev5ue ,code ( #aihf     
7relat+ to additional itemiz$ d$uctions7
 is am5d$--  7#a7 by r$esignat+ section 
#bbd z section #bbe2 &  7#b7 by ins]t+  
aft] section #bbc ! foll[+ new section3 
#bbd4 ,premiums paid = ,,fehbp cov]age  
7a7 ,9 g5]al ,9 ! case ( an individual1 
!re %all be all[$ z a d$uction an am\nt 
equal to ! am\nt paid z premiums dur+ ! 
taxable ye> = cov]age = ! taxpay]1 8    
sp\se1 & dep5d5ts "u heal? insurance    
provid$ pursuant to *apt] #hi;,a ( title
 #e1 ,unit$ ,/ates ,code4  7b7 ,special 
rules  7#a7 ,coord9ation ) m$ical       
d$uction1 etc ,any am\nt paid by a      
taxpay] = insurance to :i* subsection   
7a7 applies %all n be tak5 into acc\nt 9
 comput+ ! am\nt all[able to ! taxpay] z
 a d$uction "u section #afb7l7 or       
#bac7;a74 ,any am\nt tak5 into acc\nt 9 

det]m9+ ! cr$it all[$ "u section #ce    
%all n be tak5 into acc\nt = purposes ( 
?is section4  7#b7 ,d$uction n all[$ =  
self-employm5t tax purposes ,! d$uction 
all[able by reason ( ?is section %all n 
be tak5 into acc\nt 9 det]m9+ an        
individual's net e>n+s f self-employm5t 
7)9 ! mean+ ( section #adjb7;a77 =      
purposes ( *apt] #b4  4  7b7 ,d$uction  
all[$ 9 comput+ adju/$ gross income     
,subsection 7a7 ( section #fb ( su*     
,code is am5d$ by ins]t+ be=e ! la/     
s5t5ce ! foll[+ new p>agraph3  7#bb7    
,premiums paid = ,,fehbp cov]age ,!     
d$uction all[$ by section #bbd4  4  7c7 
,cl]ical am5dm5t ,! table ( sections =  
"p ,,vii ( sub*apt] ,b ( *apt] #a ( su* 
,code is am5d$ by--  7#a7 r$esignat+ !  
item relat+ to section #bbd z an item   
relat+ to section #bbe2 &  7#b7 ins]t+  
be=e su* item ! foll[+ new item3  ,sec4 
#bbd4 ,premiums paid = ,,fehbp cov]age4 
4  7d7 ,effective date ,! am5dm5ts made 
by ?is section %all apply to taxable    
ye>s end+ aft] ! date ( ! enactm5t ( ?is

 ,act4  #e4 ,plan = ext5sion ( ,f$]al   
employee heal? b5efits program ,n lat]  
?an #f mon?s aft] ! date ( enactm5t (   
?is ,act & aft] consultation )          
appropriate exp]ts1 repres5tatives (    
affect$ individuals1 & ,f$]al (fic]s1 ! 
,director ( ! ,(fice ( ,p]sonnel        
,managem5t %all submit a compreh5sive   
plan to ,congress t--  7#a7 provides = !
 ord]ly implem5tation ( ! am5dm5ts made 
by ?is ,act2 &  7#b7 includes a s*$ule (
 actions to be tak5 to provide = t      
implem5tation4