,i #aaeth ,,congress #b;d ,session ,h4 ,r4 #gajb ,,in ,,the ,,house ,,of ,,representatives ,october #cj1 #bjah,ms4 ,castor of ,florida 7for herself and ,ms4 ,blunt ,rochester7 introduced the following bill2 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 program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,expand ,navigators' ,resources for ,outreach1 ,learning1 and ,longevity ,act of #bjah or the ,,enroll ,act of #bjah4 #b4 ,providing for additional requirements with respect to the navigator program 7a7 ,in general ,section #acaa7;i7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjca7;i77 is amended-- 7#a7 in paragraph 7#b71 by adding at the end the following new subparagraph3 7,c7 ,selection of recipients ,in awarding grants under paragraph 7#a71 the ,exchange shall-- 7i7 select entities to receive such grants based solely on an entity's demonstrated capacity to carry out each of the duties specified in paragraph 7#c72 7ii7 not take into account whether or not the entity-- 7,i7 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 #beaj4c-e7;b7 of title #bi1 ,code of ,federal ,regulations 7or any successor regulation71 or short-term limited duration insurance 7as defined by the ,secretary for purposes of section #bgia7;b77#e7 of the ,public ,health ,service ,act72 or 7,,ii7 has developed a plan-- 7aa7 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 services2 or 7bb7 to provide information and assistance to individuals with respect to prohibitions on the use of premium assistance tax credits described in section #cf;,b of the ,internal ,revenue ,code of #aihf and cost-sharing reductions described in section #adjb from being used to cover abortion services1 the process by which health insurance issuers must develop premiums for qualified health plans that cover such services1 and segregation of funds requirements for such issuers2 and 7iii7 ensure that1 each year1 the ,exchange awards such a grant to-- 7,i7 at least one entity described in this paragraph that is a community and consumer-focused nonprofit group2 and 7,,ii7 at least one entity described in subparagraph 7,b71 which may include another community and consumer-focused nonprofit group in addition to any such group awarded a grant pursuant to subclause 7,i74 2 7#b7 in paragraph 7#c77;,c71 by inserting after qualified health plans the following3 1 ,state medicaid plans under title ,,xix of the ,social ,security ,act1 and ,state children's health insurance programs under title ,,xxi of such ,act2 and 7#c7 in paragraph 7#d77;,a7-- 7,a7 in the matter preceding clause 7i71 by striking not2 7,b7 in clause 7i7-- 7i7 by inserting not before be2 and 7ii7 by striking 2 or and inserting 22 7,c7 in clause 7ii7-- 7i7 by inserting not before receive2 and 7ii7 by striking the period and inserting 22 and 7,d7 by adding at the end the following new clause3 7iii7 maintain physical presence in the ,state of the ,exchange so as to allow in-person assistance to consumers4 4 7b7 ,exchanges operated by the ,secretary ,section #acba7;c7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjda7;c77 is amended by adding at the end the following new paragraph3 7#c7 ,navigator program and outreach and enrollment activities 7,a7 ,navigator program 7i7 ,in general ,in the case of an ,exchange established or operated by the ,secretary within a ,state pursuant to this subsection1 the ,secretary shall establish a program under which such ,exchange awards grants1 with respect to such ,state1 to entities that would be described in paragraph 7#b7 of section #acaa7;i7 to carry out the duties that would be described in paragraph 7#c7 of such section if the references in such section #acaa7;i7 to this subsection and paragraph 7#a7 were each instead a reference to paragraph 7#c77;,a7 of section #acba7;c74 7ii7 ,application of ,state exchange navigator provisions ,for purposes of carrying out this subparagraph1 the provisions of paragraphs 7#b7 through 7#e7 of section #acaa7;i7 shall apply to the ,secretary with respect to an ,exchange described in clause 7i7 established or operated within a ,state and the program under this subparagraph1 with respect to such ,state1 in the same manner as such provisions apply to a ,state with respect to an ,exchange described in section #acaa7;i7 established by the ,state and the program established under such section4 7iii7 ,funding ,for purposes of carrying out this subparagraph1 the ,secretary shall obligate #ajj1jjj1jjj out of amounts collected through the user fees on participating health insurance issuers pursuant to section #aef4ej of title #de1 ,code of ,federal ,regulations 7or any successor regulations7 for each of fiscal year #bjai and each subsequent fiscal year4 ,such amount for a fiscal year shall remain available until expended4 7,b7 ,outreach and educational activities 7i7 ,in general ,in the case of an ,exchange established or operated by the ,secretary within a ,state pursuant to this subsection1 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 plans4 ,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 7including hard-to-reach populations1 such as racial and sexual minorities1 limited ,english proficient populations1 and young adults74 7ii7 ,funding ,for purposes of carrying out this subparagraph1 the ,secretary shall obligate #ajj1jjj1jjj out of the amounts collected through the user fees on participating health insurance issuers pursuant to section #aef4ej of title #de1 ,code of ,federal ,regulations 7or any successor regulations7 for each of fiscal years #bjai through #bjba4 ,such amount shall remain available without fiscal year limitation until expended4 4 7c7 ,effective date ,the amendments made by this section shall apply with respect to plan years beginning on or after ,january #a1 #bjbj4