II 

113TH CONGRESS 

1ST SESSION S. 1590 

To amend the Patient Protection and Affordable Care Act to require 

transparency in the operation of American Health Benefit Exchanges. 

IN THE SENATE OF THE UNITED STATES 

OCTOBER 28, 2013 

Mr. ALEXANDER 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 require transparency in the operation of American 

Health Benefit Exchanges. 

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 ‘‘Exchange Information 

5 Disclosure Act’’. 

6 SEC. 2. WEEKLY REPORTS ON HEALTH BENEFIT EX7 CHANGES. 

8 Section 1311(c)(5) of the Patient Protection and Af9 fordable Care Act (42 U.S.C. 13031(c)(5)) is amended— 


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1 (1) in subparagraph (A), by striking ‘‘and’’ at 

2 the end; 

3 (2) in subparagraph (B), by striking the period 

4 and inserting a semicolon; and 

5 (3) by adding at the end the following: 

6 ‘‘(C) not later than the first Monday after 

7 the date of enactment of this subparagraph, 

8 and each Monday thereafter through March 31, 

9 2015 (or the next business day when Monday 

10 occurs on a Federal holiday), in coordination 

11 with the Secretary of the Treasury and the Sec12 retary of Labor, submit to Congress and make 

13 available to State governors, State insurance 

14 commissioners, and the public, a report con15 cerning consumer interactions with the Internet 

16 website maintained by the Federal Government 

17 for health insurance coverage (healthcare.gov or 

18 any subsequent Internet site (or sites) that is 

19 established in whole or in part by the Federal 

20 Government to facilitate enrollment in qualified 

21 health plans, the receipt of advance premium 

22 tax credits or cost sharing reduction assistance, 

23 or comparisons of available qualified health 

24 plans) and any efforts undertaken to remedy 


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1 problems that impact taxpayers and consumers, 

2 such report to include— 

3 ‘‘(i) a State-by-State breakdown of— 

4 ‘‘(I) the number of unique 

5 website visits; 

6 ‘‘(II) the number of web chat 

7 logins; 

8 ‘‘(III) the number of individuals 

9 who create an account; 

10 ‘‘(IV) the number of individuals 

11 who enrolled in a qualified health plan 

12 or Medicaid; 

13 ‘‘(V) the number of enrollees in 

14 each zip code; and 

15 ‘‘(VI) the level of coverage ob16 tained; 

17 ‘‘(ii) a detailed description of the 

18 problems identified with website 

19 functionality, the actions that have been 

20 taken to resolve those problems, the iden21 tity of the contractors that are involved in 

22 such actions, the cost of such actions, how 

23 such actions are being paid for, and the 

24 names of the Federal officials responsible 

25 for overseeing the process; and 


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1 ‘‘(iii) a description of the separate 

2 problems with the website, including prob3 lems relating to— 

4 ‘‘(I) logging into the website; 

5 ‘‘(II) enrolling in coverage; 

6 ‘‘(III) transferring to the State 

7 Medicaid programs; 

8 ‘‘(IV) the calculation of advance 

9 premium tax credits or cost sharing 

10 reductions; 

11 ‘‘(V) eligibility for qualified 

12 health plans, advance premium tax 

13 credits, cost sharing reductions, Med14 icaid, or the Children’s Health Insur15 ance Program; 

16 ‘‘(VI) income or identity 

17 verification; 

18 ‘‘(VII) the transfer of informa19 tion to health insurance issuers; and 

20 ‘‘(VIII) consumer privacy and 

21 data security; and 

22 ‘‘(D) not later than the first Monday after 

23 the date of enactment of this Act, and each 

24 Monday thereafter through March 31, 2015 (or 

25 the next business day when Monday occurs on 


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1 a Federal holiday), in coordination with the 

2 Secretary of the Treasury and the Secretary of 

3 Labor, submit to Congress and make available 

4 to State governors, State insurance commis5 sioners, and the public, a report concerning the 

6 federally operated customer service call center, 

7 including the number of calls received by the 

8 call center, the Internet website or enrollment 

9 problems identified by users, how many calls 

10 are referred to the Centers for Consumer Infor11 mation and Insurance Oversight, how many 

12 calls are referred to State insurance commis13 sioners, and how many callers enrolled in a 

14 qualified health plan through the call center.’’. 

15 SEC. 3. DISCLOSURE OF NAVIGATOR AND CERTIFIED AP16 PLICATION COUNSELOR GRANTEES. 

17 Section 1311(i) of the Patient Protection and Afford18 able Care Act (42 U.S.C. 13031(c)) is amended by adding 

19 at the end the following: 

20 ‘‘(7) PUBLIC AVAILABILITY OF LIST OF NAVIGA21 TORS.—Not later than 5 days after the date of en22 actment of the Exchange Information Disclosure 

23 Act, the Secretary shall make available to Congress, 

24 State attorneys general, State insurance commis25 sioners, and the public a list of all navigators and 


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1 certified application counselors that have been 

2 trained and certified by Exchanges, including con3 tact information for all navigator entities and their 

4 partner organizations, including subcontractors. 

5 Such list shall be updated by the Secretary on a 

6 weekly basis through March 31, 2015.’’. 

7 SEC. 4. DISCLOSURE OF CERTIFIED AGENTS AND BROKERS. 

8 Section 1312(e) of the Patient Protection and Afford9 able Care Act (42 U.S.C. 18032(e)) is amended by adding 

10 at the end the following flush sentence: ‘‘Not later than 

11 5 days after the date of the enactment of the Exchange 

12 Information Disclosure Act, the Secretary shall make 

13 available on the Internet website maintained by the Fed14 eral Government for health insurance coverage 

15 (healthcare.gov or any subsequent Internet site (or sites) 

16 that is established in whole or in part by the Federal Gov17 ernment to facilitate enrollment in qualified health plans, 

18 the receipt of tax credits or cost sharing reduction assist19 ance, or comparisons of available qualified health plans) 

20 a list of all agents and brokers who have been trained and 

21 certified by the Federal Exchange, including their name, 

22 business address (if available), and phone number. Such 

23 list shall be updated on a weekly basis through March 31, 

24 2015.’’. 

Æ 


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