,,ii  #aafth ,,congress  #ast ,session  
,s4 #dee  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #ab1      
#bjai,mrs4 ,shaheen 7for herself1 ,mr4  
,peters1 and ,mr4 ,kaine7 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 ,federal      
,exchange outreach and educational      
activities4  #a4 ,short title ,this ,act
 may be cited as the ,marketing and     
,outreach ,restoration to ,empower      
,health ,education ,act of #bjai or the 
,,more ,health ,education ,act4  #b4    
,federal ,exchange outreach and         
educational activities ,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 ,outreach and          
educational activities  7,a7 ,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  7,b7   
,limitation on use of funds ,no funds   
appropriated under this paragraph may be
 used for expenditures for promoting    
health insurance coverage that does not 
meet ,federal patient protection        

standards1 as defined in subparagraph   
7,c74  7,c7 ,federal patient protection 
standards ,for purposes of subparagraph 
7,b71 health insurance coverage that    
does not meet ,federal patient          
protection standards means any health   
insurance coverage that is not a        
qualified health plan1 as defined in    
section #acja4 ,such coverage that does 
not meet ,federal patient protection    
standards includes association health   
plans and short-term1 limited-duration  
insurance plans4  7,d7 ,funding ,out of 
any funds in the ,treasury not otherwise
 appropriated1 there are hereby         
appropriated for fiscal year #bjbj and  
each subsequent fiscal year1            
#ajj1jjj1jjj to carry out this          
paragraph4 ,funds appropriated under    
this subparagraph shall remain available
 until expended4  4  #c4 ,determination 
of budgetary effects ,the budgetary     
effects of this ,act1 for the purpose of
 complying with the ,statutory          
,pay-,as-,you-,go ,act of #bjaj1 shall  

be determined by reference to the latest
 statement titled ,budgetary ,effects of
 ,,paygo ,legislation for this ,act1    
submitted for printing in the           
,congressional ,record by the ,chairman 
of the ,senate ,budget ,committee1      
provided that such statement has been   
submitted prior to the vote on passage4