I 116th CONGRESS 2d Session H. R. 6135 IN THE HOUSE OF REPRESENTATIVES March 9, 2020 Ms. Schakowsky introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Patient Protection and Affordable Care Act to require Exchanges to establish network adequacy standards for qualified health plans.

1. Short title This Act may be cited as the No More Narrow Networks Act of 2020 . 2. Requiring Exchanges to establish network adequacy standards for qualified health plans (a) In general Section 1311(d) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(d) ) is amended by adding at the end the following new paragraph: (8) Network adequacy standards (A) Certain Exchanges In the case of an Exchange operated by the Secretary pursuant section 1321(c)(1) or an Exchange described in section 155.200(f) of title 42, Code of Federal Regulations (or a successor regulation), the Exchange shall require each qualified health plan offered through such Exchange to meet such quantitative network adequacy standards as the Secretary may prescribe for purposes of this subparagraph. (B) State Exchanges In the case of an Exchange not described in subparagraph (A), the Exchange shall establish quantitative network adequacy standards with respect to qualified health plans offered through such Exchange and require such plans to meet such standards. (C) Preemption Nothing in subparagraph (A) shall be construed to preempt any State law to the extent that such law provides for network adequacy standards applicable to a qualified health plan offered through an Exchange described in such subparagraph that are greater than such standards prescribed pursuant to such subparagraph. . (b) Effective date The amendment made by this section shall apply with respect to plan years beginning on or after January 1, 2021.