,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bbib  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #ab1 #bjai,ms4 
,wat]s 7= h]self1 ,ms4 ,norton1 ,ms4    
,lee ( ,cali=nia1 ,mr4 ,coh51 ,ms4      
,sewell ( ,alabama1 ,ms4 ,wass]man      
,s*ultz1 ,mr4 ,grijalva1 ,mrs4 ,dem+s1  
,mr4 ,rask91 ,ms4 ,wilson ( ,florida1   
,mr4 ,khanna1 ,mr4 ,payne1 ,ms4 ,cl>ke (
 ,new ,york1 ,mr4 ,danny ,k4 ,davis (   
,ill9ois1 ,mr4 ,cox ( ,cali=nia1 ,mrs4  
,luria1 ,mrs4 ,c>olyn ,b4 ,maloney (    
,new ,york1 ,mr4 ,g>am5di1 ,mr4 ,?ompson
 ( ,mississippi1 ,mrs4 ,watson ,coleman1
 ,mr4 ,rupp]sb]g]1 ,ms4 ,m5g1 ,mr4 ,g>ca
 ( ,ill9ois1 & ,ms4 ,tlaib7 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 fund+ = 
,am]ican ,heal? ,b5efit ,ex*anges       
navigator programs & outrea* &          
promotional activities4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,af=dable    
,c>e ,act ,outrea* = ! ,un9sur$1        

,trans=mative ,recruitm5t1 & ,enrollm5t 
,action = ,compassionate ,heal?c>e ,act 
( #bjai or ! ,,aca ,,outrea* ,act4  #b4 
,fund+ ,am]ican ,heal? ,b5efit ,ex*anges
 navigator programs & outrea* &         
promotional activities  7a7 ,fund+ =    
navigator program ,section #acaa7;i7 ( !
 ,pati5t ,protection & ,af=dable ,c>e   
,act 7#db ,u4,s4,c4 #ahjca7;i77 is am5d$
 by add+ at ! end ! foll[+ new p>agraph3
  7#g7 ,appropriations ,out ( any funds 
9 ! ,treasury n o!rwise appropriat$1 !re
 is appropriat$ to ! ,secret>y ( ,heal? 
& ,human ,s]vices #ajj1jjj1jjj = ea* (  
fiscal ye>s #bjai ?r\gh #bjbb =         
navigator programs "u ?is subsection4  4
  7b7 ,f$]al ,ex*anges outrea* &        
promotional activities ,section         
#acba7;c7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjda7;c77 is am5d$ by add+ at ! end ! 
foll[+ new p>agraph3  7#c7 ,outrea* &   
promotional activities  7,a7 ,9 g5]al ,9
 ! case ( an ,ex*ange e/abli%$ or op]at$
 by ! ,secret>y pursuant to ?is         

subsection1 ! ,secret>y may c>ry out    
outrea* & promotional activities z      
necess>y & appropriate = ! successful   
op]ation ( su* ,ex*ange1 includ+ =      
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  7,b7 ,div]se            
con/itu5cies ,! ,secret>y %all c>ry out 
any outrea* & promotional activities "u 
?is p>agraph 9 a mann] t rea*es div]se  
con/itu5cies1 includ+ m9ority1 rural1 & 
und]s]v$ communities2 p ) disabilities2 
"y adults2 & individuals :o are likely  
to be un9sur$4  7,c7 ,fund+ ,out ( any  
funds 9 ! ,treasury n o!rwise           
appropriat$1 !re is appropriat$ to !    
,secret>y ( ,heal? & ,human ,s]vices    
#ajj1jjj1jjj = ea* ( fiscal ye>s #bjai  
?r\gh #bjbb to c>ry out ?is p>agraph4  4
  7c7 ,/ate grants = ,/ate-,run         
,ex*anges outrea* & promotional         
activities ,section #acaa ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act 7#db  

,u4,s4,c4 #ahjca7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7l7       
,/ate-,run ,ex*anges outrea* &          
promotional activities  7#a7 ,9 g5]al ,!
 ,secret>y %all c>ry out a grant program
 "u :i* ! ,secret>y aw>ds grants to     
,/ates t are elect+ ,/ates "u section   
#acba7;b7 t h e/abli%$ ,ex*anges4 ,ea*  
su* grant aw>d$ to su* a ,/ate t has    
e/abli%$ an ,ex*ange %all be us$ by su* 
,ex*ange = purposes ( outrea* &         
promotional activities z necess>y &     
appropriate = ! successful op]ation ( ! 
,ex*ange1 includ+ = 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  7#b7 ,eligibility  7,a7         
,application ,to be eligible = a grant  
"u p>agraph 7#a71 a ,/ate describ$ 9 su*
 p>agraph %all submit an application to 
! ,secret>y at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z specifi$ by !   
,secret>y4 ,9 e/abli%+ ! process =      

,/ates to apply = su* grants1 !         
,secret>y %all ensure t applications are
 process$ 9 a timely mann]4  7,b7       
,div]se con/itu5cies ,to be eligible = a
 grant "u p>agraph 7#a71 a ,/ate        
describ$ 9 su* p>agraph %all provide su*
 assurances z are requir$ by ! ,secret>y
 to ensure t ! ,ex*ange e/abli%$ by su* 
,/ate c>ries out outrea* & promotional  
activities "u su* grant 9 a mann] t     
rea*es div]se con/itu5cies1 includ+     
m9ority1 rural1 & und]s]v$ communities2 
p ) disabilities2 "y adults2 &          
individuals :o are likely to be un9sur$4
  7#c7 ,fund+ ,out ( any funds 9 !      
,treasury n o!rwise appropriat$1 !re is 
appropriat$ to ! ,secret>y ( ,heal? &   
,human ,s]vices #ajj1jjj1jjj = ea* (    
fiscal ye>s #bjai ?r\gh #bjbb to c>ry   
out ?is subsection4  4