text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Ensuring Full Use of Federal Health 
  Care Funding Act of 2014''.
  
  SEC. 2. RECOUPMENT AND REALLOCATION OF FEDERAL SECTION 1311 ACA GRANT 
                FUNDS.
  
      Section 1311(a) of the Patient Protection and Affordable Care Act 
  (42 U.S.C. 18031(a)) is amended--
              (1) in paragraph (1), by inserting before the period at the 
          end the following: ``and to make grants under paragraph (7) to 
          qualified entities in a State from funds recouped under 
          paragraph (6) from that State'';
              (2) in paragraph (2), by adding at the end the following: 
          ``Not later than May 1, 2014, the Secretary shall determine the 
          recoupment amount under paragraph (6) for each State and the 
          amounts that will be made so available for grants under 
          paragraph (7) for qualified entities in each State.'';
              (3) in paragraph (3), by adding at the end the following: 
          ``A qualified entity awarded a grant under paragraph (7) shall 
          use such grant for activities consistent with subparagraph (C) 
          of such paragraph.''; and
              (4) by adding at the end the following new paragraphs:
              ``(6) Recoupment of unexpended funds.--
                      ``(A) In general.--Subject to subparagraph (B), the 
                  Secretary shall recoup any funds awarded to a State 
                  under this subsection to the extent that such funds are 
                  not obligated by the State for expenditure before April 
                  1, 2014.
                      ``(B) Exception.--The Secretary may, in the 
                  Secretary's discretion, decide not to recoup the funds 
                  of a State under subparagraph (A) if the State has 
                  submitted to the Secretary and the Secretary has 
                  approved, before March 31, 2014, a plan for spending 
                  such funds in accordance with this subsection in a 
                  timely manner.
              ``(7) Application of recouped funds for grants to other 
          entities within a state.--
                      ``(A) In general.--Insofar as the Secretary recoups 
                  funds under paragraph (6) from a State, the Secretary 
                  shall use all such funds to make grants, before the 
                  beginning of the open enrollment period for 2015, to 
                  qualified entities under subparagraph (B) to carry out 
                  activities in the State consistent with subparagraph 
                  (C).
                      ``(B) Eligibility.--
                              ``(i) In general.--To be eligible to 
                          receive a grant under this paragraph with 
                          respect to a State, an entity shall demonstrate 
                          to the Secretary that the entity--
                                      ``(I) has (or can readily and on a 
                                  timely basis establish) relationships 
                                  with employers and employees, consumers 
                                  (including uninsured and underinsured 
                                  consumers), or self-employed 
                                  individuals in the State that are 
                                  likely to be qualified to enroll in 
                                  coverage options made available through 
                                  an Exchange in the State;
                                      ``(II) is capable of carrying out 
                                  the activities described in 
                                  subparagraph (C) for which a grant is 
                                  being granted;
                                      ``(III) meets the standards 
                                  described in clause (iii); and
                                      ``(IV) provides information 
                                  consistent with standards developed 
                                  under clause (iv).
                              ``(ii) Types of qualified entities.--Such 
                          an entity may be a trade, industry, and 
                          professional association, commercial fishing 
                          industry organization, ranching and farming 
                          organization, community and consumer-focused 
                          nonprofit group, chamber of commerce, union, 
                          resource partner of the Small Business 
                          Administration, and other licensed insurance 
                          agent or broker, and another entity, so long as 
                          it meets the requirements of clause (i).
                              ``(iii) Entity standards.--The Secretary 
                          shall establish standards for qualified 
                          entities under this subparagraph relating to 
                          their qualification to engage in the outreach, 
                          education, and enrollment activities described 
                          in subparagraph (C) and to avoid conflicts of 
                          interest. Under such standards, a qualified 
                          entity shall not--
                                      ``(I) be a health insurance issuer; 
                                  or
                                      ``(II) receive any consideration 
                                  directly or indirectly from any health 
                                  insurance issuer in connection with the 
                                  enrollment of any qualified individuals 
                                  or employees of a qualified employer in 
                                  a qualified health plan.
                              ``(iv) Fair and impartial information and 
                          services.--The Secretary shall develop 
                          standards to ensure that information made 
                          available by qualified entities under a grant 
                          under this paragraph is fair, accurate, and 
                          impartial.
                      ``(C) Use of grants.--Grants under this paragraph 
                  may be used for any of the purposes or activities for 
                  which a grant to a State under this subsection may be 
                  used, including the following:
                              ``(i) Non-navigator assistance personnel.--
                          To build and fund operations of an in-person 
                          assistance personnel (IPA) program (also known 
                          as `non-Navigator assistance personnel').
                              ``(ii) Outreach.--To coordinate with other 
                          health and human services organizations in the 
                          State to broaden outreach (such as Marketplace 
                          information on applications for other programs, 
                          websites, emails or through IPA call centers) 
                          to individuals eligible to enroll in qualified 
                          health plans through the Exchange operating in 
                          the State.
                              ``(iii) Marketing.--To produce and 
                          disseminate marketing and campaign materials, 
                          including brochures, direct mail, print ads, 
                          social media and digital and online ads, and TV 
                          and radio buys, such materials subject to 
                          approval by the Secretary.''.
target: Ensuring Full Use of Federal Health Care Funding Act of 2014 - Amends the Patient Protection and Affordable Care Act to direct the Secretary of Health and Human Services (HHS) to recoup any funds awarded to a state to establish health care exchanges to the extent the state has not obligated them for expenditure before April 1, 2014. Allows the Secretary, however, not to recoup such funds from a state if the state has approved, before March 31, 2014, a plan to spend them for such exchanges in a timely manner. Requires the Secretary to use any recouped funds to make grants to qualified entities to: (1) build and fund operations of an in-person assistance personnel (IPA) program (also known as &quot;non-Navigator assistance personnel&quot;); (2) coordinate with other health and human services organizations in the state to broaden outreach to individuals eligible to enroll in qualified health plans through the exchange operating in the state; and (3) produce and disseminate marketing and campaign materials, subject to the Secretary's approval. Requires a qualified entity to: (1) have (or readily and on a timely basis be able to establish) relationships with employers and employees, consumers (both uninsured and underinsured), or self-employed individuals in the state that are likely to be qualified to enroll in coverage options made available through a health care exchange in the state; (2) be capable of carrying out grant activities; and (3) meet specified standards. Lists as types of qualified entities: (1) a trade, industry, and professional association; (2) a commercial fishing industry organization; (3) a ranching and farming organization; (4) a community and consumer-focused nonprofit group; (5) a chamber of commerce; (6) a union; (7) a resource partner of the Small Business Administration (SBA); (8) a licensed insurance agent or broker; and (9) any other entity that meets the qualification standards.
feat_title: Ensuring Full Use of Federal Health Care Funding Act of 2014