,i #aacth ,,congress #b;d ,session ,h4 ,r4 #chhd ,,in ,,the ,,house ,,of ,,representatives ,january #ae1 #bjad,mr4 ,pascrell 7for himself1 ,mr4 ,michaud1 and ,mr4 ,pallone7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend section #acaa7;a7 of the ,patient ,protection and ,affordable ,care ,act to provide for the recoupment and reallocation of unspent ,state grant funds1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,ensuring ,full ,use of ,federal ,health ,care ,funding ,act of #bjad4 #b4 ,recoupment and reallocation of ,federal section #acaa ,,aca grant funds ,section #acaa7;a7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjca7;a77 is amended-- 7#a7 in paragraph 7#a71 by inserting before the period at the end the following3 and to make grants under paragraph 7#g7 to qualified entities in a ,state from funds recouped under paragraph 7#f7 from that ,state2 7#b7 in paragraph 7#b71 by adding at the end the following3 ,not later than ,may #a1 #bjad1 the ,secretary shall determine the recoupment amount under paragraph 7#f7 for each ,state and the amounts that will be made so available for grants under paragraph 7#g7 for qualified entities in each ,state42 7#c7 in paragraph 7#c71 by adding at the end the following3 ,a qualified entity awarded a grant under paragraph 7#g7 shall use such grant for activities consistent with subparagraph 7,c7 of such paragraph42 and 7#d7 by adding at the end the following new paragraphs3 7#f7 ,recoupment of unexpended funds 7,a7 ,in general ,subject to subparagraph 7,b71 the ,secretary shall recoup any funds awarded to a ,state under this subsection to the extent that such funds are not obligated by the ,state for expenditure before ,april #a1 #bjad4 7,b7 ,exception ,the ,secretary may1 in the ,secretary's discretion1 decide not to recoup the funds of a ,state under subparagraph 7,a7 if the ,state has submitted to the ,secretary and the ,secretary has approved1 before ,march #ca1 #bjad1 a plan for spending such funds in accordance with this subsection in a timely manner4 7#g7 ,application of recouped funds for grants to other entities within a ,state 7,a7 ,in general ,insofar as the ,secretary recoups funds under paragraph 7#f7 from a ,state1 the ,secretary shall use all such funds to make grants1 before the beginning of the open enrollment period for #bjae1 to qualified entities under subparagraph 7,b7 to carry out activities in the ,state consistent with subparagraph 7,c74 7,b7 ,eligibility 7i7 ,in general ,to be eligible to receive a grant under this paragraph with respect to a ,state1 an entity shall demonstrate to the ,secretary that the entity-- 7,i7 has 7or can readily and on a timely basis establish7 relationships with employers and employees1 consumers 7including uninsured and underinsured consumers71 or self-employed individuals in the ,state that are likely to be qualified to enroll in coverage options made available through an ,exchange in the ,state2 7,,ii7 is capable of carrying out the activities described in subparagraph 7,c7 for which a grant is being granted2 7,,iii7 meets the standards described in clause 7iii72 and 7,,iv7 provides information consistent with standards developed under clause 7iv74 7ii7 ,types of qualified entities ,such an entity may be a trade1 industry1 and professional association1 commercial fishing industry organization1 ranching and farming organization1 community and consumer-focused nonprofit group1 chamber of commerce1 union1 resource partner of the ,small ,business ,administration1 and other licensed insurance agent or broker1 and another entity1 so long as it meets the requirements of clause 7i74 7iii7 ,entity standards ,the ,secretary shall establish standards for qualified entities under this subparagraph relating to their qualification to engage in the outreach1 education1 and enrollment activities described in subparagraph 7,c7 and to avoid conflicts of interest4 ,under such standards1 a qualified entity shall not-- 7,i7 be a health insurance issuer2 or 7,,ii7 receive any consideration directly or indirectly from any health insurance issuer in connection with the enrollment of any qualified individuals or employees of a qualified employer in a qualified health plan4 7iv7 ,fair and impartial information and services ,the ,secretary shall develop standards to ensure that information made available by qualified entities under a grant under this paragraph is fair1 accurate1 and impartial4 7,c7 ,use of grants ,grants under this paragraph may be used for any of the purposes or activities for which a grant to a ,state under this subsection may be used1 including the following3 7i7 ,non-navigator assistance personnel ,to build and fund operations of an in-person assistance personnel 7,,ipa7 program 7also known as non-,navigator assistance personnel74 7ii7 ,outreach ,to coordinate with other health and human services organizations in the ,state to broaden outreach 7such as ,marketplace information on applications for other programs1 websites1 emails or through ,,ipa call centers7 to individuals eligible to enroll in qualified health plans through the ,exchange operating in the ,state4 7iii7 ,marketing ,to produce and disseminate marketing and campaign materials1 including brochures1 direct mail1 print ads1 social media and digital and online ads1 and ,,tv and radio buys1 such materials subject to approval by the ,secretary4 4