119-s2024

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2024 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 2024

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 SENATE OF THE UNITED STATES

 June 11, 2025

 Ms. Baldwin (for herself, Mrs. Shaheen, Mr. Merkley, Mr. Lujan, Mr. 
 King, Mr. Wyden, Mr. Booker, Ms. Duckworth, and Ms. Klobuchar) 
introduced the following bill; which was read twice and referred to the 
 Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

 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 Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Expand Navigators' Resources for 
Outreach, Learning, and Longevity Act of 2025'' or the ``ENROLL Act of 
2025''.

SEC. 2. PROVIDING FOR ADDITIONAL REQUIREMENTS WITH RESPECT TO THE 
 NAVIGATOR PROGRAM.

    (a) In General.--

Section 1311
            (i) of the Patient Protection 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 entity will 
 provide information to individuals relating to 
 group health plans that are not qualified 
 health plans; and
 ``
            (iii) ensure that, each year, the 
 Exchange awards such a grant to at least 1 
 entity described in this paragraph that is a 
 community and consumer-focused nonprofit 
 group.'';

    (2) in paragraph

    (3) --
        (A) in subparagraph
            (C) , by inserting after 
 ``qualified health plans'' the following: ``, State 
 Medicaid plans under title XIX of the Social Security 
 Act, and State children's health insurance programs 
 under title XXI of such Act'';
        (B) in subparagraph
            (D) , by striking ``and'' at the 
 end;
            (C) in subparagraph
        (E) , by striking the period and 
 inserting ``; and'';
            (D) by adding at the end the following:
 ``
        (F) conduct public education activities in plain 
 language to raise awareness of the requirements of and 
 the protections provided under qualified health 
 plans.''; and
        (E) by adding at the end the following flush left 
 sentence:
 ``The duties specified in the preceding sentence may be carried 
 out by such a navigator at any time during a year.'';

    (3) in paragraph

    (4)
        (A) --
        (A) in the matter preceding clause
            (i) , by striking 
 ``not'';
        (B) in clause
            (i) --
            (i) by inserting ``not'' before ``be''; and
            (ii) by striking ``; or'' and inserting a 
 semicolon;
            (C) in clause
            (ii) --
            (i) by inserting ``not'' before 
 ``receive''; and
            (ii) by striking the period and inserting a 
 semicolon; and
            (D) by adding at the end the following new clause:
 ``
            (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 2026 and each subsequent fiscal year. Such amount 
 for a fiscal year shall remain available until 
 expended.''.

    (b) Effective Date.--The amendments made by subsection

    (a) shall 
apply with respect to plan years beginning on or after January 1, 2026.
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