ENROLL Act of 2025 · Introduced in House (2025-06-11)

119th CONGRESS 1st Session

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 · June 11, 2025 · Sponsor: Ms. Castor of Florida · Committee: Committee on Energy and Commerce

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 () is amended— 42 U.S.C. 18031(i)
- (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.
- in paragraph (2), by adding at the end the following new subparagraph:
- in paragraph (3)—
  - in subparagraph (C), by inserting after the following: ;
  - in subparagraph (D), by striking and at the end;
  - in subparagraph (E), by striking the period and inserting ;
    - conduct public education activities in plain language to raise awareness of the requirements of and the protections provided under qualified health plans.
  - by adding at the end the following:
  - 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.
- in paragraph (4)(A)—
  - in the matter preceding clause (i), by striking ;
  - in clause (i)—
    - (i) by inserting before ; and
    - (ii) by striking and inserting a semicolon;
  - in clause (ii)—
    - (i) by inserting before ; and
    - (ii) by striking the period and inserting a semicolon; and
      - (iii) maintain physical presence in the State of the Exchange so as to allow in-person assistance to consumers.
  - by adding at the end the following new clause:
- in paragraph (6)—
  - by striking and inserting
    - .—
    - (A) State Exchanges
      - Grants under
    - (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.
  - by adding at the end the following new subparagraph:

(b) Effective date

The amendments made by subsection (a) shall apply with respect to plan years beginning on or after January 1, 2026.

H.R. 3907

Table of contents

SEC. 1. Short title

SEC. 2. Providing for additional requirements with respect to the navigator program