I 

116TH CONGRESS 

1ST SESSION H. R. 2292 

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

for American Health Benefit Exchanges navigator programs and outreach 

and promotional activities. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 12, 2019 

Ms. WATERS (for herself, Ms. NORTON, Ms. LEE of California, Mr. COHEN, 

Ms. SEWELL of Alabama, Ms. WASSERMAN SCHULTZ, Mr. GRIJALVA, 

Mrs. DEMINGS, Mr. RASKIN, Ms. WILSON of Florida, Mr. KHANNA, Mr. 

PAYNE, Ms. CLARKE of New York, Mr. DANNY K. DAVIS of Illinois, Mr. 

COX of California, Mrs. LURIA, Mrs. CAROLYN B. MALONEY of New 

York, Mr. GARAMENDI, Mr. THOMPSON of Mississippi, Mrs. WATSON

COLEMAN, Mr. RUPPERSBERGER, Ms. MENG, Mr. GARCI ́A of Illinois, and 

Ms. TLAIB) 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 funding for American Health Benefit Exchanges navigator programs and outreach and promotional 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 ‘‘Affordable Care Act 

5 Outreach for the Uninsured, Transformative Recruitment, 


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1 and Enrollment Action for Compassionate Healthcare Act 

2 of 2019’’ or the ‘‘ACA OUTREACH Act’’. 

3 SEC. 2. FUNDING AMERICAN HEALTH BENEFIT EXCHANGES 

4 NAVIGATOR PROGRAMS AND OUTREACH AND 

5 PROMOTIONAL ACTIVITIES. 

6 (a) FUNDING FOR NAVIGATOR PROGRAM.—Section 

7 1311(i) of the Patient Protection and Affordable Care Act 

8 (42 U.S.C. 18031(i)) is amended by adding at the end 

9 the following new paragraph: 

10 ‘‘(7) APPROPRIATIONS.—Out of any funds in 

11 the Treasury not otherwise appropriated, there is 

12 appropriated to the Secretary of Health and Human 

13 Services $100,000,000 for each of fiscal years 2019 

14 through 2022 for navigator programs under this 

15 subsection.’’. 

16 (b) FEDERAL EXCHANGES OUTREACH AND PRO17 MOTIONAL ACTIVITIES.—Section 1321(c) of the Patient 

18 Protection and Affordable Care Act (42 U.S.C. 18041(c)) 

19 is amended by adding at the end the following new para20 graph: 

21 ‘‘(3) OUTREACH AND PROMOTIONAL ACTIVI22 TIES.— 

23 ‘‘(A) IN GENERAL.—In the case of an Ex24 change established or operated by the Secretary 

25 pursuant to this subsection, the Secretary may 


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1 carry out outreach and promotional activities as 

2 necessary and appropriate for the successful op3 eration of such Exchange, including for pur4 poses of informing potential enrollees in quali5 fied health plans offered through the Exchange 

6 of the availability of coverage under such plans 

7 and financial assistance for coverage under 

8 such plans. 

9 ‘‘(B) DIVERSE CONSTITUENCIES.—The 

10 Secretary shall carry out any outreach and pro11 motional activities under this paragraph in a 

12 manner that reaches diverse constituencies, in13 cluding minority, rural, and underserved com14 munities; people with disabilities; young adults; 

15 and individuals who are likely to be uninsured. 

16 ‘‘(C) FUNDING.—Out of any funds in the 

17 Treasury not otherwise appropriated, there is 

18 appropriated to the Secretary of Health and 

19 Human Services $100,000,000 for each of fis20 cal years 2019 through 2022 to carry out this 

21 paragraph.’’. 

22 (c) STATE GRANTS FOR STATE-RUN EXCHANGES

23 OUTREACH AND PROMOTIONAL ACTIVITIES.—Section 

24 1311 of the Patient Protection and Affordable Care Act 


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1 (42 U.S.C. 18031) is amended by adding at the end the 

2 following new subsection: 

3 ‘‘(l) STATE-RUN EXCHANGES OUTREACH AND PRO4 MOTIONAL ACTIVITIES.— 

5 ‘‘(1) IN GENERAL.—The Secretary shall carry 

6 out a grant program under which the Secretary 

7 awards grants to States that are electing States 

8 under section 1321(b) that have established Ex9 changes. Each such grant awarded to such a State 

10 that has established an Exchange shall be used by 

11 such Exchange for purposes of outreach and pro12 motional activities as necessary and appropriate for 

13 the successful operation of the Exchange, including 

14 for purposes of informing potential enrollees in 

15 qualified health plans offered through the Exchange 

16 of the availability of coverage under such plans and 

17 financial assistance for coverage under such plans. 

18 ‘‘(2) ELIGIBILITY.— 

19 ‘‘(A) APPLICATION.—To be eligible for a 

20 grant under paragraph (1), a State described in 

21 such paragraph shall submit an application to 

22 the Secretary at such time, in such manner, 

23 and containing such information as specified by 

24 the Secretary. In establishing the process for 

25 States to apply for such grants, the Secretary 


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1 shall ensure that applications are processed in 

2 a timely manner. 

3 ‘‘(B) DIVERSE CONSTITUENCIES.—To be 

4 eligible for a grant under paragraph (1), a 

5 State described in such paragraph shall provide 

6 such assurances as are required by the Sec7 retary to ensure that the Exchange established 

8 by such State carries out outreach and pro9 motional activities under such grant in a man10 ner that reaches diverse constituencies, includ11 ing minority, rural, and underserved commu12 nities; people with disabilities; young adults; 

13 and individuals who are likely to be uninsured. 

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

15 Treasury not otherwise appropriated, there is appro16 priated to the Secretary of Health and Human Serv17 ices $100,000,000 for each of fiscal years 2019 

18 through 2022 to carry out this subsection.’’. 

Æ 


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