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Code · BILL · 116th Congress · H.R. 987 (Engrossed in House) — To amend the Patient Protection and Affordable Care Act to provide for Federal Exchange outreach and educational acti... · Sec. 203

Sec. 203. Federal Exchange outreach and educational activities and annual enrollment targets

533 words·~2 min read·/bill/116/hr/987/eh/section-203

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Section 1321(c) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18041(c) ), as amended by section 201(b)(2), is further amended by adding at the end the following new paragraphs: 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 individuals about qualified health plans offered through the Exchange, including by informing such individuals 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, individuals residing in areas where the unemployment rates exceeds the national average unemployment rate, individuals in rural areas, veterans, and young adults) and shall be provided to populations residing in high health disparity areas (as defined in subparagraph (E)) served by the Exchange, in addition to other populations served by the Exchange.
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. Out of any funds in the Treasury not otherwise appropriated, there are hereby appropriated for fiscal year 2020 and each subsequent fiscal year, $100 million to carry out this paragraph.
Funds appropriated under this subparagraph shall remain available until expended. For purposes of subparagraph (A), the term high health disparity area means a contiguous geographic area that— is located in one census tract or ZIP code; has measurable and documented racial, ethnic, or geographic health disparities; has a low-income population, as demonstrated by— average income below 138 percent of the Federal poverty line; or a rate of participation in the special supplemental nutrition program under section 17 of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786 ) that is higher than the national average rate of participation in such program; has poor health outcomes, as demonstrated by— lower life expectancy than the national average; or a higher percentage of instances of low birth weight than the national average; and is part of a Metropolitan Statistical Area identified by the Office of Management and Budget.
For plan year 2020 and each subsequent plan year, in the case of an Exchange established or operated by the Secretary within a State pursuant to this subsection, the Secretary shall establish annual enrollment targets for such Exchange for such year. . Not later than 30 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall release to Congress all aggregated documents relating to studies and data sets that were created on or after January 1, 2014, and related to marketing and outreach with respect to qualified health plans offered through Exchanges under title I of the Patient Protection and Affordable Care Act.
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Sec. 203
Federal Exchange outreach and educational activities and annual enrollment targets
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