I 
117TH CONGRESS 
1ST SESSION H. R. 1796 
To direct the Secretary of Health and Human Services to award grants 
to eligible State agencies to promote State innovations to expand health 
insurance coverage. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 11, 2021 
Mr. BERA introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To direct the Secretary of Health and Human Services to 
award grants to eligible State agencies to promote State 
innovations to expand health insurance coverage. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Health Care Enroll-
ment Innovation Act’’. 
SEC. 2. PROMOTING STATE INNOVATIONS TO EXPAND COV-
ERAGE. 
(a) IN GENERAL.—Subject to subsection (d), the Sec-
retary of Health and Human Services shall award grants 
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to eligible State agencies to enable such States to explore 
innovative solutions to promote greater enrollment in 
health insurance coverage in the individual and small 
group markets, including activities described in subsection 
(c). 
(b) ELIGIBILITY.—For purposes of subsection (a), el-
igible State agencies are Exchanges established by a State 
under title I of the Patient Protection and Affordable Care 
Act (42 U.S.C. 18001 et seq.) and State agencies with 
primary responsibility over health and human services for 
the State involved. 
(c) USE OF FUNDS.—For purposes of subsection (a), 
the activities described in this subsection are the following: 
(1) State efforts to streamline health insurance 
enrollment procedures in order to reduce burdens on 
consumers and facilitate greater enrollment in health 
insurance coverage in the individual and small group 
markets, including automatic enrollment and re-
enrollment of, or pre-populated applications for, in-
dividuals without health insurance who are eligible 
for tax credits under section 36B of the Internal 
Revenue Code of 1986, with the ability to opt out 
of such enrollment. 
(2) State investment in technology to improve 
data sharing and collection for the purposes of facili-
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tating greater enrollment in health insurance cov-
erage in such markets. 
(3) Implementation of a State version of an in-
dividual mandate to be enrolled in health insurance 
coverage. 
(4) Feasibility studies to develop comprehensive 
and coherent State plan for increasing enrollment in 
the individual and small group market. 
(d) FUNDING.—For purposes of carrying out this 
section, there is hereby appropriated, out of any funds in 
the Treasury not otherwise appropriated, $200,000,000 
for each of the fiscal years 2023 through 2025. Such 
amount shall remain available until expended. 
Æ 
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