,i #aafth ,,congress #ast ,session ,h4 ,r4 #cbae ,,in ,,the ,,house ,,of ,,representatives ,june #aa1 #bjai,ms4 ,shalala 7for herself1 ,mr4 ,langevin1 ,ms4 ,norton1 and ,miss ,gonzlez-,coln of ,puerto ,rico7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to provide ,medicaid assistance to individuals and families affected by a disaster or emergency1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,disaster ,relief ,medicaid ,act4 #b4 ,medicaid relief for disaster survivors ,title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is amended-- 7#a7 in section #aijb7;a7-- 7,a7 in paragraph 7#he71 by striking 2 and and inserting a semicolon2 7,b7 in paragraph 7#hf71 by striking the period at the end and inserting 2 and2 and 7,c7 by inserting after paragraph 7#hf7 the following new paragraph3 7#hg7 beginning ,january #a1 #bjbj1 provide for making medical assistance available to relief-eligible survivors of disasters during relief coverage periods in accordance with section #aidg4 2 and 7#b7 by adding at the end the following new section3 #aidg4 ,disaster relief ,medicaid for survivors of major disasters 7a7 ,in general ,notwithstanding any other provision of this title1 a ,state plan shall provide medical assistance to a relief-eligible survivor of a disaster in accordance with this section4 7b7 ,definitions ,in this section3 7#a7 ,disaster ,the term disaster means a major disaster-- 7,a7 that is declared on or after ,january #a1 #bjbj1 by the ,president in accordance with section #dja of the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act 7#db ,u4,s4,c4 #eagj72 and 7,b7 which the ,president has determined warrants individual and public assistance from the ,federal ,government under such ,act4 7#b7 ,direct impact area 7,a7 ,in general ,the term direct impact area means1 with respect to a disaster1 the geographic area in which the disaster exists4 7,b7 ,website posting of direct impact areas ,as soon as practicable after a disaster is declared 7as described in paragraph 7#a77;,a771 the ,secretary shall post on the website of the ,centers for ,medicare ,medicaid ,services a list of the areas identified as the direct impact areas of the disaster4 7#c7 ,home ,state ,the term home ,state means1 with respect to a survivor of a disaster1 the ,state in which the survivor was a resident during the #g-;day period preceding the date on which the disaster is declared 7as described in paragraph 7#a77;,a774 7#d7 ,relief coverage period ,the term relief coverage period means1 with respect to a disaster1 the period that begins on the date the disaster is declared 7as described in paragraph 7#a77;,a77 and ends on the day that is #b years after such date4 7#e7 ,relief-eligible survivor 7,a7 ,in general ,the term relief-eligible survivor means an individual who is a survivor of a disaster whose family income does not exceed the higher of-- 7i7 #acc percent 7or1 in the case of a survivor who is a pregnant woman1 a child1 or a recipient of benefits under title ,,ii on the basis of a disability1 #bjj percent7 of the poverty line2 or 7ii7 the income eligibility standard that would otherwise apply to the survivor under the ,state plan or waiver of the survivor's host ,state4 7,b7 ,disregard of unemployment income ,for purposes of this section1 and notwithstanding section #aijb7;e77#ad77;,b71 the income of a survivor of a disaster shall not include any amount received during the relief coverage period of the disaster under a law of the ,united ,states or a ,state which is in the nature of unemployment compensation4 7#f7 ,survivor 7,a7 ,in general ,the term survivor means1 with respect to a disaster1 an individual who is described in subparagraph 7,b7 or 7,c74 7,b7 ,residents and evacuees of direct impact areas ,an individual described in this subparagraph is an individual who1 on any day during the #g-;day period preceding the date on which a disaster is declared 7as described in paragraph 7#a77;,a771 has a primary residence in the disaster's direct impact area4 7,c7 ,individuals who lost employment ,an individual described in this subparagraph is an individual-- 7i7 whose worksite1 on any day during the #g-;day period preceding the date on which a disaster is declared 7as so described71 was located in the disaster's direct impact area2 7ii7 who was employed by an employer that-- 7,i7 conducted an active trade or business in such area on any day during such #g-;day period2 and 7,,ii7 was unable to operate such trade or business as a result of the disaster on any day during the disaster's relief coverage period2 and 7iii7 whose employment with such employer was terminated4 7,d7 ,treatment of homeless persons ,for purposes of subparagraph 7,b71 in the case of an individual who was homeless on any day during the #g-;day period preceding the date on which a disaster is declared 7as so described71 the individual's residence during such period shall be determined as it would otherwise be determined for purposes of this title4 7,e7 ,effect of concurrent eligibility for ,medicaid ,an individual's eligibility for medical assistance under a ,state plan 7or waiver of such plan7 on a basis other than under this section shall not prevent the individual from being treated as a survivor under this section1 and the rights afforded to an individual who is eligible for or enrolled under a ,state plan 7or waiver7 shall not be affected by the individual's receipt of medical assistance as a relief-eligible survivor of a disaster in accordance with this section4 7c7 ,eligibility 7#a7 ,simplified application 7,a7 ,in general ,for purposes of determining eligibility for medical assistance under this section1 each ,state shall use a simplified1 #a-page application form 7as developed by the ,secretary in consultation with the ,national ,association of ,state ,medicaid ,directors71 which shall-- 7i7 require an applicant for medical assistance in accordance with this section as a survivor of a disaster to-- 7,i7 provide the applicant's expected address for the duration of the relief coverage period of the disaster2 and 7,,ii7 agree to update the information described in subclause 7,i7 if it changes during such period2 7ii7 provide notice of the penalties for making a fraudulent application described in subsection 7h72 7iii7 require the applicant to assign to the ,state any rights of the applicant 7or any other individual who is a relief-eligible survivor and on whose behalf the applicant has the legal authority to execute an assignment of such rights7 in accordance with the requirements of section #aiab2 7iv7 require the applicant to list any health insurance coverage in which the applicant was enrolled immediately prior to submitting the application for medical assistance under this section2 and 7v7 require the applicant to self-attest that the applicant-- 7,i7 is a relief-eligible survivor of the disaster2 and 7,,ii7 if applicable1 requires home and community-based services4 7,b7 ,no documentation requirement ,a ,state shall not require an applicant for medical assistance as a survivor of a disaster under this section to provide any documentation or other evidence-- 7i7 of the applicant's status as a relief-eligible survivor2 and 7ii7 if applicable1 that the applicant requires home and community-based services4 7,c7 ,presumptive eligibility ,if an applicant submits a completed application to a provider or facility described in section #aijb7;a77#ee7 7or any other provider or facility participating in the ,state plan or under a waiver of such plan that is qualified to make presumptive eligibility determinations under such plan or waiver7 and it appears to the provider or facility that the applicant is a relief-eligible survivor of a disaster who is eligible for medical assistance under the plan based on the information in the application1 the applicant will be deemed to be a relief-eligible survivor for medical assistance under such plan in accordance with this section4 7,d7 ,continuous eligibility ,an applicant who is determined to be a relief-eligible survivor of a disaster shall be eligible for medical assistance under this section1 without the need for any redetermination of eligibility1 for the duration of the relief coverage period of the disaster4 7,e7 ,timely processing of applications ,each ,state shall establish such processes as are necessary to ensure that applications for medical assistance under this section are processed in a timely manner4 7#b7 ,issuance of disaster relief ,medicaid eligibility card ,a ,state shall issue a disaster relief ,medicaid eligibility card to each applicant who is determined to be a relief-eligible survivor of a disaster and eligible for medical assistance under this section1 which shall be valid for the duration of the relief coverage period of the disaster4 7#c7 ,verification of status as a relief-eligible survivor 7,a7 ,in general ,the ,state shall make a good faith effort to verify the status of an individual who is enrolled in the ,state plan as a relief-eligible survivor of a disaster in accordance with this section4 ,such effort shall not delay the determination of the eligibility of the individual for medical assistance under this section4 7,b7 ,evidence of verification ,a ,state may satisfy the verification requirement under subparagraph 7,a7 with respect to an individual by showing that the ,state obtained information from the ,social ,security ,administration1 the ,internal ,revenue ,service1 or1 if applicable1 the ,state ,medicaid agency of the home ,state of the individual4 7#d7 ,determination by ,express ,lane agency ,any determination or redetermination of eligibility or verification of status made under this section shall be made by an ,express ,lane agency 7as defined in section #aijb7;e77#ac77;,f774 7d7 ,termination of eligibility 7#a7 ,in general ,except as provided in paragraph 7#d71 no medical assistance shall be provided under this section to a relief-eligible survivor of a disaster after the end of the relief coverage period of the disaster4 7#b7 ,notice of termination of eligibility2 assistance in applying for regular ,medicaid 7,a7 ,in general ,no later than #b months before the end of a relief coverage period of a disaster1 a ,state shall provide each relief-eligible survivor of the disaster who is receiving medical assistance under the ,state plan in accordance with this section with written notice that includes-- 7i7 the date after which1 subject to the exception described in paragraph 7#d71 the survivor will no longer be eligible for such assistance2 7ii7 information regarding eligibility 7other than under this section7 for medical assistance under the ,state plan 7or waiver of such plan72 and 7iii7 an application for such assistance and information regarding how to submit a completed application and how to obtain assistance with completing such application4 7,b7 ,assistance in applying for ,medicaid ,before the end of the relief coverage period of a disaster1 the ,state shall-- 7i7 provide any relief-eligible survivor of the disaster who is receiving medical assistance under the ,state plan assistance with applying for medical assistance under the ,state plan 7or waiver 7 for periods beginning after the end of such relief coverage period2 and 7ii7 ensure that such assistance is easily accessible to such survivors4 7#c7 ,presumptive eligibility period for pending applications ,in the case of a relief-eligible survivor of a disaster who1 on the date that the relief coverage period of the disaster ends1 has an application pending for medical assistance under the ,state plan 7or waiver of such plan7 for periods beginning after such relief coverage period1 such survivor shall be deemed to be eligible for medical assistance under such plan or waiver for #fj days after such date4 ,medical assistance provided to such an individual during such #fj-;day period shall not be treated as medical assistance provided under this section and the ,federal medical assistance percentage described in subsection 7f7 shall not apply to amounts expended on such assistance4 7#d7 ,pregnant women ,in the case of a relief-eligible survivor of a disaster who1 while pregnant1 receives medical assistance under the ,state plan in accordance with this section1 such survivor shall continue to be eligible for such assistance through the end of the month in which the #fj-;day period 7beginning on the last day of her pregnancy7 ends1 without regard to whether the pregnancy ends before or after the end of the relief coverage period of the disaster and without requiring the survivor to reapply for such assistance4 7e7 ,scope of coverage 7#a7 ,in general ,a ,state providing medical assistance to a relief-eligible survivor of a disaster in accordance with this section shall provide medical assistance that is equal in amount and scope to the medical assistance that would otherwise be made available to such survivor if the survivor were enrolled in the ,state plan 7or waiver of such plan7 as an individual described in clause 7i7 of section #aijb7;a77#aj77;,a71 except that1 in the case of such a survivor whose home ,state is not the ,state providing medical assistance to the individual1 the ,state shall also provide medical assistance for any item or service for which medical assistance is available to individuals described in clause 7i7 of section #aijb7;a77#aj77;,a7 under the ,state plan 7or waiver7 of the survivor's home ,state4 7#b7 ,provider payment rates for home ,state services ,in the case of medical assistance provided by a ,state to a relief-eligible survivor of a disaster in accordance with this section for an item or service which is not available under the ,state plan 7or waiver of such plan7 but which is available under the ,state plan 7or waiver7 of the survivor's home ,state1 the ,state shall pay the provider of such item or service at the same rate that the home ,state would pay for the item or service if it were provided under the plan or waiver of the home ,state 7or1 if no such payment rate applies under the plan or waiver of the home ,state1 the usual and customary prevailing rate for the item or service for the community in which it is provided74 7#c7 ,retroactive coverage 7,a7 ,in general ,notwithstanding section #aije7;a71 a ,state shall provide medical assistance for items and services furnished in the ,state beginning with the first day of the relief coverage period of a disaster to any relief-eligible survivor of the disaster who submits an application for such assistance before the deadline described in subparagraph 7,b74 7,b7 ,application deadline ,the deadline for a relief-eligible survivor of a disaster to submit an application for medical assistance in accordance with this section is the date that is #ij days after the end of the disaster's relief coverage period4 7#d7 ,children born to pregnant women ,in the case of a child born to a relief-eligible survivor of a disaster who is provided medical assistance in accordance with this section during the relief coverage period of the disaster1 the child shall be treated as having been born to a pregnant woman eligible for medical assistance under the ,state plan 7or waiver of such plan7 and shall be eligible for medical assistance under such plan 7or waiver7 in accordance with section #aijb7;e77#d74 ,notwithstanding subsection 7g71 the ,federal medical assistance percentage determined for a ,state and fiscal year under section #aije7;b7 shall apply to medical assistance provided during the year to a child under the ,state plan 7or waiver7 in accordance with the preceding sentence4 7#e7 ,option to provide extended mental health and care coordination benefits ,a ,state may provide1 without regard to any restrictions on amount1 duration1 scope1 or comparability1 or other restrictions under this title or the ,state plan or waiver of such plan 7other than restrictions applicable to services provided in an institution for mental diseases71 medical assistance to relief-eligible survivors of a disaster under this section for extended mental health and care coordination services1 which may include the following3 7,a7 ,screening1 assessment1 and diagnostic services 7including specialized assessments for individuals with cognitive impairments74 7,b7 ,coverage for a full range of mental health medications at the dosages and frequencies prescribed by health professionals for depression1 post-traumatic stress disorder1 and other mental disorders4 7,c7 ,treatment of alcohol and substance abuse determined to result from circumstances related to the disaster4 7,d7 ,psychotherapy1 rehabilitation and other treatments administered by psychiatrists1 psychologists1 or social workers for conditions exacerbated by1 or resulting from1 the disaster4 7,e7 ,in-patient mental health care4 7,f7 ,family counseling for families where a member of the immediate family is a survivor of the disaster or first responder to the disaster or includes an individual who has died as a result of the disaster4 7,g7 ,in connection with the provision of health and long-term care services1 arranging for1 7and when necessary1 enrollment in waiver programs or other specialized programs71 and coordination related to1 primary and specialty medical care1 which may include personal care services1 durable medical equipment and supplies1 assistive technology1 and transportation4 7#f7 ,option to provide home and community-based services 7,a7 ,in general ,a ,state may provide medical assistance under this section for home and community-based services to a relief-eligible survivor of a disaster1 including any survivor who is an individual described in subparagraph 7,b71 who self-attests that the survivor immediately requires such services1 without regard to whether the survivor would require the level of care provided in a hospital1 nursing facility1 or intermediate care facility for the developmentally disabled4 7,b7 ,individuals described ,individuals described in this subparagraph are relief-eligible survivors of a disaster who-- 7i7 on any day during the week preceding the date on which the disaster is declared 7as described in subsection 7b77#a77;,a77-- 7,i7 had been receiving home and community-based services in a direct impact area under a waiver under section #aaae or section #aiae2 7,,ii7 had been receiving support services from a primary family caregiver who1 as a result of the disaster1 is no longer available to provide services2 or 7,,iii7 had been receiving personal care1 home health1 or rehabilitative services under a ,state plan under this title or under a waiver granted under sections #aaae or #aiae2 or 7ii7 are disabled 7as determined under the ,state plan74 7,c7 ,waiver of restrictions ,with respect to the provision of home and community-based services under this paragraph1 the ,secretary-- 7i7 shall waive any limitations on-- 7,i7 the number of individuals who may receive home or community-based services under a waiver described in subparagraph 7,b77i77,i72 7,,ii7 budget neutrality requirements applicable to such waiver2 and 7,,iii7 populations eligible for services under such waiver2 and 7ii7 may waive any other restriction applicable under such a waiver that would prevent a ,state from providing home and community-based services in accordance with this paragraph4 7f7 ,state reports ,each ,state shall submit to the ,secretary an annual report that includes-- 7#a7 information on how the ,state is satisfying the requirements of subsection 7d77#b7 7relating to providing notice of termination of medical assistance under this section and assistance in applying for medical assistance other than under this section72 7#b7 the number of survivors of a disaster who were determined by the ,state to be relief-eligible survivors of a disaster in the preceding year2 and 7#c7 the number of relief-eligible survivors of a disaster who were determined to be eligible for1 and enrolled in1 the ,state plan 7or waiver of such plan7 or the ,state child health plan under title ,,xxi 7or waiver of such plan7 other than under this section4 7g7 #ajj percent ,federal matching payments 7#a7 ,in general ,notwithstanding section #aije7;b71 the ,federal medical assistance percentage shall be equal to #ajj percent with respect to amounts expended by a ,state-- 7,a7 for medical assistance provided in accordance with this section to relief-eligible survivors of a disaster during the relief coverage period of the disaster2 7,b7 that are directly attributable to administrative activities related to the provision of medical assistance under this section1 including costs attributable to obtaining recoveries under subsection 7h72 7,c7 that are directly attributable to providing application assistance in accordance with subsection 7d77#b77;,b72 and 7,d7 for medical assistance provided to relief-eligible survivors of a disaster after the end of the relief coverage period of the disaster in accordance with subsection 7d77#d74 7#b7 ,disregard of limits on payments to territories ,the limitations on payment under subsections 7f7 and 7g7 of section #aajh shall not apply to ,federal payments under this title that are based on the ,federal medical assistance percentage described in paragraph 7#a71 and such payments shall be disregarded in applying such subsections4 7h7 ,penalty for fraudulent applications 7#a7 ,individual liable for costs ,if a ,state1 as the result of verification activities conducted by the ,state or otherwise1 determines after a fair hearing that an individual has knowingly made a false attestation in an application for medical assistance as a relief-eligible survivor of a disaster under this section1 the ,state shall1 subject to paragraph 7#b71 seek recovery from the individual for the full amount of the cost of medical assistance provided to the individual under this section4 7#b7 ,exception ,the ,secretary shall exempt a ,state from the requirement to seek recovery from an individual under paragraph 7#a7 if the ,secretary determines that it would not be cost-effective for the ,state to do so4 7#c7 ,reimbursement to the ,federal ,government ,amounts expended by a ,state for medical assistance provided to an individual under this section that are subsequently recovered by the ,state under this subsection shall be treated as an overpayment under this title to the extent that payments were made to the ,state for such amounts4 7i7 ,exemption from error rate penalties ,all payments attributable to providing medical assistance to relief-eligible survivors of disasters in accordance with this section shall be disregarded for purposes of section #aijc7u74 4 #c4 ,promoting effective and innovative ,state responses to increased demand for medical assistance following a disaster 7a7 ,guidance on increasing access to providers ,not later than ,october #a1 #bjbj1 the ,secretary of ,health and ,human ,services 7in this section referred to as the ,secretary7 shall issue 7and update as the ,secretary determines necessary7 guidance to ,state ,medicaid directors on best practices for-- 7#a7 expediting the approval of providers under a ,state ,medicaid plan under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 or waiver of such plan1 after a disaster to meet increased demand for medical assistance under the plan or waiver from relief-eligible survivors 7as defined in section #aidg7;b77#e7 of such ,act7 of disasters2 and 7#b7 using out-of-,state providers to provide care to relief-eligible survivors of a disaster under the plan or waiver4 7b7 ,technical assistance and support for innovative ,state strategies ,to respond to increased demand for medical assistance following a disasters 7#a7 ,in general ,the ,secretary shall provide technical assistance and support to ,states to develop or expand infrastructure1 strategies1 or innovations 7including through ,state ,medicaid demonstration projects7 to provide medical assistance under a ,state ,medicaid plan under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 or a waiver of such a plan1 to relief-eligible survivors 7as defined in section #aidg7;b77#e7 of such ,act7 of disasters4 7#b7 ,report ,not later than #ahj days after the date of enactment of this ,act1 the ,secretary shall issue a report to ,congress detailing a plan of action to carry out the requirements of paragraph 7#a74 7c7 ,,hcbs emergency response corps grant program 7#a7 ,in general ,the ,secretary shall award grants under this subsection to ,states for the purpose of establishing or operating ,,hcbs emergency response corps that meet the requirements of paragraph 7#b7 to provide medical assistance for home and community-based services under a ,state ,medicaid plan under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 to relief-eligible survivors 7as defined in section #aidg7;b77#e7 of such ,act7 of disasters4 7#b7 ,home and community-based services emergency response corps ,an ,,hcbs emergency response corps meets the requirements of this paragraph if it satisfies the following requirements3 7,a7 ,the corps serves a ,state with a history of hosting individuals who are forced to relocate to the ,state from another ,state due to a disaster 7as determined by the ,secretary74 7,b7 ,the corps is composed of representatives from each of the following3 7i7 ,voluntary organizations delivering assistance4 7ii7 ,area agencies on aging 7as defined in section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb774 7iii7 ,the ,medicare program under title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq474 7iv7 ,the ,state agency responsible for administering the ,state ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7v7 ,state agencies serving older adults and people with disabilities4 7vi7 ,nonprofit service providers4 7vii7 ,other organizations that address the needs of older adults and people with disabilities4 7,c7 ,the corps is led by a representative of a ,state or nonprofit agency serving older adults or people with disabilities4 7,d7 ,the corps operates under a plan to meet the acute and long-term services and support needs of relief-eligible survivors 7as defined in section #aidg7;b77#e7 of the ,social ,security ,act7 of disasters1 and is provided with the resources necessary to execute such plan4 7#c7 ,grants 7,a7 ,limitation ,the ,secretary may award a grant under this subsection to up to #e ,states4 7,b7 ,term of grants ,grants under this subsection shall be made for a term of #b years4 7#d7 ,authorization ,there are authorized to be appropriated to carry out this subsection1 #aj1jjj1jjj for each of fiscal years #bjbj through #bjbe1 to remain available until expended4 #d4 ,targeted ,medicaid relief for direct impact areas 7a7 #ajj percent ,federal matching payments for medical assistance provided in a direct impact area 7#a7 ,in general ,section #aije of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended-- 7,a7 in subsection 7b71 by striking and 7aa7 and inserting 7aa71 and 7ff72 and 7,b7 by adding at the end the following new subsection3 7ff7 #ajj percent ,,fmap for all medical assistance provided in disaster direct impact areas ,notwithstanding subsection 7b71 the ,federal medical assistance percentage for a ,state and fiscal year shall be equal to #ajj percent with respect to amounts expended by the ,state during the year for medical assistance for an individual who1 at the time the assistance is provided to the individual1 is a resident of a direct impact area of a disaster during the disaster's relief coverage period 7as such terms are defined in section #aidg74 4 7#b7 ,application to ,,chip ,section #baje7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7a77 is amended by adding at the end the following new paragraph3 7#e7 #ajj percent match for all child health assistance provided in disaster direct impact areas ,notwithstanding paragraph 7#a71 the ,secretary shall pay to each ,state with a plan approved under this title1 from its allotment under section #bajd1 an amount for each quarter equal to #ajj percent of expenditures in the quarter for child health assistance under the plan for targeted low-income children or pregnancy-related assistance for targeted low-income women that is provided to such a child or woman who1 at the time the assistance is provided1 is a resident of a direct impact area of a disaster during the disaster's relief coverage period 7as such terms are defined in section #aidg74 4 7b7 ,moratorium on redeterminations ,during the relief coverage period 7as defined in paragraph 7#d7 of section #aidg7;b7 of the ,social ,security ,act1 as added by section #b77 of a disaster1 a ,state that contains a direct impact area 7as defined in paragraph 7#b7 of such section7 of the disaster shall not be required to conduct eligibility redeterminations under the ,state's plans or waivers of such plans under title ,,xix or ,,xxi of such ,act 7#db ,u4,s4,c4 #acif et seq41 #acig;aa7 with respect to individuals who reside in such area4 #e4 ,authority to waive requirements during national emergencies with respect to evacuees from an emergency area ,section #aace7;g77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77 is amended-- 7#a7 by redesignating subparagraphs 7,a7 and 7,b7 as clauses 7i7 and 7ii71 respectively2 7#b7 by striking ,an emergency area and inserting the following3 7,a7 ,in general ,an emergency area 2 and 7#c7 by adding at the end the following new subparagraph3 7,b7 ,additional areas ,any geographical area in which the ,secretary determines there are a significant number of evacuees from an area described in subparagraph 7,a7 shall also be considered to be an emergency area for purposes of this section4 4 #f4 ,exclusion of disaster relief coverage period in computing ,medicare part ,b late enrollment period ,section #ahci7;b7 of such ,act 7#db ,u4,s4,c4 #acier7b77 is amended1 in the second sentence1 by inserting before the period at the end the following3 or1 in the case of an individual who is a survivor of a disaster 7as defined in paragraph 7#f7 of section #aidg7;b771 any month any part of which is within the relief coverage period 7as defined in paragraph 7#d7 of such section7 of such disaster4 #g4 ,effective date 7a7 ,in general ,subject to subsection 7b71 this ,act and the amendments made by this ,act shall take effect on the date of enactment of this ,act4 7b7 ,delay permitted if state legislation required ,in the case of a ,state plan approved under title ,,xix of the ,social ,security ,act which the ,secretary of ,health and ,human ,services determines requires ,state legislation 7other than legislation appropriating funds7 in order for the plan to meet the additional requirement imposed by this section1 the ,state plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of the failure of the plan to meet such additional requirement before the #ast day of the #ast calendar quarter beginning after the close of the #ast regular session of the ,state legislature that ends after the #a-year period beginning with the date of the enactment of this section4 ,for purposes of the preceding sentence1 in the case of a ,state that has a #b-year legislative session1 each year of the session is deemed to be a separate regular session of the ,state legislature4