[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7102 Introduced in House (IH)]

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115th CONGRESS
  2d Session
                                H. R. 7102

To amend the Patient Protection and Affordable Care Act to provide for 
additional requirements with respect to the navigator program, and for 
                            other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 30, 2018

Ms. Castor of Florida (for herself and Ms. Blunt Rochester) introduced 
 the following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
To amend the Patient Protection and Affordable Care Act to provide for 
additional requirements with respect to the navigator program, and for 
                            other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Expand Navigators' Resources for 
Outreach, Learning, and Longevity Act of 2018'' or the ``ENROLL Act of 
2018''.

SEC. 2. PROVIDING FOR ADDITIONAL REQUIREMENTS WITH RESPECT TO THE 
              NAVIGATOR PROGRAM.

    (a) In General.--Section 1311(i) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 18031(i)) is amended--
            (1) in paragraph (2), by adding at the end the following 
        new subparagraph:
                    ``(C) Selection of recipients.--In awarding grants 
                under paragraph (1), the Exchange shall--
                            ``(i) select entities to receive such 
                        grants based solely on an entity's demonstrated 
                        capacity to carry out each of the duties 
                        specified in paragraph (3);
                            ``(ii) not take into account whether or not 
                        the entity--
                                    ``(I) has demonstrated how the 
                                entity will provide information to 
                                individuals relating to group health 
                                plans offered by a group or association 
                                of employers described in section 
                                2510.3-5(b) of title 29, Code of 
                                Federal Regulations (or any successor 
                                regulation), or short-term limited 
                                duration insurance (as defined by the 
                                Secretary for purposes of section 
                                2791(b)(5) of the Public Health Service 
                                Act); or
                                    ``(II) has developed a plan--
                                            ``(aa) to inform 
                                        individuals of the option not 
                                        to purchase health insurance 
                                        coverage that covers abortion 
                                        services or how individuals may 
                                        receive a hardship exemption if 
                                        all qualified health plans 
                                        offered through such Exchange 
                                        provide coverage of such 
                                        services; or
                                            ``(bb) to provide 
                                        information and assistance to 
                                        individuals with respect to 
                                        prohibitions on the use of 
                                        premium assistance tax credits 
                                        described in section 36B of the 
                                        Internal Revenue Code of 1986 
                                        and cost-sharing reductions 
                                        described in section 1402 from 
                                        being used to cover abortion 
                                        services, the process by which 
                                        health insurance issuers must 
                                        develop premiums for qualified 
                                        health plans that cover such 
                                        services, and segregation of 
                                        funds requirements for such 
                                        issuers; and
                            ``(iii) ensure that, each year, the 
                        Exchange awards such a grant to--
                                    ``(I) at least one entity described 
                                in this paragraph that is a community 
                                and consumer-focused nonprofit group; 
                                and
                                    ``(II) at least one entity 
                                described in subparagraph (B), which 
                                may include another community and 
                                consumer-focused nonprofit group in 
                                addition to any such group awarded a 
                                grant pursuant to subclause (I).'';
            (2) in paragraph (3)(C), by inserting after ``qualified 
        health plans'' the following: ``, State medicaid plans under 
        title XIX of the Social Security Act, and State children's 
        health insurance programs under title XXI of such Act''; and
            (3) in paragraph (4)(A)--
                    (A) in the matter preceding clause (i), by striking 
                ``not'';
                    (B) in clause (i)--
                            (i) by inserting ``not'' before ``be''; and
                            (ii) by striking ``; or'' and inserting 
                        ``;'';
                    (C) in clause (ii)--
                            (i) by inserting ``not'' before 
                        ``receive''; and
                            (ii) by striking the period and inserting 
                        ``;''; and
                    (D) by adding at the end the following new clause:
                            ``(iii) maintain physical presence in the 
                        State of the Exchange so as to allow in-person 
                        assistance to consumers.''.
    (b) Exchanges Operated by the Secretary.--Section 1321(c) of the 
Patient Protection and Affordable Care Act (42 U.S.C. 18041(c)) is 
amended by adding at the end the following new paragraph:
            ``(3) Navigator program and outreach and enrollment 
        activities.--
                    ``(A) Navigator program.--
                            ``(i) In general.--In the case of an 
                        Exchange established or operated by the 
                        Secretary within a State pursuant to this 
                        subsection, the Secretary shall establish a 
                        program under which such Exchange awards 
                        grants, with respect to such State, to entities 
                        that would be described in paragraph (2) of 
                        section 1311(i) to carry out the duties that 
                        would be described in paragraph (3) of such 
                        section if the references in such section 
                        1311(i) to `this subsection' and `paragraph 
                        (1)' were each instead a reference to 
                        `paragraph (3)(A) of section 1321(c)'.
                            ``(ii) Application of state exchange 
                        navigator provisions.--For purposes of carrying 
                        out this subparagraph, the provisions of 
                        paragraphs (2) through (5) of section 1311(i) 
                        shall apply to the Secretary with respect to an 
                        Exchange described in clause (i) established or 
                        operated within a State and the program under 
                        this subparagraph, with respect to such State, 
                        in the same manner as such provisions apply to 
                        a State with respect to an Exchange described 
                        in section 1311(i) established by the State and 
                        the program established under such section.
                            ``(iii) Funding.--For purposes of carrying 
                        out this subparagraph, the Secretary shall 
                        obligate $100,000,000 out of amounts collected 
                        through the user fees on participating health 
                        insurance issuers pursuant to section 156.50 of 
                        title 45, Code of Federal Regulations (or any 
                        successor regulations) for each of fiscal year 
                        2019 and each subsequent fiscal year. Such 
                        amount for a fiscal year shall remain available 
                        until expended.
                    ``(B) Outreach and educational activities.--
                            ``(i) In general.--In the case of an 
                        Exchange established or operated by the 
                        Secretary within a State pursuant to this 
                        subsection, the Secretary shall carry out 
                        outreach and educational activities for 
                        purposes of informing potential enrollees in 
                        qualified health plans offered through the 
                        Exchange of the availability of coverage under 
                        such plans and financial assistance for 
                        coverage under such plans. Such outreach and 
                        educational activities shall be provided in a 
                        manner that is culturally and linguistically 
                        appropriate to the needs of the populations 
                        being served by the Exchange (including hard-
                        to-reach populations, such as racial and sexual 
                        minorities, limited English proficient 
                        populations, and young adults).
                            ``(ii) Funding.--For purposes of carrying 
                        out this subparagraph, the Secretary shall 
                        obligate $100,000,000 out of the amounts 
                        collected through the user fees on 
                        participating health insurance issuers pursuant 
                        to section 156.50 of title 45, Code of Federal 
                        Regulations (or any successor regulations) for 
                        each of fiscal years 2019 through 2021. Such 
                        amount shall remain available without fiscal 
                        year limitation until expended.''.
    (c) Effective Date.--The amendments made by this section shall 
apply with respect to plan years beginning on or after January 1, 2020.
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