,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #bdjj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #h1 #bjag,mr4    
,issa introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,ov]sight &   
,gov]nm5t ,re=m  ,a ,,bill  ,to am5d    
title #e1 ,unit$ ,/ates ,code1 to all[  
individuals :o are n ,f$]al employees to
 enroll 9 ! ,f$]al ,employees ,heal?    
,b5efits ,program1 & = o!r purposes4    
#a4 ,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 ,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  7d7 ,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$]al (fic]s1 ! 
,director ( ! ,(fice ( ,p]sonnel        
,managem5t %all submit a compreh5sive   
plan to ,congress t--  7#a7 provides = !
 ord]ly implem5tation ( ! am5dm5ts made 
by ?is section2 &  7#b7 includes a      
s*$ule ( actions to be tak5 to provide =
 t implem5tation4