S.Amdt. 2438

SA 2438. Ms. BALDWIN submitted an amendment intended to be proposed
by her to the bill H.R. 1, to provide for reconciliation pursuant to
title II of H. Con. Res. 14; which was ordered to lie on the table; as
follows:
At the appropriate place in subtitle H of title VIII,
insert the following:

SEC. __. 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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