II 

116TH CONGRESS 

1ST SESSION S. 1905 

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 SENATE OF THE UNITED STATES 

JUNE 19, 2019 

Ms. BALDWIN (for herself, Mr. CASEY, Mrs. SHAHEEN, Mr. BOOKER, Mr. 

KAINE, Ms. STABENOW, Ms. HIRONO, Ms. DUCKWORTH, Mr. MERKLEY, 

Mr. VAN HOLLEN, Ms. HASSAN, Mr. KING, Mr. COONS, Mr. MENENDEZ, 

Mr. PETERS, Mr. TESTER, Ms. HARRIS, Ms. SMITH, Mr. MURPHY, Ms. 

ROSEN, Mr. BLUMENTHAL, and Ms. KLOBUCHAR) 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 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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•S 1905 IS

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 on an entity’s demonstrated 

16 capacity to carry out each of the duties 

17 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 00:19 Jun 25, 2019 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S1905.IS S1905

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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 In awarding such grants, an Exchange 

16 may consider an entity’s record with re17 spect to waste, fraud, and abuse for pur18 poses of maintaining the integrity of such 

19 Exchange.’’; 

20 (2) in paragraph (3)— 

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

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

23 medicaid plans under title XIX of the Social 

24 Security Act, and State children’s health insurVerDate Sep 11 2014 23:17 Jun 24, 2019 Jkt 034408 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S1905.IS S1905

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1 ance programs under title XXI of such Act’’; 

2 and 

3 (B) by adding at the end the following 

4 flush left sentence: 

5 ‘‘The duties specified in the preceding sentence may 

6 be carried out by such a navigator at any time dur7 ing a year.’’; 

8 (3) in paragraph (4)(A)— 

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

10 striking ‘‘not’’; 

11 (B) in clause (i)— 

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

13 and 

14 (ii) by striking ‘‘; or’’ and inserting a 

15 semicolon; 

16 (C) in clause (ii)— 

17 (i) by inserting ‘‘not’’ before ‘‘re18 ceive’’; and 

19 (ii) by striking the period and insert20 ing a semicolon; and 

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

22 clause: 

23 ‘‘(iii) maintain physical presence in 

24 the State of the Exchange so as to allow 

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


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•S 1905 IS

1 (4) in paragraph (6)— 

2 (A) by striking ‘‘FUNDING.—Grants 

3 under’’ and inserting ‘‘FUNDING.— 

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

5 and 

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

7 subparagraph: 

8 ‘‘(B) FEDERAL EXCHANGES.—For pur9 poses of carrying out this subsection, with re10 spect to an Exchange established and operated 

11 by the Secretary within a State pursuant to sec12 tion 1321(c), the Secretary shall obligate 

13 $100,000,000 out of amounts collected through 

14 the user fees on participating health insurance 

15 issuers pursuant to section 156.50 of title 45, 

16 Code of Federal Regulations (or any successor 

17 regulations) for fiscal year 2020 and each sub18 sequent fiscal year. Such amount for a fiscal 

19 year shall remain available until expended.’’. 

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

21 subsection (a) shall apply with respect to plan years begin22 ning on or after January 1, 2020. 

Æ 


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