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Union Calendar No. 28 

116TH CONGRESS 

1ST SESSION H. R. 1386 

[Report No. 116–50] 

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 

MAY 3, 2019 

Additional sponsors: Mrs. MURPHY, Mr. KENNEDY, Mr. RUIZ, Mrs. DINGELL, 

Mr. RUSH, Mr. PALLONE, Ms. MATSUI, Ms. ESHOO, Mr. VAN DREW, Ms. 

CLARKE of New York, Ms. SCHAKOWSKY, Ms. MCCOLLUM, Ms. 

MUCARSEL-POWELL, and Mr. CISNEROS

MAY 3, 2019 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on February 27, 2019] 


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•HR 1386 RH

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. 


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•HR 1386 RH

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’ Re5 sources for Outreach, Learning, and Longevity Act of 2019’’ 

6 or the ‘‘ENROLL Act of 2019’’. 

7 SEC. 2. PROVIDING FOR ADDITIONAL REQUIREMENTS WITH 

8 RESPECT TO THE NAVIGATOR PROGRAM. 

9 (a) IN GENERAL.—Section 1311(i) of the Patient Pro10 tection and Affordable Care Act (42 U.S.C. 18031(i)) is 

11 amended— 

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

13 following new subparagraph: 

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

15 case of an Exchange established and operated by 

16 the Secretary within a State pursuant to section 

17 1321(c), in awarding grants under paragraph 

18 (1), the Exchange shall— 

19 ‘‘(i) select entities to receive such 

20 grants based on an entity’s demonstrated 

21 capacity to carry out each of the duties 

22 specified in paragraph (3); 

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

24 not the entity has demonstrated how the en25 tity will provide information to individuals 


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•HR 1386 RH

1 relating to group health plans offered by a 

2 group or association of employers described 

3 in section 2510.3–5(b) of title 29, Code of 

4 Federal Regulations (or any successor regu5 lation), or short-term limited duration in6 surance (as defined by the Secretary for 

7 purposes of section 2791(b)(5) of the Public 

8 Health Service Act); and 

9 ‘‘(iii) ensure that, each year, the Ex10 change awards such a grant to— 

11 ‘‘(I) at least one entity described 

12 in this paragraph that is a community 

13 and consumer-focused nonprofit group; 

14 and 

15 ‘‘(II) at least one entity described 

16 in subparagraph (B), which may in17 clude another community and con18 sumer-focused nonprofit group in addi19 tion to any such group awarded a 

20 grant pursuant to subclause (I). 

21 In awarding such grants, an Exchange may 

22 consider an entity’s record with respect to 

23 waste, fraud, and abuse for purposes of 

24 maintaining the integrity of such Ex25 change.’’; 


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•HR 1386 RH

1 (2) in paragraph (3)— 

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

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

4 medicaid plans under title XIX of the Social Se5 curity Act, and State children’s health insurance 

6 programs under title XXI of such Act’’; and 

7 (B) by adding at the end the following flush 

8 left sentence: 

9 ‘‘The duties specified in the preceding sentence may 

10 be carried out by such a navigator at any time dur11 ing a year.’’; 

12 (3) in paragraph (4)(A)— 

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

14 striking ‘‘not’’; 

15 (B) in clause (i)— 

16 (i) by inserting ‘‘not’’ before ‘‘be’’; and 

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

18 ‘‘;’’; 

19 (C) in clause (ii)— 

20 (i) by inserting ‘‘not’’ before ‘‘receive’’; 

21 and 

22 (ii) by striking the period and insert23 ing ‘‘;’’; and 

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

25 clause: 


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•HR 1386 RH

1 ‘‘(iii) maintain physical presence in 

2 the State of the Exchange so as to allow in3 person assistance to consumers.’’; and 

4 (4) in paragraph (6)— 

5 (A) by striking ‘‘FUNDING.—Grants under’’ 

6 and inserting ‘‘FUNDING.— 

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

8 and 

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

10 subparagraph: 

11 ‘‘(B) FEDERAL EXCHANGES.—For purposes 

12 of carrying out this subsection, with respect to 

13 an Exchange established and operated by the 

14 Secretary within a State pursuant to section 

15 1321(c), the Secretary shall obligate 

16 $100,000,000 out of amounts collected through 

17 the user fees on participating health insurance 

18 issuers pursuant to section 156.50 of title 45, 

19 Code of Federal Regulations (or any successor 

20 regulations) for fiscal year 2020 and each subse21 quent fiscal year. Such amount for a fiscal year 

22 shall remain available until expended.’’. 

23 (b) EFFECTIVE DATE.—The amendments made by sub24 section (a) shall apply with respect to plan years beginning 

25 on or after January 1, 2020. 


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pamtmann on DSKBFK8HB2PROD with BILLS
Union Calendar No. 28 

116TH CONGRESS 

1ST SESSION H. R. 1386 

[Report No. 116–50] 

A BILL 

To amend the Patient Protection and Affordable 

other purposes. with respect to the navigator program, and for Care Act to provide for additional requirements 

MAY 3, 2019 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


pamtmann on DSKBFK8HB2PROD with BILLS