,,ii #aaf? ,,congress #a/ ,session ,s4 #aije ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #ai1 #bjai ,ms4 ,baldw9 7= h]self1 ,mr4 ,casey1 ,mrs4 ,%ahe51 ,mr4 ,book]1 ,mr4 ,ka9e1 ,ms4 ,/ab5[1 ,ms4 ,hirono1 ,ms4 ,duckwor?1 ,mr4 ,m]kley1 ,mr4 ,van ,holl51 ,ms4 ,hassan1 ,mr4 ,k+1 ,mr4 ,coons1 ,mr4 ,m55dez1 ,mr4 ,pet]s1 ,mr4 ,te/]1 ,ms4 ,h>ris1 ,ms4 ,smi?1 ,mr4 ,murphy1 ,ms4 ,ros51 ,mr4 ,blum5?al1 & ,ms4 ,klobu*>7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,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 ( #bjai or ! ,,enroll ,act ( #bjai4 #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$-- 7#a7 9 p>agraph 7#b71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,selection ( recipi5ts ,9 ! case ( an ,ex*ange e/abli%$ & op]at$ by ! ,secret>y )9 a ,/ate pursuant to section #acba7;c71 9 aw>d+ grants "u p>agraph 7#a71 ! ,ex*ange %all-- 7i7 select entities to receive su* grants bas$ 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 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 & 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 ,9 aw>d+ su* grants1 an ,ex*ange may consid] an entity's record ) respect to wa/e1 fraud1 & abuse = purposes ( ma9ta9+ ! integrity ( su* ,ex*ange4 2 7#b7 9 p>agraph 7#c7-- 7,a7 9 subp>agraph 7,c71 by ins]t+ aft] qualifi$ heal? plans ! foll[+3 1 ,/ate m$icaid plans "u title ,,xix ( ! ,social ,security ,act1 & ,/ate *ildr5's heal? insurance programs "u title ,,xxi ( su* ,act2 & 7,b7 by add+ at ! end ! foll[+ flu% left s5t5ce3 ,! duties specifi$ 9 ! prec$+ s5t5ce may be c>ri$ out by su* a navigator at any "t dur+ a ye>42 7#c7 9 p>agraph 7#d77;,a7-- 7,a7 9 ! matt] prec$+ clause 7i71 by /rik+ n2 7,b7 9 clause 7i7-- 7i7 by ins]t+ n be=e be2 & 7ii7 by /rik+ 2 or & ins]t+ a semicolon2 7,c7 9 clause 7ii7-- 7i7 by ins]t+ n be=e receive2 & 7ii7 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,d7 by add+ at ! end ! foll[+ new clause3 7iii7 ma9ta9 physical pres5ce 9 ! ,/ate ( ! ,ex*ange s z to all[ 9-p]son assi/ance to consum]s4 2 & 7#d7 9 p>agraph 7#f7-- 7,a7 by /rik+ ,fund+4--,grants "u & ins]t+ ,fund+4-- 7,a7 ,/ate ,ex*anges ,grants "u 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,f$]al ,ex*anges ,= purposes ( c>ry+ out ?is subsection1 ) respect to an ,ex*ange e/abli%$ & op]at$ by ! ,secret>y )9 a ,/ate pursuant to section #acba7;c71 ! ,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 = fiscal ye> #bjbj & ea* subsequ5t fiscal ye>4 ,su* am\nt = a fiscal ye> %all rema9 available until exp5d$4 4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all apply ) respect to plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjbj4