In their third iteration of shutdown poker, House Republicans eagerly seized on a new approach: to demand the removal of all subsidies for members of Congress and their staffs for health insurance. They framed this as treating Congress just like other Americans. It is utter nonsense. Most Americans have health insurance through their employers, and the lion’s share of their insurance premiums are paid — tax free — by their employers. Nothing in the Affordable Care Act will change this. Members of Congress and their staff have traditionally been treated the same as other federal employees; they purchase insurance on the federal employees health insurance marketplace, with 72 percent of their premiums covered.
A capricious amendment to the Affordable Care Act offered by Senator Chuck Grassley, an Iowa Republican, moved senators and their staffs off the federal employee health marketplace and onto the new Affordable Care Act exchanges, but it left ambiguous whether their subsidies would remain. (Grassley, remember, engaged in sham negotiations with his "friend" Max Baucus for many months in 2009 to find common ground and compromise on a health reform plan that was based on his own ardent support for the Republican plan to counter the Clinton health plan in 1993-94; he, however, pulled the rug out from under those negotiations and denounced in the strongest terms things he had strongly supported before Barack Obama became president.) Urged on by a bipartisan group of senators, including Tom Coburn, who feared that the removal of subsidies — a unique punishment — would result in a major brain drain in personal offices and committees, the administration said that the subsidies could remain, albeit in a very constrained form.