I 
115TH CONGRESS 
2D SESSION 
H. R. 4784 
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 
JANUARY 11, 2018 
Ms. MAXINE WATERS of California (for herself, Mr. GRIJALVA, Mr. POCAN, 
Ms. SCHAKOWSKY, Ms. KELLY of Illinois, Ms. NORTON, Mr. RASKIN, Mr. 
CARSON of Indiana, Ms. JACKSON LEE, Mr. DANNY K. DAVIS of Illinois, 
Mr. GARAMENDI, Ms. VELA´ZQUEZ, Ms. BLUNT
ROCHESTER, Mrs. 
DEMINGS, Mr. HASTINGS, Mrs. WATSON COLEMAN, Mr. SERRANO, Ms. 
ROYBAL-ALLARD, 
Ms. 
WILSON
of 
Florida, 
Mr. 
COHEN, 
Mr. 
BUTTERFIELD, Mr. MEEKS, Mr. DAVID SCOTT of Georgia, Mr. ELLISON, 
Mrs. CAROLYN B. MALONEY of New York, Ms. LEE, Ms. MICHELLE 
LUJAN GRISHAM of New Mexico, Mr. MCGOVERN, Ms. CLARKE of New 
York, Mr. ESPAILLAT, Ms. BARRAGA´N, Ms. JAYAPAL, Mr. PAYNE, Mr. 
LOWENTHAL, and Mr. GONZALEZ of Texas) 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 Ex-
changes navigator programs and outreach and pro-
motional activities. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Affordable Care Act 
Outreach for the Uninsured, Transformative Recruitment, 
and Enrollment Action for Compassionate Healthcare Act 
of 2018’’ or the ‘‘ACA OUTREACH Act’’. 
SEC. 2. FUNDING AMERICAN HEALTH BENEFIT EXCHANGES 
NAVIGATOR PROGRAMS AND OUTREACH AND 
PROMOTIONAL ACTIVITIES. 
(a) FUNDING FOR NAVIGATOR PROGRAM.—Section 
1311(i) of the Patient Protection and Affordable Care Act 
(42 U.S.C. 18031(i)) is amended by adding at the end 
the following new paragraph: 
‘‘(7) APPROPRIATIONS.—Out of any funds in 
the Treasury not otherwise appropriated, there is 
appropriated to the Secretary of Health and Human 
Services $100,000,000 for each of fiscal years 2018 
through 2021 for navigator programs under this 
subsection.’’. 
(b) FEDERAL EXCHANGES OUTREACH
AND PRO-
MOTIONAL ACTIVITIES.—Section 1321(c) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 18041(c)) 
is amended by adding at the end the following new para-
graph: 
‘‘(3) OUTREACH
AND
PROMOTIONAL
ACTIVI-
TIES.— 
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‘‘(A) IN GENERAL.—In the case of an Ex-
change established or operated by the Secretary 
pursuant to this subsection, the Secretary may 
carry out outreach and promotional activities as 
necessary and appropriate for the successful op-
eration of such Exchange, including for pur-
poses of informing potential enrollees in quali-
fied health plans offered through the Exchange 
of the availability of coverage under such plans 
and financial assistance for coverage under 
such plans. 
‘‘(B) 
DIVERSE
CONSTITUENCIES.—The 
Secretary shall carry out any outreach and pro-
motional activities under this paragraph in a 
manner that reaches diverse constituencies, in-
cluding minority, rural, and underserved com-
munities; people with disabilities; young adults; 
and individuals who are likely to be uninsured. 
‘‘(C) FUNDING.—Out of any funds in the 
Treasury not otherwise appropriated, there is 
appropriated to the Secretary of Health and 
Human Services $100,000,000 for each of fis-
cal years 2018 through 2021 to carry out this 
paragraph.’’. 
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(c) STATE GRANTS
FOR STATE-RUN EXCHANGES 
OUTREACH
AND
PROMOTIONAL
ACTIVITIES.—Section 
1311 of the Patient Protection and Affordable Care Act 
(42 U.S.C. 18031) is amended by adding at the end the 
following new subsection: 
‘‘(l) STATE-RUN EXCHANGES OUTREACH AND PRO-
MOTIONAL ACTIVITIES.— 
‘‘(1) IN GENERAL.—The Secretary shall carry 
out a grant program under which the Secretary 
awards grants to States that are electing States 
under section 1321(b) that have established Ex-
changes. Each such grant awarded to such a State 
that has established an Exchange shall be used by 
such Exchange for purposes of outreach and pro-
motional activities as necessary and appropriate for 
the successful operation of the Exchange, including 
for purposes of informing potential enrollees in 
qualified health plans offered through the Exchange 
of the availability of coverage under such plans and 
financial assistance for coverage under such plans. 
‘‘(2) ELIGIBILITY.— 
‘‘(A) APPLICATION.—To be eligible for a 
grant under paragraph (1), a State described in 
such paragraph shall submit an application to 
the Secretary at such time, in such manner, 
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and containing such information as specified by 
the Secretary. In establishing the process for 
States to apply for such grants, the Secretary 
shall ensure that applications are processed in 
a timely manner. 
‘‘(B) DIVERSE
CONSTITUENCIES.—To be 
eligible for a grant under paragraph (1), a 
State described in such paragraph shall provide 
such assurances as are required by the Sec-
retary to ensure that the Exchange established 
by such State carries out outreach and pro-
motional activities under such grant in a man-
ner that reaches diverse constituencies, includ-
ing minority, rural, and underserved commu-
nities; people with disabilities; young adults; 
and individuals who are likely to be uninsured. 
‘‘(3) FUNDING.—Out of any funds in the 
Treasury not otherwise appropriated, there is appro-
priated to the Secretary of Health and Human Serv-
ices $100,000,000 for each of fiscal years 2018 
through 2021 to carry out this subsection.’’. 
Æ 
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