PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Subcommittee on Federal Workforce, Post Office, and the District of Columbia.
Congressional Research Service
Version 00 · Introduced in House · Jul 31, 2009
Access to Insurance for all Americans Act - Directs the Office of Personnel Management (OPM) to administer a health insurance program for non-federal employees and to apply to such program the provisions governing the federal employee health insurance program to the greatest extent practicable.
Requires OPM, for each calendar year, to enter into a contract with one or more carriers to make health benefits plans available to eligible individuals. Allows any individual to enroll in such a plan unless the individual: (1) is enrolled or eligible to enroll for coverage under a public health insurance program (including Medicaid or Medicare) or under the federal employee health insurance program; or (2) is a member of the uniformed services.
Allows rates and premiums for such a plan to differ among geographic regions. Makes such premiums tax deductible.
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Provides that no government contribution shall be made for any individual enrolled in such a plan. Directs OPM to ensure that covered individuals are in a risk pool separate from that maintained for federal employees.
Requires the Director of OPM to submit a comprehensive plan to Congress that provides for the orderly implementation of the amendments made by this Act, including a schedule of actions to be taken to provide for that implementation.
People & committees
Rep. Issa, Darrell E. [R-CA-49] · R–CA
Legislative record
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Referred to the Subcommittee on Federal Workforce, Post Office, and the District of Columbia.
Referred to House Ways and Means
Referred to House Oversight and Government Reform
Referred to the Committee on Oversight and Government Reform, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Introduced in House
Primary sources
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Source last updated: Aug 14, 2025. Consult Congress.gov for the current record.
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Analyze H.R.3438 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
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