I 
116TH CONGRESS 
1ST SESSION H. R. 1386 
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 HOUSE OF REPRESENTATIVES 
FEBRUARY 27, 2019 
Ms. CASTOR of Florida (for herself, Ms. BLUNT ROCHESTER, Ms. WILSON of 
Florida, and Mr. CRIST) 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 for additional requirements with respect to 
the navigator program, and for other purposes. 
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 ‘‘Expand Navigators’ 
Resources for Outreach, Learning, and Longevity Act of 
2019’’ or the ‘‘ENROLL Act of 2019’’. 
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SEC. 2. PROVIDING FOR ADDITIONAL REQUIREMENTS 
WITH RESPECT TO THE NAVIGATOR PRO-
GRAM. 
(a) IN GENERAL.—Section 1311(i) of the Patient 
Protection and Affordable Care Act (42 U.S.C. 18031(i)) 
is amended— 
(1) in paragraph (2), by adding at the end the 
following new subparagraph: 
‘‘(C) SELECTION OF RECIPIENTS.—In the 
case of an Exchange established and operated 
by the Secretary within a State pursuant to sec-
tion 1321(c), in awarding grants under para-
graph (1), the Exchange shall— 
‘‘(i) select entities to receive such 
grants based solely on an entity’s dem-
onstrated capacity to carry out each of the 
duties specified in paragraph (3); 
‘‘(ii) not take into account whether or 
not the entity has demonstrated how the 
entity will provide information to individ-
uals relating to group health plans offered 
by a group or association of employers de-
scribed in section 2510.3–5(b) of title 29, 
Code of Federal Regulations (or any suc-
cessor regulation), or short-term limited 
duration insurance (as defined by the Sec-
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retary for purposes of section 2791(b)(5) 
of the Public Health Service Act); and 
‘‘(iii) ensure that, each year, the Ex-
change awards such a grant to— 
‘‘(I) at least one entity described 
in this paragraph that is a community 
and 
consumer-focused 
nonprofit 
group; and 
‘‘(II) at least one entity described 
in subparagraph (B), which may in-
clude another community and con-
sumer-focused nonprofit group in ad-
dition to any such group awarded a 
grant pursuant to subclause (I).’’; 
(2) in paragraph (3)— 
(A) in subparagraph (C), by inserting after 
‘‘qualified health plans’’ the following: ‘‘, State 
medicaid plans under title XIX of the Social 
Security Act, and State children’s health insur-
ance programs under title XXI of such Act’’; 
and 
(B) by adding at the end the following 
flush left sentence: 
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‘‘The duties specified in the preceding sentence may 
be carried out by such a navigator at any time dur-
ing a year.’’; 
(3) in paragraph (4)(A)— 
(A) in the matter preceding clause (i), by 
striking ‘‘not’’; 
(B) in clause (i)— 
(i) by inserting ‘‘not’’ before ‘‘be’’; 
and 
(ii) by striking ‘‘; or’’ and inserting 
‘‘;’’; 
(C) in clause (ii)— 
(i) by inserting ‘‘not’’ before ‘‘re-
ceive’’; and 
(ii) by striking the period and insert-
ing ‘‘;’’; and 
(D) by adding at the end the following new 
clause: 
‘‘(iii) maintain physical presence in 
the State of the Exchange so as to allow 
in-person assistance to consumers.’’; and 
(4) in paragraph (6)— 
(A) 
by 
striking 
‘‘FUNDING.—Grants 
under’’ and inserting ‘‘FUNDING.— 
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‘‘(A) STATE EXCHANGES.—Grants under’’; 
and 
(B) by adding at the end the following new 
subparagraph: 
‘‘(B) FEDERAL
EXCHANGES.—For pur-
poses of carrying out this subsection, with re-
spect to an Exchange established and operated 
by the Secretary within a State pursuant to sec-
tion 1321(c), the Secretary shall obligate 
$100,000,000 out of amounts collected through 
the user fees on participating health insurance 
issuers pursuant to section 156.50 of title 45, 
Code of Federal Regulations (or any successor 
regulations) for fiscal year 2020 and each sub-
sequent fiscal year. Such amount for a fiscal 
year shall remain available until expended.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply with respect to plan years begin-
ning on or after January 1, 2020. 
Æ 
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