section, the Secretary shall establish annual enroll-
ment targets for such Exchange for such year.’’. 
SEC. 3. IMPROVING TRANSPARENCY AND ACCOUNTABILITY 
IN THE MARKETPLACE. 
(a) OPEN ENROLLMENT REPORTS.—For plan year 
2022 and each subsequent year, the Secretary of Health 
and Human Services (referred to in this section as the 
‘‘Secretary’’), in coordination with the Secretary of the 
Treasury and the Secretary of Labor, shall issue biweekly 
public reports during the annual open enrollment period 
on the performance of the federally facilitated Exchange 
operated pursuant to section 1321(c) of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 18041(c)). 
Each such report shall include a summary, including in-
formation on a State-by-State basis where available, of— 
(1) the number of unique website visits; 
(2) the number of individuals who create an ac-
count; 
(3) the number of calls to the call center; 
(4) the average wait time for callers contacting 
the call center; 
(5) the number of individuals who enroll in a 
qualified health plan; and 
(6) the percentage of individuals who enroll in 
a qualified health plan through each of— 
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(A) the website; 
(B) the call center; 
(C) navigators; 
(D) agents and brokers; 
(E) the enrollment assistant program; 
(F) directly from issuers or web brokers; 
and 
(G) other means. 
(b) OPEN ENROLLMENT AFTER ACTION REPORT.— 
For plan year 2022 and each subsequent year, the Sec-
retary, in coordination with the Secretary of the Treasury 
and the Secretary of Labor, shall publish and make public 
an after action report not later than 3 months after the 
completion of the annual open enrollment period regarding 
the performance of the Exchange described in subsection 
(a) for the applicable plan year. Each such report shall 
be public and include a summary, including information 
on a State-by-State basis where available, of— 
(1) the open enrollment data reported under 
subsection (a) for the entirety of the enrollment pe-
riod; and 
(2) activities related to patient navigators de-
scribed in section 1311(i) of the Patient Protection 
and Affordable Care Act (42 U.S.C. 18031(i)), in-
cluding— 
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(A) the performance objectives established 
by the Secretary for such patient navigators; 
(B) the number of consumers enrolled by 
such a patient navigator; 
(C) an assessment of how such patient 
navigators have met established performance 
metrics, including a detailed list of all patient 
navigators, funding received by patient naviga-
tors, and whether established performance ob-
jectives of patient navigators were met; and 
(D) with respect to the performance objec-
tives described in subparagraph (A)— 
(i) whether such objectives assess the 
full scope of patient navigator responsibil-
ities, including general education, plan se-
lection, and determination of eligibility for 
tax credits, cost-sharing reductions, or 
other coverage; 
(ii) how the Secretary worked with pa-
tient navigators to establish such objec-
tives; and 
(iii) how the Secretary adjusted such 
objectives for case complexity and other 
contextual factors. 
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(c) REPORT ON ADVERTISING AND CONSUMER OUT-
REACH.—Not later than 3 months after the completion of 
the annual open enrollment period for plan year 2022, the 
Secretary shall issue a public report on advertising and 
outreach to consumers for the open enrollment period for 
plan year 2022. Such report shall include a description 
of— 
(1) the division of spending on individual adver-
tising platforms, including television and radio ad-
vertisements and digital media, to raise consumer 
awareness of open enrollment; 
(2) the division of spending on individual out-
reach platforms, including email and text messages, 
to raise consumer awareness of open enrollment; and 
(3) whether the Secretary conducted targeted 
outreach to specific demographic groups and geo-
graphic areas. 
(d) PROMOTING
TRANSPARENCY
AND
ACCOUNT-
ABILITY IN THE ADMINISTRATION’S EXPENDITURES OF 
EXCHANGE USER FEES.—For plan year 2022 and each 
subsequent plan year, not later than the date that is 3 
months after the end of such plan year, the Secretary of 
Health and Human Services shall submit to the appro-
priate committees of Congress and make available to the 
public an annual report on the expenditures by the De-
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partment of Health and Human Services of user fees col-
lected pursuant to section 156.50 of title 45, Code of Fed-
eral Regulations (or any successor regulations). Each such 
report for a plan year shall include a detailed accounting 
of the amount of such user fees collected during such plan 
year and of the amount of such expenditures used during 
such plan year for the federally facilitated Exchange oper-
ated pursuant to section 1321(c) of the Patient Protection 
and Affordable Care Act (42 U.S.C. 18041(c)) on out-
reach and enrollment activities, navigators, maintenance 
of Healthcare.gov, and operation of call centers. 
(e) STUDIES AND REPORTS.—Not later than 30 days 
after the date of the enactment of this Act, the Secretary 
of Health and Human Services shall release to Congress 
all aggregated documents relating to studies and data sets 
that were created on or after January 1, 2014, and related 
to marketing and outreach with respect to qualified health 
plans offered through Exchanges under title I of the Pa-
tient Protection and Affordable Care Act (42 U.S.C. 
18001 et seq.). 
Æ 
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