IB 
Union Calendar No. 31 
116TH CONGRESS 
1ST SESSION 
H. R. 987 
[Report No. 116–53, Part I] 
To amend the Patient Protection and Affordable Care Act to provide for 
Federal Exchange outreach and educational activities. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 6, 2019 
Ms. BLUNT ROCHESTER (for herself, Ms. CASTOR of Florida, Mrs. MCBATH, 
and Mr. KILDEE) introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committee 
on the Budget, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
MAY 10, 2019 
Additional sponsors: Mr. WELCH, Ms. SCHAKOWSKY, Mr. LUJA´N, Mr. RUSH, 
Ms. ESHOO, Mr. PALLONE, Ms. MATSUI, Mr. VAN DREW, Ms. CLARKE 
of New York, Ms. MCCOLLUM, Ms. SEWELL of Alabama, Mr. PAYNE, Ms. 
WASSERMAN SCHULTZ, Mr. SCHRADER, Ms. MUCARSEL-POWELL, Mr. 
CISNEROS, Mr. SIRES, Ms. HOULAHAN, Mrs. DINGELL, Ms. SCANLON, 
Ms. MOORE, and Mr. KHANNA 
MAY 10, 2019 
Reported from the Committee on Energy and Commerce with an amendment 
[Strike out all after the enacting clause and insert the part printed in italic] 
MAY 10, 2019 
Committee on the Budget discharged; committed to the Committee of the 
Whole House on the State of the Union and ordered to be printed 
[For text of introduced bill, see copy of bill as introduced on February 6, 2019] 
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A BILL 
To amend the Patient Protection and Affordable Care Act 
to provide for Federal Exchange outreach and edu-
cational activities. 
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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 ‘‘Marketing and Outreach 
Restoration to Empower Health Education Act of 2019’’ 
or the ‘‘MORE Health Education Act’’. 
SEC. 
2. 
FEDERAL 
EXCHANGE 
OUTREACH 
AND 
EDU-
CATIONAL ACTIVITIES. 
Section 1321(c) of the Patient Protection and Afford-
able Care Act (42 U.S.C. 18041(c)) is amended by adding 
at the end the following new paragraph: 
‘‘(3) OUTREACH
AND
EDUCATIONAL
ACTIVI-
TIES.— 
‘‘(A) IN GENERAL.—In the case of an Ex-
change established or operated by the Secretary 
within a State pursuant to this subsection, the 
Secretary shall carry out outreach and edu-
cational activities for purposes of informing in-
dividuals about qualified health plans offered 
through the Exchange, including by informing 
such individuals of the availability of coverage 
under such plans and financial assistance for 
coverage under such plans. Such outreach and 
educational activities shall be provided in a 
manner that is culturally and linguistically ap-
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propriate to the needs of the populations being 
served by the Exchange (including hard-to-reach 
populations, such as racial and sexual minori-
ties, limited English proficient populations, and 
young adults). 
‘‘(B) LIMITATION ON USE OF FUNDS.—No 
funds appropriated under this paragraph shall 
be used for expenditures for promoting non-ACA 
compliant health insurance coverage. 
‘‘(C) NON-ACA COMPLIANT HEALTH INSUR-
ANCE COVERAGE.—For purposes of this subpara-
graph (B): 
‘‘(i) The term ‘non-ACA compliant 
health insurance coverage’ means health in-
surance coverage, or a group health plan, 
that is not a qualified health plan. 
‘‘(ii) Such term includes the following: 
‘‘(I) An association health plan. 
‘‘(II) Short-term limited duration 
insurance. 
‘‘(D) FUNDING.—Out of any funds in the 
Treasury not otherwise appropriated, there are 
hereby appropriated for fiscal year 2020 and 
each subsequent fiscal year, $100,000,000 to 
carry out this paragraph. Funds appropriated 
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under this subparagraph shall remain available 
until expended.’’. 
SEC. 3. DETERMINATION OF BUDGETARY EFFECTS. 
The budgetary effects of this Act, for the purpose of 
complying with the Statutory Pay-As-You-Go Act of 2010, 
shall be determined by reference to the latest statement titled 
‘‘Budgetary Effects of PAYGO Legislation’’ for this Act, 
submitted for printing in the Congressional Record by the 
Chairman of the House Budget Committee, provided that 
such statement has been submitted prior to the vote on pas-
sage. 
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Union Calendar No. 31 
116TH CONGRESS 
1ST SESSION 
H. R. 987 
[Report No. 116–53, Part I] 
A BILL 
To amend the Patient Protection and Affordable 
Care Act to provide for Federal Exchange out-
reach and educational activities. 
MAY 10, 2019 
Reported from the Committee on Energy and Commerce 
with an amendment 
MAY 10, 2019 
Committee on the Budget discharged; committed to the 
Committee of the Whole House on the State of the 
Union and ordered to be printed 
VerDate Sep 11 2014 
22:17 May 10, 2019
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PO 00000
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