; and (II) at least one entity described in subparagraph (B), which may include another community and consumer-focused nonprofit group in addition to any such group awarded a grant pursuant to subclause (I). ; (2) in paragraph (3)— (A) in subparagraph (C), by inserting after qualified health plans the following: , State Medicaid plans under title XIX of the Social Security Act, and State Children’s Health Insurance Programs under title XXI of such Act ; and (B) by adding at the end the following flush left sentence: The duties specified in the preceding sentence may be carried out by such a navigator at any time during a year. ; (3) in paragraph (4)(A)— (A) in the matter preceding clause (i), by striking not ; (B) in clause (i)— (i) by inserting not before be ; and (ii) by striking ; or and inserting ; ; (C) in clause (ii)— (i) by inserting not before receive ; and (ii) by striking the period and inserting ; ; 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. ; and (4) in paragraph (6)— (A) by striking Funding.— Grants under and inserting Funding.— (A) State Exchanges Grants under