Sec. 3. (a) Subject to subsections (b) and (c), "application organization" means an entity that:
(1) is a navigator described in Section 1311(i) of PPACA (42 U.S.C. 18031(i));
(2) assists individuals with application for and enrollment in a health benefit exchange or public health insurance program; or
(3) performs the functions of a navigator with respect to a health benefit exchange as established by the commissioner.
(b) In the commissioner's discretion, the term does not include an entity that does one (1) or more of the following:
(1) Provides assistance with application for and enrollment in Medicaid to individuals who, based on preliminary information obtained by the entity, may be eligible for Medicaid without respect to the individuals' income or assets.
(2) Provides individuals with general information concerning the application process for enrollment in a public health insurance program, but does not participate with the individuals in making application for the individuals' enrollment in a public health insurance program.
(c) The term does not include an entity that makes presumptive eligibility determinations concerning individuals' eligibility for enrollment in a public health insurance program.
As added by P.L.278-2013, SEC.27.
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