I 117TH CONGRESS 1ST SESSION H. R. 1874 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 MARCH 12, 2021 Ms. CASTOR of Florida 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- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Expand Navigators’ 4 Resources for Outreach, Learning, and Longevity Act of 5 2021’’ or the ‘‘ENROLL Act of 2021’’. 6 VerDate Sep 11 2014 21:12 May 11, 2021 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1874.IH H1874 pamtmann on DSKBC07HB2PROD with BILLS 2 •HR 1874 IH SEC. 2. PROVIDING FOR ADDITIONAL REQUIREMENTS 1 WITH RESPECT TO THE NAVIGATOR PRO- 2 GRAM. 3 (a) IN GENERAL.—Section 1311(i) of the Patient 4 Protection and Affordable Care Act (42 U.S.C. 18031(i)) 5 is amended— 6 (1) in paragraph (2), by adding at the end the 7 following new subparagraph: 8 ‘‘(C) SELECTION OF RECIPIENTS.—In the 9 case of an Exchange established and operated 10 by the Secretary within a State pursuant to sec- 11 tion 1321(c), in awarding grants under para- 12 graph (1), the Exchange shall— 13 ‘‘(i) select entities to receive such 14 grants based on an entity’s demonstrated 15 capacity to carry out each of the duties 16 specified in paragraph (3); 17 ‘‘(ii) not take into account whether or 18 not the entity has demonstrated how the 19 entity will provide information to individ- 20 uals relating to group health plans offered 21 by a group or association of employers de- 22 scribed in section 2510.3–5(b) of title 29, 23 Code of Federal Regulations (or any suc- 24 cessor regulation), or short-term limited 25 duration insurance (as defined by the Sec- 26 VerDate Sep 11 2014 21:12 May 11, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1874.IH H1874 pamtmann on DSKBC07HB2PROD with BILLS 3 •HR 1874 IH retary for purposes of section 2791(b)(5) 1 of the Public Health Service Act); and 2 ‘‘(iii) ensure that, each year, the Ex- 3 change awards such a grant to— 4 ‘‘(I) at least one entity described 5 in this paragraph that is a community 6 and consumer-focused nonprofit 7 group; and 8 ‘‘(II) at least one entity described 9 in subparagraph (B), which may in- 10 clude another community and con- 11 sumer-focused nonprofit group in ad- 12 dition to any such group awarded a 13 grant pursuant to subclause (I).’’; 14 (2) in paragraph (3)— 15 (A) in subparagraph (C), by inserting after 16 ‘‘qualified health plans’’ the following: ‘‘, State 17 medicaid plans under title XIX of the Social 18 Security Act, and State children’s health insur- 19 ance programs under title XXI of such Act’’; 20 and 21 (B) by adding at the end the following 22 flush left sentence: 23 VerDate Sep 11 2014 21:12 May 11, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1874.IH H1874 pamtmann on DSKBC07HB2PROD with BILLS 4 •HR 1874 IH ‘‘The duties specified in the preceding sentence may 1 be carried out by such a navigator at any time dur- 2 ing a year.’’; 3 (3) in paragraph (4)(A)— 4 (A) in the matter preceding clause (i), by 5 striking ‘‘not’’; 6 (B) in clause (i)— 7 (i) by inserting ‘‘not’’ before ‘‘be’’; 8 and 9 (ii) by striking ‘‘; or’’ and inserting 10 ‘‘;’’; 11 (C) in clause (ii)— 12 (i) by inserting ‘‘not’’ before ‘‘re- 13 ceive’’; and 14 (ii) by striking the period and insert- 15 ing ‘‘;’’; and 16 (D) by adding at the end the following new 17 clause: 18 ‘‘(iii) maintain physical presence in 19 the State of the Exchange so as to allow 20 in-person assistance to consumers.’’; and 21 (4) in paragraph (6)— 22 (A) by striking ‘‘FUNDING.—Grants 23 under’’ and inserting ‘‘FUNDING.— 24 VerDate Sep 11 2014 21:12 May 11, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1874.IH H1874 pamtmann on DSKBC07HB2PROD with BILLS 5 •HR 1874 IH ‘‘(A) STATE EXCHANGES.—Grants under’’; 1 and 2 (B) by adding at the end the following new 3 subparagraph: 4 ‘‘(B) FEDERAL EXCHANGES.—For pur- 5 poses of carrying out this subsection, with re- 6 spect to an Exchange established and operated 7 by the Secretary within a State pursuant to sec- 8 tion 1321(c), the Secretary shall obligate 9 $100,000,000 out of amounts collected through 10 the user fees on participating health insurance 11 issuers pursuant to section 156.50 of title 45, 12 Code of Federal Regulations (or any successor 13 regulations) for fiscal year 2022 and each sub- 14 sequent fiscal year. Such amount for a fiscal 15 year shall remain available until expended.’’. 16 (b) EFFECTIVE DATE.—The amendments made by 17 subsection (a) shall apply with respect to plan years begin- 18 ning on or after January 1, 2022. 19 Æ VerDate Sep 11 2014 21:12 May 11, 2021 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6301 E:\BILLS\H1874.IH H1874 pamtmann on DSKBC07HB2PROD with BILLS