I 

116TH CONGRESS 

1ST SESSION H. R. 1386 

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

additional requirements with respect to the navigator program, and for 

other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 27, 2019 

Ms. CASTOR of Florida (for herself, Ms. BLUNT ROCHESTER, Ms. WILSON of 

Florida, and Mr. CRIST) introduced the following bill; which was referred 

to the Committee on Energy and Commerce 

A BILL 

To amend the Patient Protection and Affordable Care Act 

to provide for additional requirements with respect to 

the navigator program, and for other purposes. 

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 ‘‘Expand Navigators’ 

5 Resources for Outreach, Learning, and Longevity Act of 

6 2019’’ or the ‘‘ENROLL Act of 2019’’. 


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1 SEC. 2. PROVIDING FOR ADDITIONAL REQUIREMENTS 

2 WITH RESPECT TO THE NAVIGATOR PRO3 GRAM. 

4 (a) IN GENERAL.—Section 1311(i) of the Patient 

5 Protection and Affordable Care Act (42 U.S.C. 18031(i)) 

6 is amended— 

7 (1) in paragraph (2), by adding at the end the 

8 following new subparagraph: 

9 ‘‘(C) SELECTION OF RECIPIENTS.—In the 

10 case of an Exchange established and operated 

11 by the Secretary within a State pursuant to sec12 tion 1321(c), in awarding grants under para13 graph (1), the Exchange shall— 

14 ‘‘(i) select entities to receive such 

15 grants based solely on an entity’s dem16 onstrated capacity to carry out each of the 

17 duties specified in paragraph (3); 

18 ‘‘(ii) not take into account whether or 

19 not the entity has demonstrated how the 

20 entity will provide information to individ21 uals relating to group health plans offered 

22 by a group or association of employers de23 scribed in section 2510.3–5(b) of title 29, 

24 Code of Federal Regulations (or any suc25 cessor regulation), or short-term limited 

26 duration insurance (as defined by the SecVerDate Sep 11 2014 00:28 Mar 08, 2019 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1386.IH H1386

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1 retary for purposes of section 2791(b)(5) 

2 of the Public Health Service Act); and 

3 ‘‘(iii) ensure that, each year, the Ex4 change awards such a grant to— 

5 ‘‘(I) at least one entity described 

6 in this paragraph that is a community 

7 and consumer-focused nonprofit 

8 group; and 

9 ‘‘(II) at least one entity described 

10 in subparagraph (B), which may in11 clude another community and con12 sumer-focused nonprofit group in ad13 dition to any such group awarded a 

14 grant pursuant to subclause (I).’’; 

15 (2) in paragraph (3)— 

16 (A) in subparagraph (C), by inserting after 

17 ‘‘qualified health plans’’ the following: ‘‘, State 

18 medicaid plans under title XIX of the Social 

19 Security Act, and State children’s health insur20 ance programs under title XXI of such Act’’; 

21 and 

22 (B) by adding at the end the following 

23 flush left sentence: 


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1 ‘‘The duties specified in the preceding sentence may 

2 be carried out by such a navigator at any time dur3 ing a year.’’; 

4 (3) in paragraph (4)(A)— 

5 (A) in the matter preceding clause (i), by 

6 striking ‘‘not’’; 

7 (B) in clause (i)— 

8 (i) by inserting ‘‘not’’ before ‘‘be’’; 

9 and 

10 (ii) by striking ‘‘; or’’ and inserting 

11 ‘‘;’’; 

12 (C) in clause (ii)— 

13 (i) by inserting ‘‘not’’ before ‘‘re14 ceive’’; and 

15 (ii) by striking the period and insert16 ing ‘‘;’’; and 

17 (D) by adding at the end the following new 

18 clause: 

19 ‘‘(iii) maintain physical presence in 

20 the State of the Exchange so as to allow 

21 in-person assistance to consumers.’’; and 

22 (4) in paragraph (6)— 

23 (A) by striking ‘‘FUNDING.—Grants 

24 under’’ and inserting ‘‘FUNDING.— 


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1 ‘‘(A) STATE EXCHANGES.—Grants under’’; 

2 and 

3 (B) by adding at the end the following new 

4 subparagraph: 

5 ‘‘(B) FEDERAL EXCHANGES.—For pur6 poses of carrying out this subsection, with re7 spect to an Exchange established and operated 

8 by the Secretary within a State pursuant to sec9 tion 1321(c), the Secretary shall obligate 

10 $100,000,000 out of amounts collected through 

11 the user fees on participating health insurance 

12 issuers pursuant to section 156.50 of title 45, 

13 Code of Federal Regulations (or any successor 

14 regulations) for fiscal year 2020 and each sub15 sequent fiscal year. Such amount for a fiscal 

16 year shall remain available until expended.’’. 

17 (b) EFFECTIVE DATE.—The amendments made by 

18 subsection (a) shall apply with respect to plan years begin19 ning on or after January 1, 2020. 

Æ 


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