In committee, Senator Grassley had inserted into the Senate health care bill the provision that members of Congress and their staffs get their health care through the same exchanges that the legislation would establish for the rest of the country. Now Mr. Grassley says the bill has been changed to exempt leadership staff and committee staff from that requirement: "Careful examination by the Congressional Research Service of the bill that Senator Reid brought to the floor revealed that one of the things that happened behind closed doors was that leadership and committee staff ended up being carved out from having to live under the new health care exchanges that this legislation would create and impose on the rest of the country," Mr. Grassley said. "This creates a double standard. It's inexcusable." Mr. Grassley says he plans to offer an amendment to close the loophole and also to require the president, the vice president, and executive branch political appointees to get their health insurance through the exchanges.