IB 
Union Calendar No. 28 
116TH CONGRESS 
1ST SESSION H. R. 1386 
[Report No. 116–50] 
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 
MAY 3, 2019 
Additional sponsors: Mrs. MURPHY, Mr. KENNEDY, Mr. RUIZ, Mrs. DINGELL, 
Mr. RUSH, Mr. PALLONE, Ms. MATSUI, Ms. ESHOO, Mr. VAN DREW, Ms. 
CLARKE
of New York, Ms. SCHAKOWSKY, Ms. MCCOLLUM, Ms. 
MUCARSEL-POWELL, and Mr. CISNEROS 
MAY 3, 2019 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on February 27, 2019] 
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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. 
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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’ Re-
sources for Outreach, Learning, and Longevity Act of 2019’’ 
or the ‘‘ENROLL Act of 2019’’. 
SEC. 2. PROVIDING FOR ADDITIONAL REQUIREMENTS WITH 
RESPECT TO THE NAVIGATOR PROGRAM. 
(a) IN GENERAL.—Section 1311(i) of the Patient Pro-
tection 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 section 
1321(c), in awarding grants under paragraph 
(1), the Exchange shall— 
‘‘(i) select entities to receive such 
grants based on an entity’s demonstrated 
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 en-
tity will provide information to individuals 
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relating to group health plans offered by a 
group or association of employers described 
in section 2510.3–5(b) of title 29, Code of 
Federal Regulations (or any successor regu-
lation), or short-term limited duration in-
surance (as defined by the Secretary 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 addi-
tion to any such group awarded a 
grant pursuant to subclause (I). 
In awarding such grants, an Exchange may 
consider an entity’s record with respect to 
waste, fraud, and abuse for purposes of 
maintaining the integrity of such Ex-
change.’’; 
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‘‘(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.— 
‘‘(A) STATE EXCHANGES.—Grants under’’; 
and 
(B) by adding at the end the following new 
subparagraph: 
‘‘(B) FEDERAL EXCHANGES.—For purposes 
of carrying out this subsection, with respect to 
an Exchange established and operated by the 
Secretary within a State pursuant to section 
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 subse-
quent fiscal year. Such amount for a fiscal year 
shall remain available until expended.’’. 
(b) EFFECTIVE DATE.—The amendments made by sub-
section (a) shall apply with respect to plan years beginning 
on or after January 1, 2020. 
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Union Calendar No. 28 
116TH CONGRESS 
1ST SESSION 
H. R. 1386 
[Report No. 116–50] 
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. 
MAY 3, 2019 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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