; and (D) by adding at the end the following new clause: (iii) maintain physical presence in the State of the Exchange so as to allow in-person assistance to consumers. . (b) Exchanges operated by the Secretary Section 1321(c) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18041(c) ) is amended by adding at the end the following new paragraph: (3) Navigator program and outreach and enrollment activities (A) Navigator program (i) In general In the case of an Exchange established or operated by the Secretary within a State pursuant to this subsection, the Secretary shall establish a program under which such Exchange awards grants, with respect to such State, to entities that would be described in paragraph (2) of section 1311(i) to carry out the duties that would be described in paragraph (3) of such section if the references in such section 1311(i) to this subsection and paragraph (1) were each instead a reference to paragraph (3)(A) of section 1321(c) . (ii) Application of State exchange navigator provisions For purposes of carrying out this subparagraph, the provisions of paragraphs (2) through (5) of section 1311(i) shall apply to the Secretary with respect to an Exchange described in clause (i) established or operated within a State and the program under this subparagraph, with respect to such State, in the same manner as such provisions apply to a State with respect to an Exchange described in section 1311(i) established by the State and the program established under such section. (iii) Funding For purposes of carrying out this subparagraph, 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 each of fiscal year 2019 and each subsequent fiscal year. Such amount for a fiscal year shall remain available until expended. (B) Outreach and educational activities (i) In general In the case of an Exchange established or