,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aged  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #aj1 #bjai,mr4   
,casey 7= himself1 ,mr4 ,br[n1 ,mr4     
,blum5?al1 ,ms4 ,h>ris1 & ,mrs4         
,gillibr&7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,f9ance  ,a ,,bill  ,to provide        
,m$icaid assi/ance to individuals &     
families affect$ by a disa/] or em]g5cy1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,disa/] ,relief   
,m$icaid ,act4  #b4 ,m$icaid relief =   
disa/] survivors ,title ,,xix ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 is am5d$-- 7#a7 9 section
 #aijb7;a7-- 7,a7 9 p>agraph 7#he71 by  
/rik+ 2 & & ins]t+ a semicolon2  7,b7 9 
p>agraph 7#hf71 by /rik+ ! p]iod at !   
end & ins]t+ 2 &2 &  7,c7 by ins]t+ aft]
 p>agraph 7#hf7 ! foll[+ new p>agraph3  
7#hg7 beg9n+ ,janu>y #a1 #bjbj1 provide 
= mak+ m$ical assi/ance available to    
relief-eligible survivors ( disa/]s dur+
 relief cov]age p]iods 9 accordance )   

section #aidg4  2 &  7#b7 by add+ at !  
end ! foll[+ new section3  #aidg4       
,disa/] relief ,m$icaid = survivors (   
major disa/]s  7a7 ,9 g5]al ,not)/&+ any
 o!r provision ( ?is title1 a ,/ate plan
 %all provide m$ical assi/ance to a     
relief-eligible survivor ( a disa/] 9   
accordance ) ?is section4  7b7          
,def9itions ,9 ?is section3 7#a7 ,disa/]
 ,! t]m disa/] means a major disa/]--   
7,a7 t is decl>$ on or aft] ,janu>y #a1 
#bjbj1 by ! ,presid5t 9 accordance )    
section #dja ( ! ,rob]t ,t4 ,/af=d      
,disa/] ,relief & ,em]g5cy ,assi/ance   
,act 7#db ,u4,s4,c4 #eagj72 &  7,b7 :i* 
! ,presid5t has det]m9$ w>rants         
individual & public assi/ance f ! ,f$]al
 ,gov]nm5t "u su* ,act4  7#b7 ,direct   
impact area  7,a7 ,9 g5]al ,! t]m direct
 impact area means1 ) respect to a      
disa/]1 ! geographic area 9 :i* ! disa/]
 exi/s4  7,b7 ,website po/+ ( direct    
impact areas ,z soon z practicable aft] 
a disa/] is decl>$ 7z describ$ 9        
p>agraph 7#a77;,a771 ! ,secret>y %all   

po/ on ! website ( ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices a li/ ( ! areas       
id5tifi$ z ! direct impact areas ( !    
disa/]4  7#c7 ,home ,/ate ,! t]m home   
,/ate means1 ) respect to a survivor ( a
 disa/]1 ! ,/ate 9 :i* ! survivor 0 a   
resid5t dur+ ! #g-;day p]iod prec$+ !   
date on :i* ! disa/] is decl>$ 7z       
describ$ 9 p>agraph 7#a77;,a774  7#d7   
,relief cov]age p]iod ,! t]m relief     
cov]age p]iod means1 ) respect to a     
disa/]1 ! p]iod t beg9s on ! date !     
disa/] is decl>$ 7z describ$ 9 p>agraph 
7#a77;,a77 & ends on ! day t is #b ye>s 
aft] su* date4  7#e7 ,relief-eligible   
survivor  7,a7 ,9 g5]al ,! t]m          
relief-eligible survivor means an       
individual :o is a survivor ( a disa/]  
^: family income does n exce$ ! high]   
(-- 7i7 #acc p]c5t 7or1 9 ! case ( a    
survivor :o is a pregnant woman1 a *ild1
 or a recipi5t ( b5efits "u title ,,ii  
on ! basis ( a disability1 #bjj p]c5t7 (
 ! pov]ty l9e2 or  7ii7 ! income        
eligibility /&>d t w\ld o!rwise apply to

 ! survivor "u ! ,/ate plan or waiv] ( !
 survivor's ho/ ,/ate4  7,b7 ,disreg>d (
 unemploym5t income ,= purposes ( ?is   
section1 & not)/&+ section              
#aijb7;e77#ad77;,b71 ! income ( a       
survivor ( a disa/] %all n include any  
am\nt receiv$ dur+ ! relief cov]age     
p]iod ( ! disa/] "u a law ( ! ,unit$    
,/ates or a ,/ate :i* is 9 ! nature (   
unemploym5t comp5sation4  7#f7 ,survivor
  7,a7 ,9 g5]al ,! t]m survivor means1 )
 respect to a disa/]1 an individual :o  
is describ$ 9 subp>agraph 7,b7 or 7,c74 
7,b7 ,resid5ts & evacuees ( direct      
impact areas ,an individual describ$ 9  
?is subp>agraph is an individual :o1 on 
any day dur+ ! #g-;day p]iod prec$+ !   
date on :i* a disa/] is decl>$ 7z       
describ$ 9 p>agraph 7#a77;,a771 has a   
prim>y resid5ce 9 ! disa/]'s direct     
impact area4  7,c7 ,individuals :o lo/  
employm5t ,an individual describ$ 9 ?is 
subp>agraph is an individual-- 7i7 ^:   
worksite1 on any day dur+ ! #g-;day     
p]iod prec$+ ! date on :i* a disa/] is  

decl>$ 7z s describ$71 0 locat$ 9 !     
disa/]'s direct impact area2  7ii7 :o 0 
employ$ by an employ] t-- 7,i7 conduct$ 
an active trade or bus9ess 9 su* area on
 any day dur+ su* #g-;day p]iod2 &      
7,,ii7 0 unable to op]ate su* trade or  
bus9ess z a result ( ! disa/] on any day
 dur+ ! disa/]'s relief cov]age p]iod2 &
  7iii7 ^: employm5t ) su* employ] 0    
t]m9at$4  7,d7 ,treatm5t ( homeless     
p]sons ,= purposes ( subp>agraph 7,b71 9
 ! case ( an individual :o 0 homeless on
 any day dur+ ! #g-;day p]iod prec$+ !  
date on :i* a disa/] is decl>$ 7z s     
describ$71 ! individual's resid5ce dur+ 
su* p]iod %all be det]m9$ z x w\ld      
o!rwise be det]m9$ = purposes ( ?is     
title4  7,e7 ,effect ( concurr5t        
eligibility = ,m$icaid ,an individual's 
eligibility = m$ical assi/ance "u a     
,/ate plan 7or waiv] ( su* plan7 on a   
basis o!r ?an "u ?is section %all n     
prev5t ! individual f be+ treat$ z a    
survivor "u ?is section1 & ! rights     
af=d$ to an individual :o is eligible = 

or enroll$ "u a ,/ate plan 7or waiv]7   
%all n be affect$ by ! individual's     
receipt ( m$ical assi/ance z a          
relief-eligible survivor ( a disa/] 9   
accordance ) ?is section4  7c7          
,eligibility  7#a7 ,simplifi$           
application  7,a7 ,9 g5]al ,= purposes (
 det]m9+ eligibility = m$ical assi/ance 
"u ?is section1 ea* ,/ate %all use a    
simplifi$1 #a-page application =m 7z    
develop$ by ! ,secret>y 9 consultation )
 ! ,national ,association ( ,/ate       
,m$icaid ,directors71 :i* %all-- 7i7    
require an applicant = m$ical assi/ance 
9 accordance ) ?is section z a survivor 
( a disa/] to-- 7,i7 provide !          
applicant's expect$ address = ! duration
 ( ! relief cov]age p]iod ( ! disa/]2 & 
7,,ii7 agree to update ! in=mation      
describ$ 9 subclause 7,i7 if x *anges   
dur+ su* p]iod2  7ii7 provide notice ( !
 p5alties = mak+ a fraudul5t application
 describ$ 9 subsection 7h72  7iii7      
require ! applicant to assign to ! ,/ate
 any rights ( ! applicant 7or any o!r   

individual :o is a relief-eligible      
survivor & on ^: behalf ! applicant has 
! legal au?ority to execute an assignm5t
 ( su* rights7 9 accordance ) !         
requirem5ts ( section #aiab2  7iv7      
require ! applicant to li/ any heal?    
insurance cov]age 9 :i* ! applicant 0   
enroll$ imm$iately prior to submitt+ !  
application = m$ical assi/ance "u ?is   
section2 &  7v7 require ! applicant to  
self-atte/ t ! applicant-- 7,i7 is a    
relief-eligible survivor ( ! disa/]2 &  
7,,ii7 if applicable1 requires home &   
community-bas$ s]vices4  7,b7 ,no       
docum5tation requirem5t ,a ,/ate %all n 
require an applicant = m$ical assi/ance 
z a survivor ( a disa/] "u ?is section  
to provide any docum5tation or o!r      
evid5ce-- 7i7 ( ! applicant's /atus z a 
relief-eligible survivor2 &  7ii7 if    
applicable1 t ! applicant requires home 
& community-bas$ s]vices4  7,c7         
,presumptive eligibility ,if an         
applicant submits a complet$ application
 to a provid] or facility describ$ 9    

section #aijb7;a77#ee7 7or any o!r      
provid] or facility p>ticipat+ 9 ! ,/ate
 plan or "u a waiv] ( su* plan t is     
qualifi$ to make presumptive eligibility
 det]m9ations "u su* plan or waiv]7 & x 
appe>s to ! provid] or facility t !     
applicant is a relief-eligible survivor 
( a disa/] :o is eligible = m$ical      
assi/ance "u ! plan bas$ on ! in=mation 
9 ! application1 ! applicant w be deem$ 
to be a relief-eligible survivor =      
m$ical assi/ance "u su* plan 9          
accordance ) ?is section4  7,d7         
,cont9u\s eligibility ,an applicant :o  
is det]m9$ to be a relief-eligible      
survivor ( a disa/] %all be eligible =  
m$ical assi/ance "u ?is section1 )\t !  
ne$ = any r$et]m9ation ( eligibility1 = 
! duration ( ! relief cov]age p]iod ( ! 
disa/]4  7,e7 ,timely process+ (        
applications ,ea* ,/ate %all e/abli% su*
 processes z are necess>y to ensure t   
applications = m$ical assi/ance "u ?is  
section are process$ 9 a timely mann]4  
7#b7 ,issuance ( disa/] relief ,m$icaid 

eligibility c>d ,a ,/ate %all issue a   
disa/] relief ,m$icaid eligibility c>d  
to ea* applicant :o is det]m9$ to be a  
relief-eligible survivor ( a disa/] &   
eligible = m$ical assi/ance "u ?is      
section1 :i* %all be valid = ! duration 
( ! relief cov]age p]iod ( ! disa/]4    
7#c7 ,v]ification ( /atus z a           
relief-eligible survivor  7,a7 ,9 g5]al 
,! ,/ate %all make a good fai? ef=t to  
v]ify ! /atus ( an individual :o is     
enroll$ 9 ! ,/ate plan z a              
relief-eligible survivor ( a disa/] 9   
accordance ) ?is section4 ,su* ef=t %all
 n delay ! det]m9ation ( ! eligibility (
 ! individual = m$ical assi/ance "u ?is 
section4  7,b7 ,evid5ce ( v]ification ,a
 ,/ate may satisfy ! v]ification        
requirem5t "u subp>agraph 7,a7 ) respect
 to an individual by %[+ t ! ,/ate      
obta9$ in=mation f ! ,social ,security  
,adm9i/ration1 ! ,int]nal ,rev5ue       
,s]vice1 or1 if applicable1 ! ,/ate     
,m$icaid ag5cy ( ! home ,/ate ( !       
individual4  7#d7 ,det]m9ation by       

,express ,lane ag5cy ,any det]m9ation or
 r$et]m9ation ( eligibility or          
v]ification ( /atus made "u ?is section 
%all be made by an ,express ,lane ag5cy 
7z def9$ 9 section #aijb7;e77#ac77;,f774
  7d7 ,t]m9ation ( eligibility  7#a7 ,9 
g5]al ,except z provid$ 9 p>agraph 7#d71
 no m$ical assi/ance %all be provid$ "u 
?is section to a relief-eligible        
survivor ( a disa/] aft] ! end ( !      
relief cov]age p]iod ( ! disa/]4  7#b7  
,notice ( t]m9ation ( eligibility2      
assi/ance 9 apply+ = regul> ,m$icaid    
7,a7 ,9 g5]al ,no lat] ?an #b mon?s be=e
 ! end ( a relief cov]age p]iod ( a     
disa/]1 a ,/ate %all provide ea*        
relief-eligible survivor ( ! disa/] :o  
is receiv+ m$ical assi/ance "u ! ,/ate  
plan 9 accordance ) ?is section ) writt5
 notice t includes-- 7i7 ! date aft]    
:i*1 subject to ! exception describ$ 9  
p>agraph 7#d71 ! survivor w no long] be 
eligible = su* assi/ance2  7ii7         
in=mation reg>d+ eligibility 7o!r ?an "u
 ?is section7 = m$ical assi/ance "u !   

,/ate plan 7or waiv] ( su* plan72 &     
7iii7 an application = su* assi/ance &  
in=mation reg>d+ h[ to submit a complet$
 application & h[ to obta9 assi/ance )  
complet+ su* application4  7,b7         
,assi/ance 9 apply+ = ,m$icaid ,be=e !  
end ( ! relief cov]age p]iod ( a disa/]1
 ! ,/ate %all-- 7i7 provide any         
relief-eligible survivor ( ! disa/] :o  
is receiv+ m$ical assi/ance "u ! ,/ate  
plan assi/ance ) apply+ = m$ical        
assi/ance "u ! ,/ate plan 7or waiv] 7 = 
p]iods beg9n+ aft] ! end ( su* relief   
cov]age p]iod2 &  7ii7 ensure t su*     
assi/ance is easily accessible to su*   
survivors4  7#c7 ,presumptive           
eligibility p]iod = p5d+ applications ,9
 ! case ( a relief-eligible survivor ( a
 disa/] :o1 on ! date t ! relief cov]age
 p]iod ( ! disa/] ends1 has an          
application p5d+ = m$ical assi/ance "u !
 ,/ate plan 7or waiv] ( su* plan7 =     
p]iods beg9n+ aft] su* relief cov]age   
p]iod1 su* survivor %all be deem$ to be 
eligible = m$ical assi/ance "u su* plan 

or waiv] = #fj days aft] su* date4      
,m$ical assi/ance provid$ to su* an     
individual dur+ su* #fj-;day p]iod %all 
n be treat$ z m$ical assi/ance provid$  
"u ?is section & ! ,f$]al m$ical        
assi/ance p]c5tage describ$ 9 subsection
 7f7 %all n apply to am\nts exp5d$ on   
su* assi/ance4  7#d7 ,pregnant wom5 ,9 !
 case ( a relief-eligible survivor ( a  
disa/] :o1 :ile pregnant1 receives      
m$ical assi/ance "u ! ,/ate plan 9      
accordance ) ?is section1 su* survivor  
%all cont9ue to be eligible = su*       
assi/ance ?r\gh ! end ( ! mon? 9 :i* !  
#fj-;day p]iod 7beg9n+ on ! la/ day ( h]
 pregnancy7 ends1 )\t reg>d to :e!r !   
pregnancy ends be=e or aft] ! end ( !   
relief cov]age p]iod ( ! disa/] & )\t   
requir+ ! survivor to reapply = su*     
assi/ance4  7e7 ,scope ( cov]age  7#a7  
,9 g5]al ,a ,/ate provid+ m$ical        
assi/ance to a relief-eligible survivor 
( a disa/] 9 accordance ) ?is section   
%all provide m$ical assi/ance t is equal
 9 am\nt & scope to ! m$ical assi/ance t

 w\ld o!rwise be made available to su*  
survivor if ! survivor 7 enroll$ 9 !    
,/ate plan 7or waiv] ( su* plan7 z an   
individual describ$ 9 clause 7i7 (      
section #aijb7;a77#aj77;,a71 except t1 9
 ! case ( su* a survivor ^: home ,/ate  
is n ! ,/ate provid+ m$ical assi/ance to
 ! individual1 ! ,/ate %all also provide
 m$ical assi/ance = any item or s]vice =
 :i* m$ical assi/ance is available to   
individuals describ$ 9 clause 7i7 (     
section #aijb7;a77#aj77;,a7 "u ! ,/ate  
plan 7or waiv]7 ( ! survivor's home     
,/ate4  7#b7 ,provid] paym5t rates =    
home ,/ate s]vices ,9 ! case ( m$ical   
assi/ance provid$ by a ,/ate to a       
relief-eligible survivor ( a disa/] 9   
accordance ) ?is section = an item or   
s]vice :i* is n available "u ! ,/ate    
plan 7or waiv] ( su* plan7 b :i* is     
available "u ! ,/ate plan 7or waiv]7 ( !
 survivor's home ,/ate1 ! ,/ate %all pay
 ! provid] ( su* item or s]vice at !    
same rate t ! home ,/ate w\ld pay = !   
item or s]vice if x 7 provid$ "u ! plan 

or waiv] ( ! home ,/ate 7or1 if no su*  
paym5t rate applies "u ! plan or waiv] (
 ! home ,/ate1 ! usual & cu/om>y        
prevail+ rate = ! item or s]vice = !    
community 9 :i* x is provid$74  7#c7    
,retroactive cov]age  7,a7 ,9 g5]al     
,not)/&+ section #aije7;a71 a ,/ate %all
 provide m$ical assi/ance = items &     
s]vices furni%$ 9 ! ,/ate beg9n+ ) !    
fir/ day ( ! relief cov]age p]iod ( a   
disa/] to any relief-eligible survivor (
 ! disa/] :o submits an application =   
su* assi/ance be=e ! deadl9e describ$ 9 
subp>agraph 7,b74  7,b7 ,application    
deadl9e ,! deadl9e = a relief-eligible  
survivor ( a disa/] to submit an        
application = m$ical assi/ance 9        
accordance ) ?is section is ! date t is 
#ij days aft] ! end ( ! disa/]'s relief 
cov]age p]iod4  7#d7 ,*ildr5 born to    
pregnant wom5 ,9 ! case ( a *ild born to
 a relief-eligible survivor ( a disa/]  
:o is provid$ m$ical assi/ance 9        
accordance ) ?is section dur+ ! relief  
cov]age p]iod ( ! disa/]1 ! *ild %all be

 treat$ z hav+ be5 born to a pregnant   
woman eligible = m$ical assi/ance "u !  
,/ate plan 7or waiv] ( su* plan7 & %all 
be eligible = m$ical assi/ance "u su*   
plan 7or waiv]7 9 accordance ) section  
#aijb7;e77#d74 ,not)/&+ subsection 7g71 
! ,f$]al m$ical assi/ance p]c5tage      
det]m9$ = a ,/ate & fiscal ye> "u       
section #aije7;b7 %all apply to m$ical  
assi/ance provid$ dur+ ! ye> to a *ild  
"u ! ,/ate plan 7or waiv]7 9 accordance 
) ! prec$+ s5t5ce4  7#e7 ,option to     
provide ext5d$ m5tal heal? & c>e        
coord9ation b5efits ,a ,/ate may        
provide1 )\t reg>d to any re/rictions on
 am\nt1 duration1 scope1 or             
comp>ability1 or o!r re/rictions "u ?is 
title or ! ,/ate plan or waiv] ( su*    
plan 7o!r ?an re/rictions applicable to 
s]vices provid$ 9 an in/itution = m5tal 
diseases71 m$ical assi/ance to          
relief-eligible survivors ( a disa/] "u 
?is section = ext5d$ m5tal heal? & c>e  
coord9ation s]vices1 :i* may include !  
foll[+3 7,a7 ,scre5+1 assessm5t1 &      

diagno/ic s]vices 7includ+ specializ$   
assessm5ts = individuals ) cognitive    
impairm5ts74  7,b7 ,cov]age = a full    
range ( m5tal heal? m$ications at !     
dosages & frequ5cies prescrib$ by heal? 
pr(essionals = depression1 po/-traumatic
 /ress disord]1 & o!r m5tal disord]s4   
7,c7 ,treatm5t ( alcohol & sub/ance     
abuse det]m9$ to result f circum/ances  
relat$ to ! disa/]4  7,d7 ,psy*o!rapy1  
rehabilitation & o!r treatm5ts adm9i/]$ 
by psy*iatri/s1 psy*ologi/s1 or social  
work]s = conditions exac]bat$ by1 or    
result+ f1 ! disa/]4  7,e7 ,pe] support 
s]vices relat$ to ! disa/]4  7,f7       
,mobile crisis s]vices to assi/ ) crises
 relat$ to ! disa/]4  7,g7 ,9-pati5t    
m5tal heal? c>e 9 a g5]al hospital4     
7,h7 ,family c\nsel+ = families :]e a   
memb] ( ! imm$iate family is a survivor 
( ! disa/] or fir/ respond] to ! disa/] 
or includes an individual :o has di$ z a
 result ( ! disa/]4  7,i7 ,9 connection 
) ! provision ( heal? & long-t]m c>e    
s]vices1 arrang+ =1 7& :5 necess>y1     

enrollm5t 9 waiv] programs or o!r       
specializ$ programs71 & coord9ation     
relat$ to1 prim>y & specialty m$ical    
c>e1 :i* may include p]sonal c>e        
s]vices1 durable m$ical equipm5t &      
supplies1 assi/ive te*nology1 &         
transportation4  7#f7 ,option to provide
 home & community-bas$ s]vices  7,a7 ,9 
g5]al ,a ,/ate may provide m$ical       
assi/ance "u ?is section = home &       
community-bas$ s]vices to a             
relief-eligible survivor ( a disa/]1    
includ+ any survivor :o is an individual
 describ$ 9 subp>agraph 7,b71 :o        
self-atte/s t ! survivor imm$iately     
requires su* s]vices1 )\t reg>d to :e!r 
! survivor w\ld require ! level ( c>e   
provid$ 9 a hospital1 nurs+ facility1 or
 int]m$iate c>e facility = !            
developm5tally disabl$4  7,b7           
,individuals describ$ ,individuals      
describ$ 9 ?is subp>agraph are          
relief-eligible survivors ( a disa/]    
:o-- 7i7 on any day dur+ ! week prec$+ !
 date on :i* ! disa/] is decl>$ 7z      

describ$ 9 subsection 7b77#a77;,a77--   
7,i7 _h be5 receiv+ home &              
community-bas$ s]vices 9 a direct impact
 area "u a waiv] "u section #aaae or    
section #aiae2  7,,ii7 _h be5 receiv+   
support s]vices f a prim>y family       
c>egiv] :o1 z a result ( ! disa/]1 is no
 long] available to provide s]vices2 or 
7,,iii7 _h be5 receiv+ p]sonal c>e1 home
 heal?1 or rehabilitative s]vices "u a  
,/ate plan "u ?is title or "u a waiv]   
grant$ "u sections #aaae or #aiae2 or   
7ii7 are disabl$ 7z det]m9$ "u ! ,/ate  
plan74  7,c7 ,waiv] ( re/rictions ,)    
respect to ! provision ( home &         
community-bas$ s]vices "u ?is p>agraph1 
! ,secret>y-- 7i7 %all waive any        
limitations on-- 7,i7 ! numb] (         
individuals :o may receive home or      
community-bas$ s]vices "u a waiv]       
describ$ 9 subp>agraph 7,b77i77,i72     
7,,ii7 budget neutrality requirem5ts    
applicable to su* waiv]2 &  7,,iii7     
populations eligible = s]vices "u su*   
waiv]2 &  7ii7 may waive any o!r        

re/riction applicable "u su* a waiv] t  
w\ld prev5t a ,/ate f provid+ home &    
community-bas$ s]vices 9 accordance )   
?is p>agraph4  7f7 ,/ate reports ,ea*   
,/ate %all submit to ! ,secret>y an     
annual report t includes-- 7#a7         
in=mation on h[ ! ,/ate is satisfy+ !   
requirem5ts ( subsection 7d77#b7 7relat+
 to provid+ notice ( t]m9ation ( m$ical 
assi/ance "u ?is section & assi/ance 9  
apply+ = m$ical assi/ance o!r ?an "u ?is
 section72  7#b7 ! numb] ( survivors ( a
 disa/] :o 7 det]m9$ by ! ,/ate to be   
relief-eligible survivors ( a disa/] 9 !
 prec$+ ye>2 &  7#c7 ! numb] (          
relief-eligible survivors ( a disa/] :o 
7 det]m9$ to be eligible =1 & enroll$ 91
 ! ,/ate plan 7or waiv] ( su* plan7 or !
 ,/ate *ild heal? plan "u title ,,xxi   
7or waiv] ( su* plan7 o!r ?an "u ?is    
section4  7g7 #ajj p]c5t ,f$]al mat*+   
paym5ts  7#a7 ,9 g5]al ,not)/&+ section 
#aije7;b71 ! ,f$]al m$ical assi/ance    
p]c5tage %all be equal to #ajj p]c5t )  
respect to am\nts exp5d$ by a ,/ate--   

7,a7 = m$ical assi/ance provid$ 9       
accordance ) ?is section to             
relief-eligible survivors ( a disa/]    
dur+ ! relief cov]age p]iod ( ! disa/]2 
7,b7 t are directly attributable to     
adm9i/rative activities relat$ to !     
provision ( m$ical assi/ance "u ?is     
section1 includ+ co/s attributable to   
obta9+ recov]ies "u subsection 7h72     
7,c7 t are directly attributable to     
provid+ application assi/ance 9         
accordance ) subsection 7d77#b77;,b72 & 
7,d7 = m$ical assi/ance provid$ to      
relief-eligible survivors ( a disa/]    
aft] ! end ( ! relief cov]age p]iod ( ! 
disa/] 9 accordance ) subsection        
7d77#d74  7#b7 ,disreg>d ( limits on    
paym5ts to t]ritories ,! limitations on 
paym5t "u subsections 7f7 & 7g7 (       
section #aajh %all n apply to ,f$]al    
paym5ts "u ?is title t are bas$ on !    
,f$]al m$ical assi/ance p]c5tage        
describ$ 9 p>agraph 7#a71 & su* paym5ts 
%all be disreg>d$ 9 apply+ su*          
subsections4  7h7 ,p5alty = fraudul5t   

applications  7#a7 ,individual liable = 
co/s ,if a ,/ate1 z ! result (          
v]ification activities conduct$ by !    
,/ate or o!rwise1 det]m9es aft] a fair  
he>+ t an individual has kn[+ly made a  
false atte/ation 9 an application =     
m$ical assi/ance z a relief-eligible    
survivor ( a disa/] "u ?is section1 !   
,/ate %all1 subject to p>agraph 7#b71   
seek recov]y f ! individual = ! full    
am\nt ( ! co/ ( m$ical assi/ance provid$
 to ! individual "u ?is section4  7#b7  
,exception ,! ,secret>y %all exempt a   
,/ate f ! requirem5t to seek recov]y f  
an individual "u p>agraph 7#a7 if !     
,secret>y det]m9es t x w\ld n be        
co/-effective = ! ,/ate to d s4  7#c7   
,reimbursem5t to ! ,f$]al ,gov]nm5t     
,am\nts exp5d$ by a ,/ate = m$ical      
assi/ance provid$ to an individual "u   
?is section t are subsequ5tly recov]$ by
 ! ,/ate "u ?is subsection %all be      
treat$ z an ov]paym5t "u ?is title to ! 
ext5t t paym5ts 7 made to ! ,/ate = su* 
am\nts4  7i7 ,exemption f error rate    

p5alties ,all paym5ts attributable to   
provid+ m$ical assi/ance to             
relief-eligible survivors ( disa/]s 9   
accordance ) ?is section %all be        
disreg>d$ = purposes ( section #aijc7u74
  4  #c4 ,promot+ effective & innovative
 ,/ate responses to increas$ dem& =     
m$ical assi/ance foll[+ a disa/]  7a7   
,guidance on increas+ access to provid]s
 ,n lat] ?an ,octob] #a1 #bjbj1 !       
,secret>y ( ,heal? & ,human ,s]vices 79 
?is section ref]r$ to z ! ,secret>y7    
%all issue 7& update z ! ,secret>y      
det]m9es necess>y7 guidance to ,/ate    
,m$icaid directors on be/ practices =-- 
7#a7 exp$it+ ! approval ( provid]s "u a 
,/ate ,m$icaid plan "u title ,,xix ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq471 or waiv] ( su* plan1    
aft] a disa/] to meet increas$ dem& =   
m$ical assi/ance "u ! plan or waiv] f   
relief-eligible survivors 7z def9$ 9    
section #aidg7;b77#e7 ( su* ,act7 (     
disa/]s2 &  7#b7 us+ out-(-,/ate        
provid]s to provide c>e to              

relief-eligible survivors ( a disa/] "u 
! plan or waiv]4  7b7 ,te*nical         
assi/ance & support = innovative ,/ate  
/rategies to respond to increas$ dem& = 
m$ical assi/ance foll[+ a disa/]s  7#a7 
,9 g5]al ,! ,secret>y %all provide      
te*nical assi/ance & support to ,/ates  
to develop or exp& infra/ructure1       
/rategies1 or innovations 7includ+ ?r\gh
 ,/ate ,m$icaid demon/ration projects7  
to provide m$ical assi/ance "u a ,/ate  
,m$icaid plan "u title ,,xix ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acif et 
seq471 or a waiv] ( su* a plan1 to      
relief-eligible survivors 7z def9$ 9    
section #aidg7;b77#e7 ( su* ,act7 (     
disa/]s4  7#b7 ,report ,n lat] ?an #ahj 
days aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y %all issue a report to      
,congress detail+ a plan ( action to    
c>ry out ! requirem5ts ( p>agraph 7#a74 
7c7 ,,hcbs em]g5cy response corps grant 
program  7#a7 ,9 g5]al ,! ,secret>y %all
 aw>d grants "u ?is subsection to ,/ates
 = ! purpose ( e/abli%+ or op]at+ ,,hcbs

 em]g5cy response corps t meet !        
requirem5ts ( p>agraph 7#b7 to provide  
m$ical assi/ance = home & community-bas$
 s]vices "u a ,/ate ,m$icaid plan "u    
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 to        
relief-eligible survivors 7z def9$ 9    
section #aidg7;b77#e7 ( su* ,act7 (     
disa/]s4  7#b7 ,home & community-bas$   
s]vices em]g5cy response corps ,an      
,,hcbs em]g5cy response corps meets !   
requirem5ts ( ?is p>agraph if x         
satisfies ! foll[+ requirem5ts3 7,a7 ,! 
corps s]ves a ,/ate ) a hi/ory ( ho/+   
individuals :o are =c$ to relocate to ! 
,/ate f ano!r ,/ate due to a disa/] 7z  
det]m9$ by ! ,secret>y74  7,b7 ,! corps 
is compos$ ( repres5tatives f ea* ( !   
foll[+3 7i7 ,volunt>y organizations     
deliv]+ assi/ance4  7ii7 ,area ag5cies  
on ag+ 7z def9$ 9 section #ajb ( ! ,old]
 ,am]icans ,act ( #aife 7#db ,u4,s4,c4  
#cjjb774  7iii7 ,! ,m$ic>e program "u   
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq474  7iv7 ,!

 ,/ate ag5cy responsible = adm9i/]+ !   
,/ate ,m$icaid program "u title ,,xix ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif et seq474  7v7 ,/ate ag5cies s]v+ 
old] adults & p ) disabilities4  7vi7   
,nonpr(it s]vice provid]s4  7vii7 ,o!r  
organizations t address ! ne$s ( old]   
adults & p ) disabilities4  7,c7 ,!     
corps is l$ by a repres5tative ( a ,/ate
 or nonpr(it ag5cy s]v+ old] adults or p
 ) disabilities4  7,d7 ,! corps op]ates 
"u a plan to meet ! acute & long-t]m    
s]vices & support ne$s ( relief-eligible
 survivors 7z def9$ 9 section           
#aidg7;b77#e7 ( ! ,social ,security     
,act7 ( disa/]s1 & is provid$ ) !       
res\rces necess>y to execute su* plan4  
7#c7 ,grants  7,a7 ,limitation ,!       
,secret>y may aw>d a grant "u ?is       
subsection to up to #e ,/ates4  7,b7    
,t]m ( grants ,grants "u ?is subsection 
%all be made = a t]m ( #b ye>s4  7#d7   
,au?orization ,!re are au?oriz$ to be   
appropriat$ to c>ry out ?is subsection1 
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbj   

?r\gh #bjbe1 to rema9 available until   
exp5d$4  #d4 ,t>get$ ,m$icaid relief =  
direct impact areas  7a7 #ajj p]c5t     
,f$]al mat*+ paym5ts = m$ical assi/ance 
provid$ 9 a direct impact area  7#a7 ,9 
g5]al ,section #aije ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$-- 7,a7 9 subsection 7b71 by    
/rik+ & 7aa7 & ins]t+ 7aa71 & 7ff72 &   
7,b7 by add+ at ! end ! foll[+ new      
subsection3  7ff7 #ajj p]c5t ,,fmap =   
all m$ical assi/ance provid$ 9 disa/]   
direct impact areas ,not)/&+ subsection 
7b71 ! ,f$]al m$ical assi/ance p]c5tage 
= a ,/ate & fiscal ye> %all be equal to 
#ajj p]c5t ) respect to am\nts exp5d$ by
 ! ,/ate dur+ ! ye> = m$ical assi/ance =
 an individual :o1 at ! "t ! assi/ance  
is provid$ to ! individual1 is a resid5t
 ( a direct impact area ( a disa/] dur+ 
! disa/]'s relief cov]age p]iod 7z su*  
t]ms are def9$ 9 section #aidg74  4     
7#b7 ,application to ,,*ip ,section     
#baje7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acig;ee7a77 is am5d$ by 

add+ at ! end ! foll[+ new p>agraph3    
7#e7 #ajj p]c5t mat* = all *ild heal?   
assi/ance provid$ 9 disa/] direct impact
 areas ,not)/&+ p>agraph 7#a71 !        
,secret>y %all pay to ea* ,/ate ) a plan
 approv$ "u ?is title1 f its allotm5t "u
 section #bajd1 an am\nt = ea* qu>t]    
equal to #ajj p]c5t ( exp5ditures 9 !   
qu>t] = *ild heal? assi/ance "u ! plan =
 t>get$ l[-income *ildr5 or             
pregnancy-relat$ assi/ance = t>get$     
l[-income wom5 t is provid$ to su* a    
*ild or woman :o1 at ! "t ! assi/ance is
 provid$1 is a resid5t ( a direct impact
 area ( a disa/] dur+ ! disa/]'s relief 
cov]age p]iod 7z su* t]ms are def9$ 9   
section #aidg74  4  7b7 ,moratorium on  
r$et]m9ations ,dur+ ! relief cov]age    
p]iod 7z def9$ 9 p>agraph 7#d7 ( section
 #aidg7;b7 ( ! ,social ,security ,act1 z
 add$ by section #b77 ( a disa/]1 a     
,/ate t conta9s a direct impact area 7z 
def9$ 9 p>agraph 7#b7 ( su* section7 ( !
 disa/] %all n be requir$ to conduct    
eligibility r$et]m9ations "u ! ,/ate's  

plans or waiv]s ( su* plans "u title    
,,xix or ,,xxi ( su* ,act 7#db ,u4,s4,c4
 #acif et seq41 #acig;aa7 ) respect to  
individuals :o reside 9 su* area4  #e4  
,au?ority to waive requirem5ts dur+     
national em]g5cies ) respect to evacuees
 f an em]g5cy area ,section             
#aace7;g77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77 is  
am5d$-- 7#a7 by r$esignat+ subp>agraphs 
7,a7 & 7,b7 z clauses 7i7 & 7ii71       
respectively2  7#b7 by /rik+ ,an em]g5cy
 area & ins]t+ ! foll[+3  7,a7 ,9 g5]al 
,an em]g5cy area  2 &  7#c7 by add+ at !
 end ! foll[+ new subp>agraph3  7,b7    
,additional areas ,any geographical area
 9 :i* ! ,secret>y det]m9es !re are a   
significant numb] ( evacuees f an area  
describ$ 9 subp>agraph 7,a7 %all also be
 consid]$ to be an em]g5cy area =       
purposes ( ?is section4  4  #f4         
,exclusion ( disa/] relief cov]age p]iod
 9 comput+ ,m$ic>e "p ,b late enrollm5t 
p]iod ,section #ahci7;b7 ( su* ,act 7#db
 ,u4,s4,c4 #acier7b77 is am5d$1 9 !     

second s5t5ce1 by ins]t+ be=e ! p]iod at
 ! end ! foll[+3 or1 9 ! case ( an      
individual :o is a survivor ( a disa/]  
7z def9$ 9 p>agraph 7#f7 ( section      
#aidg7;b771 any mon? any "p ( :i* is )9 
! relief cov]age p]iod 7z def9$ 9       
p>agraph 7#d7 ( su* section7 ( su*      
disa/]4  #g4 ,effective date  7a7 ,9    
g5]al ,subject to subsection 7b71 ?is   
,act & ! am5dm5ts made by ?is ,act %all 
take effect on ! date ( enactm5t ( ?is  
,act4  7b7 ,delay p]mitt$ if /ate       
legislation requir$ ,9 ! case ( a ,/ate 
plan approv$ "u title ,,xix ( ! ,social 
,security ,act :i* ! ,secret>y ( ,heal? 
& ,human ,s]vices det]m9es requires     
,/ate legislation 7o!r ?an legislation  
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5t impos$ by  
?is section1 ! ,/ate plan %all n be     
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( !      
failure ( ! plan to meet su* additional 
requirem5t be=e ! #a/ day ( ! #a/ cal5d>
 qu>t] beg9n+ aft] ! close ( ! #a/      

regul> session ( ! ,/ate legislature t  
ends aft] ! #a-ye> p]iod beg9n+ ) ! date
 ( ! enactm5t ( ?is section4 ,= purposes
 ( ! prec$+ s5t5ce1 9 ! case ( a ,/ate t
 has a #b-ye> legislative session1 ea*  
ye> ( ! session is deem$ to be a sep>ate
 regul> session ( ! ,/ate legislature4