I 
113TH CONGRESS 
2D SESSION 
H. R. 3884 
To amend section 1311(a) of the Patient Protection and Affordable Care 
Act to provide for the recoupment and reallocation of unspent State 
grant funds, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 15, 2014 
Mr. PASCRELL (for himself, Mr. MICHAUD, and Mr. PALLONE) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend section 1311(a) of the Patient Protection and 
Affordable Care Act to provide for the recoupment and 
reallocation of unspent State grant funds, 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 ‘‘Ensuring Full Use 
of Federal Health Care Funding Act of 2014’’. 
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extent that such funds are not obligated by the 
State for expenditure before April 1, 2014. 
‘‘(B) EXCEPTION.—The Secretary may, in 
the Secretary’s discretion, decide not to recoup 
the funds of a State under subparagraph (A) if 
the State has submitted to the Secretary and 
the Secretary has approved, before March 31, 
2014, a plan for spending such funds in accord-
ance with this subsection in a timely manner. 
‘‘(7) APPLICATION OF RECOUPED FUNDS FOR 
GRANTS TO OTHER ENTITIES WITHIN A STATE.— 
‘‘(A) IN
GENERAL.—Insofar as the Sec-
retary recoups funds under paragraph (6) from 
a State, the Secretary shall use all such funds 
to make grants, before the beginning of the 
open enrollment period for 2015, to qualified 
entities under subparagraph (B) to carry out 
activities in the State consistent with subpara-
graph (C). 
‘‘(B) ELIGIBILITY.— 
‘‘(i) IN GENERAL.—To be eligible to 
receive a grant under this paragraph with 
respect to a State, an entity shall dem-
onstrate to the Secretary that the entity— 
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‘‘(I) has (or can readily and on a 
timely basis establish) relationships 
with employers and employees, con-
sumers 
(including 
uninsured 
and 
underinsured consumers), or self-em-
ployed individuals in the State that 
are likely to be qualified to enroll in 
coverage 
options 
made 
available 
through an Exchange in the State; 
‘‘(II) is capable of carrying out 
the activities described in subpara-
graph (C) for which a grant is being 
granted; 
‘‘(III) meets the standards de-
scribed in clause (iii); and 
‘‘(IV) provides information con-
sistent 
with 
standards 
developed 
under clause (iv). 
‘‘(ii) TYPES
OF
QUALIFIED
ENTI-
TIES.—Such an entity may be a trade, in-
dustry, and professional association, com-
mercial 
fishing 
industry 
organization, 
ranching and farming organization, com-
munity and consumer-focused nonprofit 
group, chamber of commerce, union, re-
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source partner of the Small Business Ad-
ministration, and other licensed insurance 
agent or broker, and another entity, so 
long as it meets the requirements of clause 
(i). 
‘‘(iii) ENTITY STANDARDS.—The Sec-
retary shall establish standards for quali-
fied entities under this subparagraph relat-
ing to their qualification to engage in the 
outreach, education, and enrollment activi-
ties described in subparagraph (C) and to 
avoid conflicts of interest. Under such 
standards, a qualified entity shall not— 
‘‘(I) be a health insurance issuer; 
or 
‘‘(II) receive any consideration 
directly or indirectly from any health 
insurance issuer in connection with 
the enrollment of any qualified indi-
viduals or employees of a qualified 
employer in a qualified health plan. 
‘‘(iv) FAIR AND IMPARTIAL INFORMA-
TION AND SERVICES.—The Secretary shall 
develop standards to ensure that informa-
tion made available by qualified entities 
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under a grant under this paragraph is fair, 
accurate, and impartial. 
‘‘(C) USE OF GRANTS.—Grants under this 
paragraph may be used for any of the purposes 
or activities for which a grant to a State under 
this subsection may be used, including the fol-
lowing: 
‘‘(i) 
NON-NAVIGATOR
ASSISTANCE 
PERSONNEL.—To build and fund oper-
ations of an in-person assistance personnel 
(IPA) program (also known as ‘non-Navi-
gator assistance personnel’). 
‘‘(ii) OUTREACH.—To coordinate with 
other health and human services organiza-
tions in the State to broaden outreach 
(such as Marketplace information on appli-
cations for other programs, websites, 
emails or through IPA call centers) to indi-
viduals eligible to enroll in qualified health 
plans through the Exchange operating in 
the State. 
‘‘(iii) MARKETING.—To produce and 
disseminate marketing and campaign ma-
terials, including brochures, direct mail, 
print ads, social media and digital and on-
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line ads, and TV and radio buys, such ma-
terials subject to approval by the Sec-
retary.’’. 
Æ 
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