,,ii  #aaeth ,,congress  #ast ,session  
,s4 #abja  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1 #bjag
 ,mrs4 ,mc,caskill introduced the       
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to allow individuals living 
in areas without qualified health plans 
offered through an ,exchange to have    
similar access to health insurance      
coverage as ,members of ,congress and   
congressional staff4  #a4 ,short title  
,this ,act may be cited as the ,health  
,care ,options for ,all ,act4  #b4      
,access to coverage for individuals in  
areas without any available ,exchange   
plans ,part #b of subtitle ,d of title  
,i of the ,patient ,protection and      
,affordable ,care ,act 7#db ,u4,s4,c4   
#ahjca et seq47 is amended by adding at 
the end the following3  #acad4 ,access  
to coverage for individuals in areas    
without any available ,exchange plans   
7a7 ,in general  7#a7 ,coverage through 
,,dc ,,shop ,exchange ,not later than #c

 months after the date of enactment of  
this section1 the ,secretary1 in        
consultation with the ,secretary of the 
,treasury and the ,director of the      
,office of ,personnel ,management1 shall
 establish a mechanism to ensure that1  
for any plan year beginning on or after 
the date described in subsection 7c71   
any individual described in paragraph   
7#b7 may enroll in health insurance     
coverage in the small group market      
through the ,exchange operating in the  
,district of ,columbia1 including the   
health insurance coverage that is       
available to ,members of ,congress and  
congressional staff 7as defined in      
section #acab7;d77#c77;,d774  7#b7      
,individual described ,an individual    
described in this paragraph is any      
individual who-- 7,a7 is eligible to    
purchase health insurance coverage      
through the ,exchange operating in the  
,state of residence of the individual2  
and  7,b7 resides in a rating area or   
county in which the ,secretary certifies

 that no qualified health plan is       
offered through an ,exchange established
 under this title4  7b7 ,premium        
assistance tax credits and cost-,sharing
 ,any individual described in subsection
 7a77#b7 who enrolls in health insurance
 coverage through the ,exchange         
operating in the ,district of ,columbia 
pursuant to subsection 7a77#a7 shall be 
eligible for any premium tax credit     
under section #cf;,b of the ,internal   
,revenue ,code of #aihf1 or reduced     
cost-sharing under section #adjb1 that  
the individual would otherwise be       
eligible for if enrolling in health     
insurance coverage in the individual    
market through the ,exchange operating  
in the ,state of the individual4  7c7   
,date described ,the date described in  
this subsection is the date on which the
 ,secretary establishes the mechanism   
under subsection 7a77#a74  4