Sending Office: Honorable Maxine Waters
Sent By:

Cosponsor the Affordable Care Act



Deadline for Original Cosponsors:  Thursday, January 11, 10:00 am.


Cosponsors as of 1/10/18:  Nanette Barragán, G. K. Butterfield, André Carson, Yvette D. Clarke, Steve Cohen, Danny K. Davis, Val Demings, Keith Ellison, Adriano Espaillat, John Garamendi, Raúl M. Grijalva, Alcee L. Hastings, Sheila
Jackson Lee, Robin L. Kelly, Barbara Lee, Michelle Lujan Grisham, Carolyn B. Maloney, James P. McGovern, Gregory Meeks, Eleanor Holmes Norton, Mark Pocan, Jamie Raskin, Lisa Blunt Rochester, Lucille Roybal-Allard, Jan Schakowsky, José E. Serrano, David Scott,
Nydia Velazquez, Bonnie Watson Coleman, Frederica S. Wilson.


Dear Colleague:


            I urge you to cosponsor the Affordable Care Act OUTREACH Act. This bill will require the Secretary of Health and Human Services to invest in outreach and promotional activities for the Affordable Care Act (ACA).


            The Trump Administration slashed funding for outreach and promotional activities for the ACA, jeopardizing enrollment for the 2017 open enrollment period.  Funding for promotional activities, which include advertising and outreach to inform consumers
about the availability of health coverage and financial assistance, was cut from more than $100 million during the 2016 open enrollment period to only $10 million in 2017.[1]  Furthermore, funding for the navigator
program, which provides grants to organizations that educate consumers and facilitate enrollment, was cut from $63 million in 2016 to about $36 million this year.[2]


            Outreach to consumers is essential for a stable health insurance marketplace.  Covered California’s extensive marketing and outreach program is a case in point.  According to a recent Covered California report, investments in marketing and outreach
attract a healthier risk pool, lower premiums, and encourage health insurance companies to participate in the market with more certainty and potential returns.[3] The report shows how marketing and outreach increased
enrollment among younger and healthier consumers, thereby reducing premiums by an estimated 6 to 8 percent in 2015 and 2016.  The lower premiums increased the likelihood of enrollment by healthier consumers, which further reduced premiums.  Covered California
estimated that every dollar invested in marketing yields a more than three-to-one return on investment.


            The Affordable Care Act Outreach for the Uninsured, Transformative Recruitment, and Enrollment Action for Compassionate Healthcare (ACA OUTREACH) Act would appropriate $300 million per year for ACA navigator grants and outreach
and promotional activities for the next four fiscal years.  Specifically, the bill would provide $100 million for navigator grants, $100 million for outreach and promotional activities by the federal government in states with a federally-facilitated health
insurance marketplace, and $100 million for grants to states with a state-based marketplace to enhance outreach activities.  The bill requires that outreach and promotional activities be carried out in a manner that will reach diverse constituencies, including
minority, rural, and underserved communities; people with disabilities; young adults; and individuals who are likely to be uninsured.


            The OUTREACH Act will help to expand coverage, lower premiums, and ensure a stable health insurance marketplace in states across the country.  If you have any questions or would like to cosponsor this bill, please contact Kathleen Sengstock of
my staff at



                                                                                    Maxine Waters

                                                                                    Member of Congress

Related Legislative Issues

Selected legislative information: Appropriations, HealthCare

icon eDC logo e-Dear Colleague version 2.0