H.Amdt.242 - An amendment numbered 23 printed in House Report 116-61 to add a new subsection (b): Promote Transparency and Accountability in the Administration's Expenditures of Exchange User Fees, which requires HHS to submit an annual report to Congress that includes a detailed breakdown of the Department's spending on outreach and enrollment, navigators, maintenance of Healthcare.gov, and operation of the Healthcare.gov call centers.