,i #aae? ,,congress #b;d ,session ,h4 ,r4 #gajb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #cj1 #bjah,ms4 ,ca/or ( ,florida 7= h]self & ,ms4 ,blunt ,ro*e/]7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,pati5t ,protection & ,af=dable ,c>e ,act to provide = additional requirem5ts ) respect to ! navigator program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,exp& ,navigators' ,res\rces = ,outrea*1 ,le>n+1 & ,longevity ,act ( #bjah or ! ,,enroll ,act ( #bjah4 #b4 ,provid+ = additional requirem5ts ) respect to ! navigator program 7a7 ,9 g5]al ,section #acaa7;i7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjca7;i77 is am5d$-- 7#a7 9 p>agraph 7#b71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,selection ( recipi5ts ,9 aw>d+ grants "u p>agraph 7#a71 ! ,ex*ange %all-- 7i7 select entities to receive su* grants bas$ solely on an entity's demon/rat$ capacity to c>ry out ea* ( ! duties specifi$ 9 p>agraph 7#c72 7ii7 n take into acc\nt :e!r or n ! entity-- 7,i7 has demon/rat$ h[ ! entity w provide in=mation to individuals relat+ to gr\p heal? plans (f]$ by a gr\p or association ( employ]s describ$ 9 section #beaj4c-e7;b7 ( title #bi1 ,code ( ,f$]al ,regulations 7or any successor regulation71 or %ort-t]m limit$ duration insurance 7z def9$ by ! ,secret>y = purposes ( section #bgia7;b77#e7 ( ! ,public ,heal? ,s]vice ,act72 or 7,,ii7 has develop$ a plan-- 7aa7 to in=m individuals ( ! option n to pur*ase heal? insurance cov]age t cov]s abortion s]vices or h[ individuals may receive a h>d%ip exemption if all qualifi$ heal? plans (f]$ ?r\gh su* ,ex*ange provide cov]age ( su* s]vices2 or 7bb7 to provide in=mation & assi/ance to individuals ) respect to prohibitions on ! use ( premium assi/ance tax cr$its describ$ 9 section #cf;,b ( ! ,int]nal ,rev5ue ,code ( #aihf & co/-%>+ r$uctions describ$ 9 section #adjb f be+ us$ to cov] abortion s]vices1 ! process by :i* heal? insurance issu]s mu/ develop premiums = qualifi$ heal? plans t cov] su* s]vices1 & segregation ( funds requirem5ts = su* issu]s2 & 7iii7 ensure t1 ea* ye>1 ! ,ex*ange aw>ds su* a grant to-- 7,i7 at lea/ "o entity describ$ 9 ?is p>agraph t is a community & consum]-focus$ nonpr(it gr\p2 & 7,,ii7 at lea/ "o entity describ$ 9 subp>agraph 7,b71 :i* may include ano!r community & consum]-focus$ nonpr(it gr\p 9 addition to any su* gr\p aw>d$ a grant pursuant to subclause 7,i74 2 7#b7 9 p>agraph 7#c77;,c71 by ins]t+ aft] qualifi$ heal? plans ! foll[+3 1 ,/ate m$icaid plans "u title ,,xix ( ! ,social ,security ,act1 & ,/ate *ildr5's heal? insurance programs "u title ,,xxi ( su* ,act2 & 7#c7 9 p>agraph 7#d77;,a7-- 7,a7 9 ! matt] prec$+ clause 7i71 by /rik+ n2 7,b7 9 clause 7i7-- 7i7 by ins]t+ n be=e be2 & 7ii7 by /rik+ 2 or & ins]t+ 22 7,c7 9 clause 7ii7-- 7i7 by ins]t+ n be=e receive2 & 7ii7 by /rik+ ! p]iod & ins]t+ 22 & 7,d7 by add+ at ! end ! foll[+ new clause3 7iii7 ma9ta9 physical pres5ce 9 ! ,/ate ( ! ,ex*ange s z to all[ 9-p]son assi/ance to consum]s4 4 7b7 ,ex*anges op]at$ by ! ,secret>y ,section #acba7;c7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjda7;c77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,navigator program & outrea* & enrollm5t activities 7,a7 ,navigator program 7i7 ,9 g5]al ,9 ! case ( an ,ex*ange e/abli%$ or op]at$ by ! ,secret>y )9 a ,/ate pursuant to ?is subsection1 ! ,secret>y %all e/abli% a program "u :i* su* ,ex*ange aw>ds grants1 ) respect to su* ,/ate1 to entities t w\ld be describ$ 9 p>agraph 7#b7 ( section #acaa7;i7 to c>ry out ! duties t w\ld be describ$ 9 p>agraph 7#c7 ( su* section if ! ref]5ces 9 su* section #acaa7;i7 to ?is subsection & p>agraph 7#a7 7 ea* in/ead a ref]5ce to p>agraph 7#c77;,a7 ( section #acba7;c74 7ii7 ,application ( ,/ate ex*ange navigator provisions ,= purposes ( c>ry+ out ?is subp>agraph1 ! provisions ( p>agraphs 7#b7 ?r\gh 7#e7 ( section #acaa7;i7 %all apply to ! ,secret>y ) respect to an ,ex*ange describ$ 9 clause 7i7 e/abli%$ or op]at$ )9 a ,/ate & ! program "u ?is subp>agraph1 ) respect to su* ,/ate1 9 ! same mann] z su* provisions apply to a ,/ate ) respect to an ,ex*ange describ$ 9 section #acaa7;i7 e/abli%$ by ! ,/ate & ! program e/abli%$ "u su* section4 7iii7 ,fund+ ,= purposes ( c>ry+ out ?is subp>agraph1 ! ,secret>y %all obligate #ajj1jjj1jjj out ( am\nts collect$ ?r\gh ! us] fees on p>ticipat+ heal? insurance issu]s pursuant to section #aef4ej ( title #de1 ,code ( ,f$]al ,regulations 7or any successor regulations7 = ea* ( fiscal ye> #bjai & ea* subsequ5t fiscal ye>4 ,su* am\nt = a fiscal ye> %all rema9 available until exp5d$4 7,b7 ,outrea* & educational activities 7i7 ,9 g5]al ,9 ! case ( an ,ex*ange e/abli%$ or op]at$ by ! ,secret>y )9 a ,/ate pursuant to ?is subsection1 ! ,secret>y %all c>ry out outrea* & educational activities = purposes ( in=m+ pot5tial enrollees 9 qualifi$ heal? plans (f]$ ?r\gh ! ,ex*ange ( ! availability ( cov]age "u su* plans & f9ancial assi/ance = cov]age "u su* plans4 ,su* outrea* & educational activities %all be provid$ 9 a mann] t is culturally & l+ui/ically appropriate to ! ne$s ( ! populations be+ s]v$ by ! ,ex*ange 7includ+ h>d-to-rea* populations1 su* z racial & sexual m9orities1 limit$ ,engli% pr(ici5t populations1 & "y adults74 7ii7 ,fund+ ,= purposes ( c>ry+ out ?is subp>agraph1 ! ,secret>y %all obligate #ajj1jjj1jjj out ( ! am\nts collect$ ?r\gh ! us] fees on p>ticipat+ heal? insurance issu]s pursuant to section #aef4ej ( title #de1 ,code ( ,f$]al ,regulations 7or any successor regulations7 = ea* ( fiscal ye>s #bjai ?r\gh #bjba4 ,su* am\nt %all rema9 available )\t fiscal ye> limitation until exp5d$4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbj4