Sec. 30301. Special enrollment period through Exchanges; Federal Exchange outreach and educational activities
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/bill/116/hr/6800/pcs/section-30301A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1311(c) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c) ) is amended— in paragraph (6)— in subparagraph (C), by striking at the end and ; in subparagraph (D), by striking at the end the period and inserting ; and ; and by adding at the end the following new subparagraph: subject to subparagraph
(B)of paragraph (8), the special enrollment period described in subparagraph
(A)of such paragraph. ; and by adding at the end the following new paragraph: The Secretary shall, subject to subparagraph (B), require an Exchange to provide— for a special enrollment period during the emergency period described in section 1135(g)(1)(B) of the Social Security Act— which shall begin on the date that is one week after the date of the enactment of this paragraph and which, in the case of an Exchange established or operated by the Secretary within a State pursuant to section 1321(c), shall be an 8-week period; and during which any individual who is otherwise eligible to enroll in a qualified health plan through the Exchange may enroll in such a qualified health plan; and that, in the case of an individual who enrolls in a qualified health plan through the Exchange during such enrollment period, the coverage period under such plan shall begin, at the option of the individual, on April 1, 2020, or on the first day of the month following the day the individual selects a plan through such special enrollment period. The requirement of subparagraph
(A)shall not apply to a State-operated or State-established Exchange if such Exchange, prior to the date of the enactment of this paragraph, established or otherwise provided for a special enrollment period to address access to coverage under qualified health plans offered through such Exchange during the emergency period described in section 1135(g)(1)(B) of the Social Security Act. . Section 1321(c) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18041(c) ) is amended by adding at the end the following new paragraph: In the case of an Exchange established or operated by the Secretary within a State pursuant to this subsection, the Secretary shall carry out outreach and educational activities for purposes of informing potential enrollees in qualified health plans offered through the Exchange of the availability of coverage under such plans and financial assistance for coverage under such plans. Such outreach and educational activities shall be provided in a manner that is culturally and linguistically appropriate to the needs of the populations being served by the Exchange (including hard-to-reach populations, such as racial and sexual minorities, limited English proficient populations, and young adults). No funds appropriated under this paragraph shall be used for expenditures for promoting non-ACA compliant health insurance coverage. For purposes of subparagraph (B): The term non-ACA compliant health insurance coverage means health insurance coverage, or a group health plan, that is not a qualified health plan. Such term includes the following: An association health plan. Short-term limited duration insurance. There are appropriated, out of any funds in the Treasury not otherwise appropriated, $25,000,000, to remain available until expended— to carry out this paragraph; and— at the discretion of the Secretary, to carry out section 1311(i), with respect to an Exchange established or operated by the Secretary within a State pursuant to this subsection. . The Secretary of Health and Human Services may implement the provisions of (including amendments made by) this section through subregulatory guidance, program instruction, or otherwise.
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Sec. 30301
Special enrollment period through Exchanges; Federal Exchange outreach and educational activities
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