[Congressional Record Volume 171, Number 112 (Saturday, June 28, 2025)]
[Senate]
[Page S3984]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 2438. Ms. BALDWIN submitted an amendment intended to be proposed 
by her to the bill H.R. 1, to provide for reconciliation pursuant to 
title II of H. Con. Res. 14; which was ordered to lie on the table; as 
follows:
       At the appropriate place in subtitle H of title VIII, 
     insert the following:

     SEC. __. 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 the case of an Exchange 
     established and operated by the Secretary within a State 
     pursuant to section 1321(c), in awarding grants under 
     paragraph (1), the Exchange shall--
       ``(i) select entities to receive such grants based 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 has 
     demonstrated how the entity will provide information to 
     individuals relating to group health plans that are not 
     qualified health plans; and
       ``(iii) ensure that, each year, the Exchange awards such a 
     grant to at least 1 entity described in this paragraph that 
     is a community and consumer-focused nonprofit group.'';
       (2) in paragraph (3)--
       (A) in subparagraph (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'';
       (B) in subparagraph (D), by striking ``and'' at the end;
       (C) in subparagraph (E), by striking the period and 
     inserting ``; and'';
       (D) by adding at the end the following:
       ``(F) conduct public education activities in plain language 
     to raise awareness of the requirements of and the protections 
     provided under qualified health plans.''; and
       (E) by adding at the end the following flush left sentence:
     ``The duties specified in the preceding sentence may be 
     carried out by such a navigator at any time during a year.'';
       (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 a semicolon;
       (C) in clause (ii)--
       (i) by inserting ``not'' before ``receive''; and
       (ii) by striking the period and inserting a semicolon; 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.''; 
     and
       (4) in paragraph (6)--
       (A) by striking ``Funding.--Grants under'' and inserting 
     ``Funding.--
       ``(A) State exchanges.--Grants under''; and
       (B) by adding at the end the following new subparagraph:
       ``(B) Federal exchanges.--For purposes of carrying out this 
     subsection, with respect to an Exchange established and 
     operated by the Secretary within a State pursuant to section 
     1321(c), 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 fiscal year 2026 and each subsequent fiscal 
     year. Such amount for a fiscal year shall remain available 
     until expended.''.
       (b) Effective Date.--The amendments made by subsection (a) 
     shall apply with respect to plan years beginning on or after 
     January 1, 2026.
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