,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #adjh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #g1 #bjag,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        
,appropriations1 ,h\se ,adm9i/ration1 & 
,rules1 = 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 (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 ,effective beg9n+ ) ! fir/      
cal5d> ye> beg9n+ #b ye>s aft] ! date ( 
! enactm5t ( ?is ,act1 ! ,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 ,effective beg9n+ ) ! fir/ cal5d>
 ye> beg9n+ #b ye>s aft] ! date ( !     
enactm5t ( ?is ,act1 ! 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 & modification ( ,f$]al   
employee heal? insurance  7a7 ,,fehbp   
7#a7 ,9 g5]al ,*apt] #hi ( title #e1    
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+3  #hiae4 ,heal?         
insurance = individuals :o are n ,f$]al 
employees  7a7 ,except z provid$ 9 ?is  
section1 any individual may enroll 9 a  
heal? b5efits plan provid$ "u ?is *apt] 
& receive heal? b5efits1 to ! greate/   
ext5t practicable1 9 ! same mann] z an  
employee4  7b7 ,an individual may n     
enroll 9 a heal? b5efits plan "u ?is    
section 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 a memb] ( ! uni=m$     
s]vices z def9$ "u section #aja7;a77#e7 
( title #aj2 or  7#c7 is n a citiz5 or  

national ( ! ,unit$ ,/ates or an ali5   
lawfully pres5t 9 ! ,unit$ ,/ates4  7c7 
7#a7 ,no ,gov]nm5t contribution may be  
made = any individual enroll$ 9 a heal? 
b5efits plan pursuant to ?is section4   
7#b7 ,pursuant to regulations t ! ,(fice
 ( ,p]sonnel ,managem5t may prescribe1  
an employ] ( an individual enroll$ 9 su*
 a plan may make a contribution on      
behalf ( ! individual4  7d7 ,9 c>ry+ out
 ?is section1 ! ,(fice %all ensure t    
individuals enroll$ 9 a heal? b5efits   
plan "u ?is section %all be 9 ! same    
risk pool ma9ta9$ = employees cov]$ by  
?is *apt]4  7e7 ,! ,(fice %all issue    
regulations z are necess>y to c>ry out  
?is section4  #hiaf4 ,no lifetime or    
annual limits  7a7 ,a c>ri] (f]+ a heal?
 b5efits plan "u ?is *apt] may n        
e/abli%--  7#a7 lifetime limits on !    
doll> value ( b5efits = any individual  
enroll$ 9 su* plan2 or  7#b7            
unreasonable annual limits 7)9 ! mean+ (
 section #bbc ( ! ,int]nal ,rev5ue ,code
 ( #aihf7 on ! doll> value ( b5efits =  

any su* individual4  7b7 ,subsection 7a7
 %all n be con/ru$ to prev5t a heal?    
b5efits plan "u ?is *apt] f plac+ annual
 or lifetime p] b5efici>y limits on     
specific cov]$ b5efits to ! ext5t t su* 
limits are o!rwise p]mitt$ "u ,f$]al or 
,/ate law4  #hiag4 ,non-discrim9ation 9 
heal? c>e ,a c>ri] (f]+ a heal? b5efits 
plan "u ?is *apt] may n discrim9ate )   
respect to p>ticipation "u ! plan or    
cov]age aga9/ any heal? c>e provid] :o  
is act+ )9 ! scope ( t provid]'s lic5se 
or c]tification "u applicable ,/ate law4
 ,?is section %all n require t a heal?  
b5efits plan or c>ri] contract ) any    
heal? c>e provid] will+ to abide by !   
t]ms & conditions = p>ticipation        
e/abli%$ by ! plan or issu]4 ,no?+ 9 ?is
 section %all be con/ru$ z prev5t+ a    
heal? b5efits plan1 a c>ri]1 or !       
,director ( ! ,(fice ( ,p]sonnel        
,managem5t f e/abli%+ v>y+ reimbursem5t 
rates bas$ on quality or p]=mance       
measures4  4  7#b7 ,*ild "u ! age ( #bf 
,section #hija7e7 ( title #e1 ,unit$    

,/ates ,code1 is am5d$ by /rik+ #bb 9   
ea* in/ance x appe>s & ins]t+ #bf4  7#c7
 ,application ,sections #hiaf & #hiag ( 
su* title 7z add$ by p>agraph 7#a77 %all
 beg9 to apply to any contract = heal?  
b5efits plans ent]$ into by ! ,(fice (  
,p]sonnel ,managem5t "u *apt] #hi ( su* 
title aft] ! date ( enactm5t ( ?is ,act4
  7#d7 ,cl]ical am5dm5t ,! table (      
sections ( *apt] #hi ( title #e1 ,unit$ 
,/ates ,code1 is am5d$ by ins]t+ aft] ! 
item relat+ to section #hiad ! foll[+   
new items3  #hiae4 ,heal? insurance =   
individuals :o are n ,f$]al employees4  
#hfaf4 ,no lifetime or annual limits4   
#hiag4 ,non-discrim9ation 9 heal? c>e4  
4  7b7 ,d5tal & vision b5efits  7#a7    
,d5tal ,section #hieb ( title #e1 ,unit$
 ,/ates ,code1 is am5d$ by add+ at ! end
 ! foll[+3  7d7 ,! ,(fice %all issue    
regulations necess>y to enroll          
individuals describ$ 9 section #hiae 9  
d5tal b5efits plan (f]$ "u ?is *apt]1   
consi/5t ) ! requirem5ts ( su* section4 
4  7#b7 ,vision ,section #hihb ( title  

#e1 ,unit$ ,/ates ,code1 is am5d$ by    
add+ at ! end ! foll[+3  7d7 ,! ,(fice  
%all issue regulations necess>y to      
enroll individuals describ$ 9 section   
#hiae 9 vision b5efits plan (f]$ "u ?is 
*apt]1 consi/5t ) ! requirem5ts ( su*   
section4  4  7c7 ,special enrollm5t     
p]iod = ,f$]al employees & un9sur$      
individuals ,! ,director ( ! ,(fice (   
,p]sonnel ,managem5t %all issue         
regulations to provide = a special      
enrollm5t p]iod1 to beg9 on ! date (    
enactm5t ( ?is ,act & end+ on ! date t  
is #ahj aft] su* date ( enactm5t or !   
la/ day ( ! cal5d> ye> 9 :i* su* date ( 
enactm5t occurs1 :i*ev] is lat]1 "u :i* 
! foll[+ individuals may enroll 9 a     
heal? b5efits plan "u *apt] #hi1 #hi;,a1
 or #hi;,b ( title #e1 ,unit$ ,/ates    
,code3  7#a7 ,any employee 7z t t]m is  
def9$ 9 section #hija7a7 ( su* title7 :o
 is n enroll$ 9 a heal? b5efits plan "u 
any su* *apt] b :o is o!rwise eligible  
to enroll 9 su* a plan1 includ+ any     
employee exclud$ by section             

#acab7;d77#c77;,d7 ( ! ,pati5t          
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh74  7#b7 ,any     
individual n cov]$ by p>agraph 7#a7 & :o
 is n cov]$ by any heal? insurance1 z   
det]m9$ by ! ,director ( ! ,(fice (     
,p]sonnel ,managem5t4  7d7 ,enrollm5t ( 
insur$ individuals :o are n ,f$]al      
employees ,= plan ye>s beg9n+ 9 ! ye>   
imm$iately foll[+ ! ye> 9 :i* ?is       
subsection is enact$1 ! ,director ( !   
,(fice ( ,p]sonnel ,managem5t %all issue
 regulations to provide = ! enrollm5t ( 
individuals 7z describ$ "u section #hiae
 ( title #e1 ,unit$ ,/ates ,code1 z add$
 by subsection 7a77 9 heal? b5efits     
plans "u *apt] #hi1 #hi;,a1 or #hi;,b ( 
su* title4  #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$uction an am\nt equal to !  
am\nt paid z premiums dur+ ! taxable ye>
 = cov]age = ! taxpay]1 ! sp\se ( !     
taxpay]1 & dep5d5ts "u heal? insurance  
provid$ pursuant to section #hiae 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