,,ii  #aafth ,,congress  #ast ,session  
,s4 #aije  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #ai1     
#bjai ,ms4 ,baldwin 7for herself1 ,mr4  
,casey1 ,mrs4 ,shaheen1 ,mr4 ,booker1   
,mr4 ,kaine1 ,ms4 ,stabenow1 ,ms4       
,hirono1 ,ms4 ,duckworth1 ,mr4 ,merkley1
 ,mr4 ,van ,hollen1 ,ms4 ,hassan1 ,mr4  
,king1 ,mr4 ,coons1 ,mr4 ,menendez1 ,mr4
 ,peters1 ,mr4 ,tester1 ,ms4 ,harris1   
,ms4 ,smith1 ,mr4 ,murphy1 ,ms4 ,rosen1 
,mr4 ,blumenthal1 and ,ms4 ,klobuchar7  
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,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 #bjai or the     
,,enroll ,act of #bjai4  #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 the case of an ,exchange 
established and operated by the         
,secretary within a ,state pursuant to  
section #acba7;c71 in awarding grants   
under paragraph 7#a71 the ,exchange     
shall--  7i7 select entities to receive 
such grants based 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 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 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  ,in awarding such grants1 an     
,exchange may consider an entity's      
record with respect to waste1 fraud1 and
 abuse for purposes of maintaining the  
integrity of such ,exchange4  2  7#b7 in
 paragraph 7#c7-- 7,a7 in subparagraph  
7,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,b7 by adding at the end the following 
flush left sentence3  ,the duties       
specified in the preceding sentence may 
be carried out by such a navigator at   
any time during a year42  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 a semicolon2
  7,c7 in clause 7ii7-- 7i7 by inserting
 not before receive2 and  7ii7 by       
striking the period and inserting a     
semicolon2 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  2   
and  7#d7 in paragraph 7#f7-- 7,a7 by   
striking ,funding4--,grants under and   
inserting  ,funding4-- 7,a7 ,state      
,exchanges ,grants under  2 and  7,b7 by
 adding at the end the following new    

subparagraph3  7,b7 ,federal ,exchanges 
,for purposes of carrying out this      
subsection1 with respect to an ,exchange
 established and operated by the        
,secretary within a ,state pursuant to  
section #acba7;c71 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 fiscal   
year #bjbj and each subsequent fiscal   
year4 ,such amount for a fiscal year    
shall remain available until expended4  
4  7b7 ,effective date ,the amendments  
made by subsection 7a7 shall apply with 
respect to plan years beginning on or   
after ,january #a1 #bjbj4