Health Care Enrollment Innovation Act
This bill funds and requires the Department of Health and Human Services to award grants to states for promoting greater enrollment in health insurance coverage. Grants may be used by the state's primary health and human services agency for activities such as automatically enrolling uninsured individuals who are eligible for premium assistance tax credits in plans through the individual or small group market and establishing a state-level requirement for individuals to enroll in coverage.
To direct the Secretary of Health and Human Services to award grants to 
 eligible State agencies to promote State innovations to expand health 
                          insurance coverage.

    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 ``Health Care Enrollment Innovation 
Act''.

SEC. 2. PROMOTING STATE INNOVATIONS TO EXPAND COVERAGE.

    (a) In General.--Subject to subsection (d), the Secretary of Health 
and Human Services shall award grants to eligible State agencies to 
enable such States to explore innovative solutions to promote greater 
enrollment in health insurance coverage in the individual and small 
group markets, including activities described in subsection (c).
    (b) Eligibility.--For purposes of subsection (a), eligible State 
agencies are Exchanges established by a State under title I of the 
Patient Protection and Affordable Care Act (42 U.S.C. 18001 et seq.) 
and State agencies with primary responsibility over health and human 
services for the State involved.
    (c) Use of Funds.--For purposes of subsection (a), the activities 
described in this subsection are the following:
            (1) State efforts to streamline health insurance enrollment 
        procedures in order to reduce burdens on consumers and 
        facilitate greater enrollment in health insurance coverage in 
        the individual and small group markets, including automatic 
        enrollment and reenrollment of, or pre-populated applications 
        for, individuals without health insurance who are eligible for 
        tax credits under section 36B of the Internal Revenue Code of 
        1986, with the ability to opt out of such enrollment.
            (2) State investment in technology to improve data sharing 
        and collection for the purposes of facilitating greater 
        enrollment in health insurance coverage in such markets.
            (3) Implementation of a State version of an individual 
        mandate to be enrolled in health insurance coverage.
            (4) Feasibility studies to develop comprehensive and 
        coherent State plan for increasing enrollment in the individual 
        and small group market.
    (d) Funding.--For purposes of carrying out this section, there is 
hereby appropriated, out of any funds in the Treasury not otherwise 
appropriated, $200,000,000 for each of the fiscal years 2023 through 
2025. Such amount shall remain available until expended.
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Health Care Enrollment Innovation Act
To direct the Secretary of Health and Human Services to award grants to eligible State agencies to promote State innovations to expand health insurance coverage.
Health Care Enrollment Innovation Act
Rep. Bera, Ami