United States 116th Congress Status: In Committee Bipartisan · 21 D · 1 I cosponsors

S 1905 — ENROLL Act of 2019

Last action — Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Expand Navigators' Resources for Outreach, Learning, and Longevity Act of 2019 or the ENROLL Act of 2019 This bill makes several changes to the navigator program for health insurance exchanges (a program through which entities receive funding to provide education and enrollment assistance). Specifically, the bill addresses certain funding decisions and regulatory actions taken by the Centers for Medicare & Medicaid Services (CMS). For example, the bill increases funding for navigators in federally facilitated exchanges (FFEs) beginning in FY2020. (The CMS decreased annual funding for FFE navigators for the 2017-2018 and 2018-2019 program years.) The bill also counters guidance issued by the CMS regarding navigator criteria by requiring FFE navigators to be chosen without regard to how the entity provides information on association health plans or short-term, limited-duration insurance. The bill also reinstates certain requirements that were removed by the CMS in 2018. Specifically, the bill requires (1) at least two navigators in each FFE, including at least one community and consumer-focused nonprofit group; and (2) that navigators be physically present in the state where the exchange is located.

Bill Text

How this bill changes current law

10 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill adds requirements for the navigator program under the Patient Protection and Affordable Care Act by modifying grant selection criteria and funding provisions.

  • 42 U.S.C. 18031(i)(2)

    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 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 regulation), or short-term limited duration insurance (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 Exchange 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 include another community and consumer-focused nonprofit group in addition 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 Exchange.

    This change requires Exchanges to select grant recipients based on their capacity and ensures at least one grant is awarded to a community-focused nonprofit.

  • 42 U.S.C. 18031(i)(3)(C)

    , State medicaid plans under title XIX of the Social Security Act, and State children's health insurance programs under title XXI of such Act

    This addition broadens the scope of services navigators assist with to include Medicaid and CHIP.

  • 42 U.S.C. 18031(i)(3)

    The duties specified in the preceding sentence may be carried out by such a navigator at any time during a year.

    This provides flexibility in the timing of when navigators can perform their duties.

  • 42 U.S.C. 18031(i)(4)(A)

    not

    This change affects the requirement for navigators regarding responsibilities or allowances, but the specific effect needs more context from the existing law.

  • 42 U.S.C. 18031(i)(4)(A)(i)

    be → not be

    This change clarifies that certain navigators should not fulfill a specific condition, indicating stricter criteria for grant recipients.

  • 42 U.S.C. 18031(i)(4)(A)(i)

    ; or → ;

    This change modifies the grammatical structure, likely related to the previous adjustment.

  • 42 U.S.C. 18031(i)(4)(ii)

    receive → not receive

    This restricts certain navigators from receiving grants under specified conditions.

  • 42 U.S.C. 18031(i)(4)

    (iii) maintain physical presence in the State of the Exchange so as to allow in-person assistance to consumers.

    This requires navigators to have a physical presence in the state for providing local assistance to consumers.

  • 42 U.S.C. 18031(i)(6)

    Funding.--Grants under → Funding.-- (A) State exchanges.--Grants under

    This modifies the funding section to clearly delineate funding for state exchanges.

  • 42 U.S.C. 18031(i)(6)

    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 subsequent fiscal year. Such amount for a fiscal year shall remain available until expended.

    This establishes a specific funding allocation for federal exchanges.

Action History

  1. Introduced in Senate

  2. Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Sponsors

Sponsorship breakdown

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1 sponsors · 21 co-sponsors · 525 not signed on

Sponsors (1)

Co-sponsors (21)

Not signed on (525)

525 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Subjects

healthcare health-insurance
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Frequently asked questions

What does S 1905 do?
Expand Navigators' Resources for Outreach, Learning, and Longevity Act of 2019 or the ENROLL Act of 2019 This bill makes several changes to the navigator program for health insurance exchanges (a program through which entities receive funding to provide education and enrollment assistance). Specifically, the bill addresses certain funding decisions and regulatory actions taken by the Centers for Medicare & Medicaid Services (CMS). For example, the bill increases funding for navigators in federally facilitated exchanges (FFEs) beginning in FY2020. (The CMS decreased annual funding for FFE navigators for the 2017-2018 and 2018-2019 program years.) The bill also counters guidance issued by the CMS regarding navigator criteria by requiring FFE navigators to be chosen without regard to how the entity provides information on association health plans or short-term, limited-duration insurance. The bill also reinstates certain requirements that were removed by the CMS in 2018. Specifically, the bill requires (1) at least two navigators in each FFE, including at least one community and consumer-focused nonprofit group; and (2) that navigators be physically present in the state where the exchange is located.
Who sponsors S 1905?
S 1905 is sponsored by Casey, Robert P., Jr. (Democratic), Shaheen, Jeanne (Democratic), Booker, Cory A. (Democratic), Kaine, Tim (Democratic), Stabenow, Debbie (Democratic), Hirono, Mazie K. (Democratic), Duckworth, Tammy (Democratic), Merkley, Jeff (Democratic), Van Hollen, Chris (Democratic), Hassan, Margaret Wood (Democratic), King, Angus S., Jr. (Independent), Coons, Christopher A. (Democratic), Menendez, Robert (Democratic), Peters, Gary C. (Democratic), Tester, Jon (Democratic), Harris, Kamala D. (Democratic), Smith, Tina (Democratic), Murphy, Christopher (Democratic), Rosen, Jacky (Democratic), Blumenthal, Richard (Democratic), Klobuchar, Amy (Democratic), and Baldwin, Tammy (Democratic).
What is the current status of S 1905?
This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track S 1905?
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