business purchasing cooperatives, and shall include 
administratively simple methods for small employers 
and licensed insurance brokers to participate in the 
program established under this title. 
(c) INFORMATION CAMPAIGN.— 
(1) IN
GENERAL.—The pool operator for a 
State shall establish and conduct, directly or 
through 1 or more public or private entities (which 
may include licensed insurance brokers), a health in-
surance information program to inform small em-
ployers about health coverage for employees. 
(2) REQUIREMENTS.—The program established 
under paragraph (1) shall educate small employers 
with respect to matters that include (but are not 
limited to) the following: 
(A) The benefits of providing health insur-
ance to employees, including tax benefits to 
both the employer and employees, increased 
productivity, and decreased employee turnover. 
(B) The rights of small employers under 
Federal and State health insurance reform 
laws. 
(C) Options for purchasing coverage, in-
cluding (but not limited to) through the State’s 
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purchasing pool operated pursuant to section 
403. 
(d) GRANTS TO HELP STATE-BASED POOLS PRO-
MOTE SMALL BUSINESS COVERAGE.— 
(1) IN GENERAL.—The Secretary may award 
grants to a pool operator for the following: 
(A) The net costs of risk-adjusted pay-
ments under paragraph (b)(2), to the extent the 
sum of upward adjustments exceeds the sum of 
downward adjustments for the pool operator. 
(B) The reasonable cost of the information 
campaign under subsection (c). 
(C) The pool operator’s reasonable admin-
istrative costs to implement this section. 
(2) LIMITATION.—This section shall not apply 
to a State’s pool unless sufficient grant funds have 
been received under this subsection to implement 
this section on a fiscally sound basis and such re-
ceipt is certified by the pool operator. 
(3) APPLICATION.—A pool operator desiring a 
grant under this section shall submit an application 
to the Secretary in such manner, at such time, and 
containing such information as the Secretary may 
require. 
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(4) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to the Sec-
retary such sums as may be necessary for making 
grants under this subsection. 
SEC. 416. REPORT. 
Not later than 1 year after the date of enactment 
of this Act, the Secretary shall submit to Congress a re-
port containing recommendations for such legislative and 
administrative changes as the Secretary determines are 
appropriate to permit affinity groups related for reasons 
other than a common employer to participate in pur-
chasing pools established under section 403. 
SEC. 417. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—There are authorized to be appro-
priated, such sums as may be necessary to carry out this 
title for fiscal year 2010 and each fiscal year thereafter. 
(b) RULE
OF
CONSTRUCTION.—Amounts appro-
priated in accordance with subsection (a) shall be in addi-
tion to other amounts appropriated directly under this 
title and nothing in subsection (a) shall be construed to 
relieve the Secretary of mandatory payment obligations re-
quired under this title. 
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TITLE V—NATIONAL ADVISORY 
COMMISSION ON EXPANDED 
ACCESS TO HEALTH CARE 
SEC. 501. NATIONAL ADVISORY COMMISSION ON EXPANDED 
ACCESS TO HEALTH CARE. 
(a) ESTABLISHMENT.—Not later than October 1, 
2007, the Secretary of Health and Human Services (re-
ferred to in this section as the ‘‘Secretary’’), shall estab-
lish an entity to be known as the National Advisory Com-
mission on Expanded Access to Health Care (referred to 
in this section as the ‘‘Commission’’). 
(b) APPOINTMENT OF MEMBERS.— 
(1) IN GENERAL.—Not later than 45 days after 
the date of enactment of this Act, the House and 
Senate majority and minority leaders shall each ap-
point 4 members of the Commission and the Sec-
retary shall appoint 1 member. 
(2) CRITERIA.—Members of the Commission 
shall include representatives of the following: 
(A) Consumers of health insurance. 
(B) Health care professionals. 
(C) State officials. 
(D) Economists. 
(E) Health care providers. 
(F) Experts on health insurance. 
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(G) Experts on expanding health care to 
individuals who are uninsured. 
(3) CHAIRPERSON.—At the first meeting of the 
Commission, the Commission shall select a Chair-
person from among its members. 
(c) MEETINGS.— 
(1) IN GENERAL.—After the initial meeting of 
the Commission which shall be called by the Sec-
retary, the Commission shall meet at the call of the 
Chairperson. 
(2) QUORUM.—A majority of the members of 
the Commission shall constitute a quorum, but a 
lesser number of members may hold hearings. 
(3) SUPERMAJORITY VOTING REQUIREMENT.— 
To approve a report required under paragraph (2) 
or (3) of subsection (e), at least 60 percent of the 
membership of the Commission must vote in favor of 
such a report. 
(d) DUTIES.—The Commission shall— 
(1) assess the effectiveness of programs de-
signed to expand health care coverage or make 
health care coverage affordable to the otherwise un-
insured individuals through identifying the accom-
plishments and needed improvements of each pro-
gram; 
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