,,ii  #aae? ,,congress  #a/ ,session    
,s4 #bjff  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #b1 #bjag ,mr4
 ,nelson 7= himself1 ,mrs4 ,gillibr&1 & 
,ms4 ,h>ris7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
provide h\s+ & ,m$icaid assi/ance to    
families affect$ by a major disa/]1 & = 
o!r purposes4  #a4 ,%ort title  ,?is    
,act may be cit$ z ! ,disa/]            
,displacem5t ,act ( #bjag4  #b4 ,h\s+   
assi/ance  7a7 ,def9itions ,9 ?is       
section-- 7#a7 ! t]m disa/] h\s+        
assi/ance program means a program t     
provides direct r5tal assi/ance & case  
managem5t s]vices to individuals &      
h\seholds displac$ f _! pre-disa/]      
prim>y resid5ces--  7,a7 pursuant to    
sections #djh7;b7 & #dbf ( ! ,rob]t ,t4 
,/af=d ,disa/] ,relief & ,em]g5cy       
,assi/ance ,act 7#db ,u4,s4,c4          
#eagd7;b71 #eahi;d72 &  7,b7 us+ !      
au?orities1 z may be necess>y1 "u-- 7i7 
section #ajb7;b77#b7 ( ! ,homel&        

,security ,act ( #bjjb 7#f ,u4,s4,c4    
#aab7;b77#b772  7ii7 section #cjf7;a7 ( 
! ,rob]t ,t4 ,/af=d ,disa/] ,relief &   
,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 
#eadi7;a772 &  7iii7 section #aece (    
title #ca1 ,unit$ ,/ates ,code2 &  7#b7 
! t]m public h\s+ ag5cy has ! mean+ giv5
 ! t]m 9 section #c7;b77#f7 ( ! ,unit$  
,/ates ,h\s+ ,act ( #aicg 7#db ,u4,s4,c4
 #adcg;a7b77#f774  7b7 ,h\s+ assi/ance  
foll[+ a major disa/] ,except z provid$ 
9 subsection 7c7-- 7#a7 ! ,secret>y (   
,h\s+ & ,urban ,developm5t %all provide 
fund+ =1 or make tempor>y adju/m5ts to1 
assi/ance provid$ "u section #h7o71     
#i7;d71 or #i7;e7 ( ! ,unit$ ,/ates     
,h\s+ ,act ( #aicg 7#db ,u4,s4,c4       
#adcg;f7o71 #adcg;g7d71 #adcg7;e77 ^u   
reque/ by a public h\s+ ag5cy & support$
 by docum5tation1 z requir$ by !        
,secret>y ( ,h\s+ & ,urban ,developm5t1 
t demon/rates a ne$ = ! additional fund+
 or adju/m5t z a consequ5ce ( a major   
disa/] decl>$ by ! ,presid5t "u section 
#dja ( ! ,rob]t ,t4 ,/af=d ,disa/]      

,relief & ,em]g5cy ,assi/ance ,act 7#db 
,u4,s4,c4 #eagj72 &  7#b7 ! ,secret>y ( 
,agriculture %all provide fund+ =1 or   
make tempor>y adju/m5ts to1 assi/ance   
provid$ "u section #ejd1 #eae1 #eba1 or 
#edb ( ! ,h\s+ ,act ( #aidi 7#db        
,u4,s4,c4 #adgd1 #adhe1 #adij;a1 #adijr7
 ^u reque/ by a ,/ate or a political    
subdivision ( a ,/ate & support$ by     
docum5tation1 z requir$ by ! ,secret>y (
 ,agriculture1 t demon/rates a ne$ = !  
additional fund+ or adju/m5t z a        
consequ5ce ( a major disa/] decl>$ by ! 
,presid5t "u section #dja ( ! ,rob]t ,t4
 ,/af=d ,disa/] ,relief & ,em]g5cy      
,assi/ance ,act 7#db ,u4,s4,c4 #eagj74  
7c7 ,exception ,) respect to a reque/   
made "u p>agraph 7#a7 or p>agraph 7#b7 (
 subsection 7b71 no additional fund+ or 
tempor>y adju/m5t %all be provid$ or    
made "u su* subsection if a disa/] h\s+ 
assi/ance program is e/abli%$ to address
 ! ne$ = ! additional fund+ or tempor>y 
adju/m5t id5tifi$ 9 ! reque/ n lat] ?an 
#g days aft] ! date on :i* ! reque/ is  

made4  7d7 ,au?orization (              
appropriations ,!re are appropriat$1 out
 ( am\nts 9 ! ,treasury n o!rwise       
obligat$1 su* sums z are necess>y to    
c>ry out ?is section4  #c4  ,disa/]     
,relief ,m$icaid = ,hurricane ,m>ia     
,survivors  7a7  ,au?ority ,to provide  
disa/] relief m$icaid  ,not)/&+ any     
provision ( title ,,xix ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif et  
seq471 a ,/ate %all1 z a condition (    
p>ticipation 9 ! ,m$icaid program       
e/abli%$ "u su* title1 provide m$ical   
assi/ance to ,,drm-eligible ,m>ia       
,survivors 7z def9$ 9 subsection 7b77 "u
 a ,/ate ,m$icaid plan dur+ ! ,,drm     
cov]age p]iod 9 accordance ) ! foll[+   
provisions ( ?is section & )\t submitt+ 
an am5dm5t to ! ,/ate ,m$icaid plan4    
,su* assi/ance %all be ref]r$ to z ,,drm
 assi/ance4  7b7  ,,drm-,eligible ,m>ia 
survivor def9$  7#a7  ,9 g5]al  ,9 ?is  
section1 ! t]m ,,drm-eligible ,m>ia     
,survivor means a ,m>ia ,survivor ^:    
family income 7z det]m9$ "u section     

#aijb7;e77#ad7 7relat+ to modifi$ adju/$
 gross income71 subject to p>agraphs    
7#b7 & 7#c7 ( ?is subsection7 does n    
exce$ ! high] (--  7,a7 ! income        
eligibility /&>d :i* w\ld apply to !    
,survivor "u ! ,m$icaid plan ( ! ,/ate 9
 :i* ! ,survivor _h a prim>y resid5ce 9 
a direct impact area on any day dur+ !  
week prec$+ ,septemb] #ag1 #bjag2 or    
7,b7 ! income eligibility /&>d t applies
 to ! ,survivor "u ! ,m$icaid plan ( !  
,/ate 9 :i* ! ,survivor tempor>ily is   
resid+4  7#b7  ,no res\rces1 resid5cy1  
or categorical eligibility requirem5ts  
,eligibility "u p>agraph 7#a7 %all be   
det]m9$ )\t application ( any res\rces  
te/1 ,/ate resid5cy1 or categorical     
eligibility requirem5ts4  7#c7 ,disreg>d
 ( ui b5efits ,9 det]m9+ ! family income
 ( a ,m>ia ,survivor1 ! ,/ate %all      
disreg>d any am\nt receiv$ "u a law ( ! 
,unit$ ,/ates or ( a ,/ate :i* is 9 !   
nature ( unemploym5t comp5sation by a   
,m>ia ,survivor dur+ ! ,,drm cov]age    
p]iod4  7#d7  ,def9ition ( *ild  ,=     

purposes ( p>agraph 7#a71 a             
,,drm-eligible ,m>ia ,survivor %all be  
det]m9$ to be a *ild 9 accordance ) !   
def9ition ( *ild "u ! ,/ate ,m$icaid    
plan4  7c7 ,eligibility det]m9ation2 no 
cont9uation ( ,,drm assi/ance  7#a7     
,/reaml9$ eligibility process ,! ,/ate  
%all use ! foll[+ /reaml9$ proc$ures 9  
process+ applications & det]m9+         
eligibility = ,,drm assi/ance =         
,,drm-eligible ,m>ia ,survivors3  7,a7  
,a common #a-page application =m        
develop$ by ! ,secret>y 9 consultation )
 ! ,national ,association ( ,/ate       
,m$icaid ,directors4 ,su* =m %all--  7i7
 require an applicant to provide an     
expect$ address = ! duration ( ! ,,drm  
cov]age p]iod & to agree to update t    
in=mation if x *anges dur+ su* p]iod2   
7ii7 include notice reg>d+ ! p5alties = 
mak+ a fraudul5t application2  7iii7    
require ! applicant to assign to ! ,/ate
 any rights ( ! applicant 7or any o!r   
p]son :o is a ,,drm-eligible ,m>ia      
,survivor & on ^: behalf ! applicant has

 ! legal au?ority to execute an         
assignm5t ( su* rights7 "u any gr\p     
heal? plan or o!r ?ird-p>ty cov]age =   
heal? c>e2 &  7iv7 require ! applicant  
to li/ any heal? insurance cov]age :i* !
 applicant 0 enroll$ 9 imm$iately prior 
to submitt+ su* application4  7,b7      
,self-atte/ation by ! applicant t !     
applicant-- 7i7 is a ,,drm-eligible     
,m>ia ,survivor2 &  7ii7 if applicable1 
requires home & community-bas$ s]vices  
provid$ "u su* ,,drm assi/ance4  7,c7   
,no requirem5t = docum5tation evid5c+ ! 
basis on :i* ! applicant qualifies to be
 a ,,drm-eligible ,m>ia ,survivor or1 if
 applicable1 requires home &            
community-bas$ s]vices4  7,d7 ,issuance 
( a ,,drm assi/ance eligibility c>d to  
an applicant :o completes su*           
application1 includ+ ! self-atte/ation  
requir$ "u subp>agraph 7,b74 ,su* c>d   
%all be valid z long z ! ,,drm cov]age  
p]iod is 9 effect & %all be accompani$  
by notice ( ! t]m9ation date = ! ,,drm  
cov]age p]iod &1 if applicable1 notice t

 su* t]m9ation date may be ext5d$4 ,if !
 ,secret>y ext5ds ! ,,drm cov]age p]iod1
 ! ,/ate %all notify ,,drm-eligible     
,m>ia ,survivors enroll$ 9 ,,drm        
assi/ance ( ! new t]m9ation date = !    
,,drm cov]age p]iod4  7,e7 ,if an       
applicant completes ! application &     
pres5ts x to a provid] or facility      
p>ticipat+ 9 ! ,/ate ,m$icaid plan t is 
qualifi$ to make presumptive eligibility
 det]m9ations "u su* plan 7:i* at a     
m9imum %all consi/ ( facilities id5tifi$
 9 section #aijb7;a77#ee7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#ee777 & x appe>s to !       
provid] t ! applicant is a              
,,drm-eligible ,m>ia ,survivor bas$ on !
 in=mation 9 ! application1 ! applicant 
w be deem$ to be a ,,drm-eligible ,m>ia 
,survivor eligible = ,,drm assi/ance 9  
accordance ) ?is section4  7,f7         
,cont9u\s eligibility1 )\t ! ne$ = any  
r$et]m9ation ( eligibility1 = ! duration
 ( ! ,,drm cov]age p]iod4  7#b7  ,no    
cont9uation ( ,,drm assi/ance  7,a7  ,9 

g5]al  ,except z provid$ 9 subp>agraphs 
7,b7 & 7,c71 no ,,drm assi/ance %all be 
provid$ aft] ! end ( ! ,,drm cov]age    
p]iod4  7,b7  ,presumptive eligibility  
,9 ! case ( any ,,drm-eligible ,m>ia    
,survivor :o is receiv+ ,,drm assi/ance 
f a ,/ate 9 accordance ) ?is section &  
:o1 z ( ! end ( ! ,,drm cov]age p]iod1  
has an application p5d+ = m$ical        
assi/ance "u ! ,/ate ,m$icaid plan =    
p]iods beg9n+ aft] ! end ( su* p]iod1 ! 
,/ate %all provide su* ,survivor ) a    
p]iod ( presumptive eligibility = m$ical
 assi/ance "u ! ,/ate ,m$icaid plan 7n  
to exce$ #fj days7 until a det]m9ation )
 respect to ! ,survivor's application   
has be5 made4  7,c7  ,pregnant wom5  ,9 
! case ( a ,,drm-eligible ,m>ia         
,survivor :o is receiv+ ,,drm assi/ance 
f a ,/ate 9 accordance ) ?is section &  
^: pregnancy end$ dur+ ! #fj-;day p]iod 
prior to ! end ( ! ,,drm cov]age p]iod1 
or :o is pregnant z ( ! end ( su* p]iod1
 su* ,survivor %all cont9ue to be       
eligible = ,,drm assi/ance aft] ! end ( 

! ,,drm cov]age p]iod1 includ+ 7b n     
limit$ to7 = all pregnancy-relat$ &     
po/p>tum m$ical assi/ance available "u !
 ,/ate ,m$icaid plan1 ?r\gh ! end ( !   
mon? 9 :i* ! #fj-;day p]iod 7beg9n+ on !
 la/ day ( h] pregnancy7 ends4  7#c7    
,treatm5t ( ,m>ia survivors provid$     
assi/ance prior to date ( enactm5t  ,any
 ,m>ia ,survivor :o is provid$ m$ical   
assi/ance "u a ,/ate ,m$icaid plan 9    
accordance ) guidance f ! ,secret>y dur+
 ! p]iod t beg9s on ,septemb] #ag1      
#bjag1 & ends on ! date ( enactm5t ( ?is
 ,act %all be treat$ z a ,,drm-eligible 
,m>ia ,survivor1 )\t ! ne$ to file an   
additional application1 = purposes (    
eligibility = ,,drm assi/ance "u ?is    
section4  7d7  ,scope ( cov]age  7#a7 ,9
 g5]al ,! ,/ate %all treat a            
,,drm-eligible ,m>ia ,survivor z an     
individual eligible = m$ical assi/ance  
"u ! ,/ate ,m$icaid plan on ! same basis
 = eligibility "u ! ,/ate ,m$icaid plan 
z w\ld apply to ! ,survivor if !        
,survivor 7 a p]man5t resid5t ( ! ,/ate 

9 :i* ! ,survivor tempor>ily is resid+4 
,cov]age = su* assi/ance %all be        
retroactive to items & s]vices furni%$  
on or aft] ,septemb] #ag1 #bjag4  7#b7  
,*ildr5 born to pregnant wom5  ,9 ! case
 ( a *ild born to a ,,drm-eligible ,m>ia
 ,survivor :o is provid$ ,,drm assi/ance
 dur+ ! ,,drm cov]age p]iod1 su* *ild   
%all be treat$ z hav+ be5 born to a     
pregnant woman eligible = m$ical        
assi/ance "u ! ,/ate ,m$icaid plan &    
%all be eligible = m$ical assi/ance "u  
su* plan 9 accordance ) section         
#aijb7;e77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif;a7e77#d774 ,!     
,f$]al m$ical assi/ance p]c5tage        
applicable to ! ,/ate ,m$icaid plan %all
 apply to m$ical assi/ance provid$ to a 
*ild "u su* plan 9 accordance ) ! prec$+
 s5t5ce4  7e7  #ajj-,p]c5t ,f$]al mat*+ 
paym5ts  7#a7  ,9 g5]al  ,not)/&+       
section #aije7;b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7b771 !      
,f$]al m$ical assi/ance p]c5tage or !   
,f$]al mat*+ rate o!rwise appli$ "u     

section #aijc7;a7 ( su* ,act 7#db       
,u4,s4,c4 #acif;b7a77 %all be #ajj p]c5t
 =--  7,a7 provid+ ,,drm assi/ance to   
,,drm-eligible ,m>ia ,survivors dur+ !  
,,drm cov]age p]iod 9 accordance ) ?is  
section2  7,b7 co/s directly            
attributable to adm9i/rative activities 
relat$ to ! provision ( su* ,,drm       
assi/ance2 &  7,c7 ,,drm assi/ance      
provid$ 9 accordance ) subp>agraph 7,b7 
or 7,c7 ( subsection 7c77#b7 aft] ! end 
( ! ,,drm cov]age p]iod4  7#b7 ,disreg>d
 ( paym5ts ,paym5ts provid$ to a ,/ate 9
 accordance ) ?is subsection %all be    
disreg>d$ = purposes ( apply+           
subsections 7f7 & 7g7 ( section #aajh ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acjh74  7#c7 ,ma9t5ance ( ef=t ,a ,/ate
 t receives paym5ts 9 accordance ) ?is  
subsection %all provide assurances to ! 
,secret>y t ! funds provid$ "u ?is      
subsection w be us$ to supplem5t & n    
supplant o!r ,f$]al & ,/ate funds us$ to
 provide m$ical assi/ance "u ! ,/ate    
,m$icaid plan4  7f7  ,v]ification (     

/atus z a ,m>ia survivor  7#a7 ,9 g5]al 
,a ,/ate %all make a good fai? ef=t to  
v]ify ! /atus ( an individual :o is     
enroll$ 9 ! ,/ate ,m$icaid plan z a     
,,drm-eligible ,m>ia ,survivor "u !     
provisions ( ?is section4 ,su* ef=t %all
 n delay ! det]m9ation ( ! eligibility (
 ! ,survivor = ,,drm assi/ance "u ?is   
section4  7#b7  ,evid5ce ( v]ification  
,a ,/ate may satisfy ! v]ification      
requirem5t "u subp>agraph 7,a7 ) respect
 to an individual by %[+ t ! ,/ate      
provid+ ,,drm assi/ance obta9$ in=mation
 f ! ,social ,security ,adm9i/ration1 ! 
,int]nal ,rev5ue ,s]vice1 or ! ,/ate    
,m$icaid ,ag5cy = ! ,/ate f :i* !       
individual is f 7if ! individual 0 n a  
resid5t ( su* ,/ate on any day dur+ !   
week prec$+ ,septemb] #ag1 #bjag74  7g7 
,exemption f error rate p5alties  ,all  
paym5ts attributable to provid+ ,,drm   
assi/ance 9 accordance ) ?is section    
%all be disreg>d$ = purposes ( section  
#aijc7u7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;b7u774  7h7  ,provid]  

paym5t rates  ,9 ! case ( any ,,drm     
assi/ance provid$ 9 accordance ) ?is    
section to a ,,drm-eligible ,m>ia       
,survivor t is cov]$ "u ! ,/ate ,m$icaid
 plan 7z appli$ )\t reg>d to ?is        
section7 ! ,/ate %all pay a provid] (   
su* assi/ance ! same paym5t rate z !    
,/ate w\ld o!rwise pay = ! assi/ance if 
! assi/ance 7 provid$ "u ! ,/ate        
,m$icaid plan 7or1 if no su* paym5t rate
 applies "u ! ,/ate ,m$icaid plan1 !    
usual & cu/om>y prevail+ rate = ! item  
or s]vice = ! community 9 :i* x is      
provid$74  7i7  ,application to         
individuals eligible = m$ical assi/ance 
,no?+ 9 ?is section %all be con/ru$ z   
affect+ any rights accord$ to an        
individual :o is a recipi5t ( m$ical    
assi/ance "u a ,/ate ,m$icaid plan :o is
 det]m9$ to be a ,,drm-eligible ,m>ia   
,survivor b ! provision ( ,,drm         
assi/ance to su* individual %all be     
limit$ to ! provision ( su* assi/ance 9 
accordance ) ?is section4  7j7          
,def9itions ,9 ?is section3 7#a7 ,direct

 impact area ,! t]m direct impact area  
means an area = :i* a major disa/] has  
be5 decl>$ by ! ,presid5t be=e ,octob]  
#a1 #bjag1 "u ! ,rob]t ,t4 ,/af=d       
,disa/] ,relief & ,em]g5cy ,assi/ance   
,act by reason ( ,hurricane ,m>ia & :i* 
! ,presid5t has det]m9$ w>rants         
individual & public assi/ance f ! ,f$]al
 ,gov]nm5t "u su* ,act by reason (      
,hurricane ,m>ia4  7#b7  ,,drm cov]age  
p]iod  7,a7  ,9 g5]al  ,! t]m ,,drm     
cov]age p]iod means ! p]iod beg9n+ on   
,septemb] #ag1 #bjag1 &1 subject to     
subp>agraph 7,b71 end+ on su* date z is 
det]m9$ by ! ,secret>y1 9 consultation )
 ! ,adm9i/rator ( ! ,f$]al ,em]g5cy     
,managem5t ,ag5cy1 b n e>li] ?an #bd    
mon?s aft] ! date ( enactm5t ( ?is ,act4
  7,b7  ,secret>y au?ority to ext5d     
,,drm cov]age p]iod  ,! ,secret>y may   
ext5d ! ,,drm cov]age p]iod = an        
additional #f mon?s4 ,any ref]5ce to !  
t]m ,,drm cov]age p]iod 9 ?is section   
%all include any ext5sion "u ?is        
subp>agraph4  7#c7  ,m>ia survivor  7,a7

  ,9 g5]al  ,! t]m ,m>ia ,survivor means
 an individual :o is describ$ 9         
subp>agraph 7,b7 or 7,c74  7,b7         
,resid5ts ( direct impact areas ,an     
individual :o1 on any day dur+ ! week   
prec$+ ,septemb] #ag1 #bjag1 _h a prim>y
 resid5ce 9 a direct impact area4  7,c7 
,treatm5t ( curr5t m$icaid b5efici>ies  
,no?+ 9 ?is section %all be con/ru$ z   
prev5t+ an individual :o is o!rwise     
entitl$ to m$ical assi/ance "u a ,/ate  
,m$icaid plan f be+ treat$ z a ,m>ia    
,survivor "u ?is section4  7,d7         
,treatm5t ( homeless p]sons  ,= purposes
 ( ?is section1 9 ! case ( an individual
 :o 0 homeless on any day dur+ ! week   
describ$ 9 subp>agraph 7,b71 !          
individual's resid5ce %all be deem$ to  
be ! place ( resid5ce z o!rwise det]m9$ 
= su* an individual "u title ,,xix ( !  
,social ,security ,act4  7#d7 ,m$icaid  
plan ,! t]m ,m$icaid plan means ! plan =
 m$ical assi/ance e/abli%$ by a ,/ate "u
 title ,,xix ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif et seq47 & includes

 any waiv] ( su* plan t is 9 effect 9 ! 
,/ate dur+ ! ,,drm cov]age p]iod4  7#e7 
,secret>y  ,! t]m ,secret>y means !     
,secret>y ( ,heal? & ,human ,s]vices4   
7#f7 ,/ate ,! t]m ,/ate has ! mean+ giv5
 t t]m = purposes ( title ,,xix ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474