Protection from Obamacare Mandates and Congressional Equity Act

This bill modifies the Affordable Care Act (ACA) by creating a new exemption for individuals living in counties with fewer than two health insurance issuers offering plans on the marketplace. It also changes health coverage rules for congressional staff, members of Congress, the President, Vice President, and certain political appointees: they can enroll in exchange plans but cannot receive government contributions for premiums, tax credits, or reduced cost-sharing benefits available to other enrollees. The bill clarifies that Congress is not considered a "small employer" for exchange coverage purposes. These provisions directly affect residents in limited-insurance areas and specific federal employees regarding their health coverage options under the ACA.