In March of 2010, Congress enacted the Affordable Care Act, including Section 1312 (d)(3)(D). The relevant section reads:
“Notwithstanding any other provision of law, after the effective date of this subtitle, the only health plans that the Federal Government may make available to members of Congress and congressional staff with respect to their service as a member of Congress or congressional staff shall be health plans. (I) created under this act (or an amendment made by this act); or (II) offered through an exchange established under this act (or an amendment made by this act).”
In short, as of 2014, members of Congress and their staffs were not eligible for health coverage in the Federal Employee Health Benefits Program (FEHBP); they had to enroll in Obamacare.
Notice, though, that the language does not provide for any health insurance subsidies, other than those available to all other Americans in the health insurance exchanges. Notice, too, the language does not grant any regulatory authority to the U.S. Office of Personnel Management (OPM),...
Toward the end of the Senate debate on Obamacare, on March 24, 2010, Sen. Charles Grassley offered Amendment 3564 to provide insurance subsidies to congress and staff, and to include the president and all executive-branch political appointees in Obamacare coverage. Sen. Grassley’s amendment was defeated on a procedural vote of fifty-six to forty-three; all Senate Democrats voted against it. In voting down the amendment, the Senate voted down the insurance subsidies.
Members of Congress probably didn’t know what they were doing. After the horror of it all sunk in, meeting behind closed doors, they quickly launched a three-year search for various ways to escape the mess they had created for themselves.
The politics were positively ugly. With the sure prospect of millions of Americans losing their health plans, congressmen voting themselves back into FEHBP coverage would have been nothing short of scandalous. The prospect of having to take a recorded floor vote to give themselves special funds to help pay for their Obamacare coverage had zero political appeal as well....
Instead, congressional leaders begged President Obama to fix their mess for them. It worked. In August 2013, the president’s OPM said FEHBP subsidies would be available for congressmen [7] enrolling in health exchange plans.
This was a bold move, even for Team Obama. Not only did the original statutory language fail to provide insurance subsidies, but OPM also had no authority under Chapter 89 of Title 5 of the U.S. Code to provide FEHBP subsidies to non-FEHBP plans. In fact, as Politico reported [8], OPM had concluded—before the president intervened—that it had no such authority.
The scheme then went from the bold to the ridiculous. In the FEHBP, under Section 8901(6) of Title V, the health plans must be “group” plans. So, no problem: OPM certified the DC SHOP exchange, reserved for firms with fewer than fifty employees, as the health insurance exchange for Congress. All Congress had to do was to somehow turn itself into a small business, with fewer than fifty employees. And, incredibly, that is exactly what unnamed congressional bureaucrats did: They submitted paperwork identifying each chamber of Congress as a small business, [9] employing forty-five people apiece.
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