[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6760 Introduced in House (IH)]

<DOC>






119th CONGRESS
  1st Session
                                H. R. 6760

 To amend the Patient Protection and Affordable Care Act to facilitate 
        the enrollment of individuals in qualified health plans.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           December 16, 2025

Mr. Pappas (for himself, Ms. Norton, Ms. Goodlander, and Ms. Johnson of 
    Texas) introduced the following bill; which was referred to the 
 Committee on Energy and Commerce, and in addition to the Committee on 
   Ways and Means, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
 To amend the Patient Protection and Affordable Care Act to facilitate 
        the enrollment of individuals in qualified health plans.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Protecting Access to Affordable 
Coverage Act of 2025''.

SEC. 2. FACILITATING THE ENROLLMENT OF INDIVIDUALS IN QUALIFIED HEALTH 
              PLANS.

    (a) Extending the Open Enrollment Period for Plan Year 2026.--
Section 1311(c)(6) of the Patient Protection and Affordable Care Act 
(42 U.S.C. 18031(c)(6)) is amended---
            (1) in subparagraph (B), by inserting ``, subject to 
        subparagraph (E),'' after ``as determined by the Secretary'';
            (2) in subparagraph (C), by striking ``and'' at the end;
            (3) in subparagraph (D), by striking the period and 
        inserting ``; and''; and
            (4) by adding at the end the following new subparagraph:
                    ``(E) an open enrollment period for enrollments for 
                plan year 2026 that begins not later than November 1, 
                2025, and ends not earlier than May 1, 2026.''.
    (b) Repeal of Certain Verification Requirements.--The amendments 
made by section 71303 of an Act to provide for reconciliation pursuant 
to title II of H. Con. Res. 14 (Public Law 119-21) are repealed, and 
any provision of law amended by such section is restored or revived as 
if such amendments had never been enacted.
    (c) Ensuring Enrollment Opportunities for Certain Individuals.--
            (1) In general.--Section 36B(c)(3)(A) of the Internal 
        Revenue Code of 1986 is amended by striking clause (iii).
            (2) Establishment of special enrollment period.--
                    (A) In general.--Section 1311(c)(6) of the Patient 
                Protection and Affordable Care Act (42 U.S.C. 
                18031(c)(6)), as amended by subsection (a), is further 
                amended--
                            (i) in subparagraph (D), by striking 
                        ``and'' at the end;
                            (ii) in subparagraph (E), by striking the 
                        period and inserting ``; and''; and
                            (iii) by adding at the end the following 
                        new subparagraph:
                    ``(F) a special enrollment period once per month 
                for an individual who is eligible for the advance 
                payment of premium tax credits under section 1412 and 
                whose household income is not expected to exceed 150 
                percent of the poverty line for a family of the size 
                involved.''.
                    (B) Effective date.--The amendments made by 
                subparagraph (A) shall apply with respect to plan years 
                beginning on or after January 1, 2026.
    (d) Navigator Grants.--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) Mandatory grant.--In awarding grants under 
                paragraph (1), the Exchange shall, for each plan year 
                (beginning with plan year 2026)--
                            ``(i) award such grants only to entities 
                        with a physical presence in the State of such 
                        Exchange; and
                            ``(ii) award such a grant to at least 1 
                        entity described in this paragraph.'';
            (2) in paragraph (4)(A)--
                    (A) in the matter preceding clause (i), by 
                inserting ``(financial or otherwise)'' after 
                ``interest'';
                    (B) in clause (i), by striking ``or'' at the end;
                    (C) in clause (ii), by striking the period and 
                inserting ``; or''; and
                    (D) by adding at the end the following new clause:
                            ``(iii) for plan year 2026 or a subsequent 
                        plan year--
                                    ``(I) be an enhanced direct 
                                enrollment entity;
                                    ``(II) charge any fees to 
                                applicants or enrollees; or
                                    ``(III) request any form of 
                                remuneration from or on behalf of any 
                                applicant or enrollee.''; and
            (3) 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.--
                            ``(i) In general.--For purposes of carrying 
                        out this subsection, with respect to Exchanges 
                        established and operated by the Secretary 
                        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.
                            ``(ii) Allocation.--
                                    ``(I) In general.--The Secretary 
                                shall, out of amounts obligated under 
                                clause (i) for a fiscal year, allocate 
                                to each Exchange established and 
                                operated by the Secretary in a State 
                                pursuant to section 1321(c), for making 
                                grants under paragraph (1) during such 
                                fiscal year--
                                            ``(aa) $1,250,000; plus
                                            ``(bb) an amount that bears 
                                        the same ratio to the total 
                                        remaining obligated funds (as 
                                        defined in subclause (II)) for 
                                        such fiscal year as the number 
                                        of individuals enrolled in a 
                                        qualified health plan offered 
                                        through an Exchange established 
                                        in such State, or enrolled 
                                        under the State plan of such 
                                        State under title XIX (or 
                                        waiver of such plan), during 
                                        the preceding fiscal year bears 
                                        to the total number of 
                                        individuals enrolled in such a 
                                        plan offered through an 
                                        Exchange established in any 
                                        State that is a specified State 
                                        (as defined in subclause (II)) 
                                        with respect to such fiscal 
                                        year, or enrolled under the 
                                        State plan of any such State 
                                        under title XIX (or waiver of 
                                        such plan), during such 
                                        preceding fiscal year.
                                    ``(II) Definitions.--In this 
                                clause:
                                            ``(aa) Total remaining 
                                        obligated funds.--The term 
                                        `total remaining obligated 
                                        funds' means, with respect to a 
                                        fiscal year, $100,000,000, less 
                                        an amount equal to the product 
                                        of--

                                                    ``(AA) $1,250,000; 
                                                and

                                                    ``(BB) the number 
                                                of Exchanges described 
                                                in clause (i) for such 
                                                fiscal year.

                                            ``(bb) Specified state.--
                                        The term `specified State' 
                                        means, with respect to a fiscal 
                                        year, a State in which the 
                                        Secretary establishes and 
                                        operates an Exchange pursuant 
                                        to section 1321(c).''.
                                 <all>