II 

116TH CONGRESS 

1ST SESSION S. 455 

To amend the Patient Protection and Affordable Care Act to provide for 

Federal Exchange outreach and educational activities. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 12, 2019 

Mrs. SHAHEEN (for herself, Mr. PETERS, and Mr. KAINE) introduced the following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

A BILL 

To amend the Patient Protection and Affordable Care Act 

to provide for Federal Exchange outreach and educational activities. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Marketing and Out5 reach Restoration to Empower Health Education Act of 

6 2019’’ or the ‘‘MORE Health Education Act’’. 


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1 SEC. 2. FEDERAL EXCHANGE OUTREACH AND EDUCATION2 AL ACTIVITIES. 

3 Section 1321(c) of the Patient Protection and Afford4 able Care Act (42 U.S.C. 18041(c)) is amended by adding 

5 at the end the following new paragraph: 

6 ‘‘(3) OUTREACH AND EDUCATIONAL ACTIVI7 TIES.— 

8 ‘‘(A) IN GENERAL.—In the case of an Ex9 change established or operated by the Secretary 

10 within a State pursuant to this subsection, the 

11 Secretary shall carry out outreach and edu12 cational activities for purposes of informing po13 tential enrollees in qualified health plans offered 

14 through the Exchange of the availability of cov15 erage under such plans and financial assistance 

16 for coverage under such plans. Such outreach 

17 and educational activities shall be provided in a 

18 manner that is culturally and linguistically ap19 propriate to the needs of the populations being 

20 served by the Exchange (including hard-to21 reach populations, such as racial and sexual mi22 norities, limited English proficient populations, 

23 and young adults). 

24 ‘‘(B) LIMITATION ON USE OF FUNDS.—No 

25 funds appropriated under this paragraph may 

26 be used for expenditures for promoting health 


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1 insurance coverage that does not meet Federal 

2 patient protection standards, as defined in sub3 paragraph (C). 

4 ‘‘(C) FEDERAL PATIENT PROTECTION

5 STANDARDS.—For purposes of subparagraph 

6 (B), ‘health insurance coverage that does not 

7 meet Federal patient protection standards’ 

8 means any health insurance coverage that is not 

9 a qualified health plan, as defined in section 

10 1301. Such coverage that does not meet Fed11 eral patient protection standards includes asso12 ciation health plans and short-term, limited-du13 ration insurance plans. 

14 ‘‘(D) FUNDING.—Out of any funds in the 

15 Treasury not otherwise appropriated, there are 

16 hereby appropriated for fiscal year 2020 and 

17 each subsequent fiscal year, $100,000,000 to 

18 carry out this paragraph. Funds appropriated 

19 under this subparagraph shall remain available 

20 until expended.’’. 

21 SEC. 3. DETERMINATION OF BUDGETARY EFFECTS. 

22 The budgetary effects of this Act, for the purpose of 

23 complying with the Statutory Pay-As-You-Go Act of 2010, 

24 shall be determined by reference to the latest statement 

25 titled ‘‘Budgetary Effects of PAYGO Legislation’’ for this 


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1 Act, submitted for printing in the Congressional Record 

2 by the Chairman of the Senate Budget Committee, pro3 vided that such statement has been submitted prior to the 

4 vote on passage. 

Æ 


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