,,ii #aai? ,,congress #a/ ,session ,s4 #bjga ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #ab1 #bjbe,mr4 ,blum5?al 7= himself1 ,mr4 ,s*atz1 ,mr4 ,s*iff1 ,mrs4 ,gillibr&1 ,mr4 ,fett]man1 ,ms4 ,duckwor?1 ,mr4 ,lujn1 ,ms4 ,w>r51 & ,mr4 ,wel*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$-- 7#a7 9 section #aijb7;a7-- 7,a7 9 p>agraph 7#hf71 by /rik+ 2 & & ins]t+ a semicolon2 7,b7 9 p>agraph 7#hg71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] p>agraph 7#hg7 ! foll[+ new p>agraph3 7#hh7 beg9n+ ,janu>y #a1 #bjbg1 provide = mak+ m$ical assi/ance available to relief-eligible survivors ( disa/]s dur+ relief cov]age p]iods 9 accordance ) section #aidi4 2 & 7#b7 by add+ at ! end ! foll[+ new section3 #aidi4 ,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 any ( ! foll[+3 7,a7 ,a major disa/] t is decl>$ on or aft] ,janu>y #a1 #bjbg1 by ! ,presid5t 9 accordance ) section #dja ( ! ,rob]t ,t4 ,/af=d ,disa/] ,relief & ,em]g5cy ,assi/ance ,act 7#db ,u4,s4,c4 #eagj7 & :i* ! ,presid5t has det]m9$ w>rants individual or public assi/ance f ! ,f$]al ,gov]nm5t "u su* ,act4 7,b7 ,a national em]g5cy decl>$ by ! ,presid5t "u ! ,national ,em]g5cies ,act 7#ej ,u4,s4,c4 #afja et seq474 7,c7 ,a public heal? em]g5cy decl>$ by ! ,secret>y pursuant to section #cai ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d74 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 subp>agraph 7,a71 7,b71 or 7,c7 ( p>agraph 7#a71 z applicable71 ! ,secret>y %all po/ on ! websites ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ! ,f$]al ,em]g5cy ,managem5t ,ag5cy a li/ ( ! areas id5tifi$ 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 7z det]m9$ 9 accordance ) section #dce4djc ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation77 on ! date on :i* ! disa/] is decl>$ 7z describ$ 9 subp>agraph 7,a71 7,b71 or 7,c7 ( p>agraph 7#a71 z applicable74 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 subp>agraph 7,a71 7,b71 or 7,c7 ( p>agraph 7#a71 z applicable7 & ends on ! day t is #b ye>s aft] su* date4 7#e7 ,relief-eligible survivor 7,a7 ,9 g5]al ,subject to subp>agraph 7,c71 ! 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 individual1 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 ( ! survivor's home ,/ate 7or a waiv] ( su* plan74 7,b7 ,disreg>d ( unemploym5t income & ,,fema individual assi/ance grants ,= purposes ( ?is section1 & not)/&+ section #aijb7;e77#ad77;,b71 ! income ( a survivor ( a disa/] %all n include-- 7i7 any am\nt receiv$ by ! survivor dur+ ! relief cov]age p]iod ( ! disa/] "u a law ( ! ,unit$ ,/ates or a ,/ate :i* is 9 ! nature ( unemploym5t comp5sation2 or 7ii7 any am\nt receiv$ dur+ ! relief cov]age p]iod ( ! disa/] by ! survivor 7or ! survivor's h\sehold7 z assi/ance "u a program adm9i/]$ by ! ,f$]al ,em]g5cy ,managem5t ,ag5cy4 7,c7 ,limitation to relief cov]age p]iod 7i7 ,9 g5]al ,except z provid$ 9 clauses 7ii7 & 7iii71 = purposes ( ?is section1 an individual %all n be consid]$ to be a relief-eligible survivor on ! basis ( ! individual's /atus z a survivor ( a disa/] aft] ! end ( ! relief cov]age p]iod ( ! disa/]4 7ii7 ,cont9u\s eligibility = disa/] relief cov]age = pregnant & po/p>tum individuals ,9 ! case ( an individual :o1 :ile pregnant1 receives m$ical assi/ance z a relief-eligible survivor ( a disa/] "u a ,/ate plan 7or a waiv] ( su* a plan7 9 accordance ) ?is section1 su* individual %all cont9ue to be eligible = m$ical assi/ance z a relief-eligible survivor ?r\gh ! end ( ! mon? 9 :i* ! #fj-;day p]iod 7beg9n+ on ! la/ day ( ! pregnancy7 7or1 if long]1 ! p]iod ( po/p>tum cont9u\s eligibility t o!rwise applies to individuals :o1 :ile pregnant1 are eligible = m$ical assi/ance "u ! ,/ate plan or waiv]7 ends1 )\t reg>d to :e!r ! pregnancy ends be=e or aft] ! end ( ! relief cov]age p]iod ( ! disa/]4 7iii7 ,cont9u\s eligibility = individuals ) p5d+ applications ,if an individual :o receives m$ical assi/ance z a relief-eligible survivor ( a disa/] "u a ,/ate plan 7or a waiv] ( su* a plan7 9 accordance ) ?is section has an application p5d+ = m$ical assi/ance "u ! ,/ate plan 7or waiv]7 "u ?is title or = *ild heal? assi/ance or pregnancy-relat$ assi/ance "u a ,/ate plan "u title ,,xxi 7or a waiv] ( su* a plan7 on ! date t ! relief cov]age p]iod ( ! disa/] ends1 su* individual %all cont9ue to be eligible = m$ical assi/ance z a relief-eligible survivor ?r\gh ! e>li] (-- 7,i7 ! end ( ! mon? 9 :i* ! #fj-;day p]iod 7beg9n+ on ! la/ day ( su* relief cov]age p]iod7 ends2 & 7,,ii7 ! date on :i* ! individual's application = m$ical assi/ance1 *ild heal? assi/ance1 or pregnancy-relat$ assi/ance 7z applicable7 is approv$ or d5i$4 7#f7 ,survivor 7,a7 ,9 g5]al ,! t]m survivor means1 ) respect to a disa/]1 an individual :o is describ$ 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 ! date on :i* a disa/] is decl>$ 7z describ$ 9 subp>agraph 7,a71 7,b71 or 7,c7 ( p>agraph 7#a71 z applicable71 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 ^: worksite 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 ! date on :i* ! disa/] 0 decl>$ 7z s describ$72 & 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$4 7,d7 ,treatm5t ( homeless p]sons ,9 ! case ( an individual :o is homeless 7z su* t]m is def9$ 9 section #ajc7;a7 ( ! ,mc,kinney-,v5to ,homeless ,assi/ance ,act 7#db ,u4,s4,c4 #aacjb7;a777 on ! date on :i* a disa/] is decl>$ 7z s describ$71 ! individual's resid5cy = purposes ( subp>agraph 7,b7 %all be det]m9$ 9 accordance ) section #dce4djc ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation74 7,e7 ,effect ( concurr5t eligibility = ,m$icaid or ,,*ip ,an individual's eligibility = m$ical assi/ance "u a ,/ate plan 7or waiv] ( su* plan7 7or = *ild heal? assi/ance or pregnancy-relat$ assi/ance "u a ,/ate plan "u title ,,xxi 7or a waiv] ( su* a plan77 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 "u ei!r su* title %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 may accept a simplifi$1 /reaml9$ 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 mail+ 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 7g72 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 z describ$ & 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 7i7 ,9 g5]al ,a ,/ate %all n require an applicant = m$ical assi/ance z a survivor ( a disa/] "u ?is section to provide any docum5tation or o!r evid5ce-- 7,i7 ( ! applicant's /atus z a relief-eligible survivor2 & 7,,ii7 if applicable1 t ! applicant requires home & community-bas$ s]vices4 7ii7 ,use ( available electronic data s\rces ,9 mak+ det]m9ations ) respect to ! /atus ( an applicant = m$ical assi/ance z a survivor ( a disa/] "u ?is section1 or su* an applicant's ne$ = home & community-bas$ s]vices1 a ,/ate may use data relat+ to ! applicant t is available to ! ,/ate f electronic data s\rces4 7#b7 ,presumptive eligibility = relief-eligible survivors 7,a7 ,9 g5]al ,a ,/ate %all provide = mak+ m$ical assi/ance available to an individual z a relief-eligible survivor "u ?is section dur+ a presumptive eligibility p]iod4 7,b7 ,presumptive eligibility p]iod def9$ ,= purposes ( ?is p>agraph-- 7i7 ! t]m presumptive eligibility p]iod means1 ) respect to an individual1 ! p]iod t-- 7,i7 beg9s ) ! date on :i* a qualifi$ provid] det]m9es1 on ! basis ( prelim9>y in=mation1 t ! individual satisfies ! crit]ia = eligibility = m$ical assi/ance z a relief-eligible survivor "u ?is section2 & 7,,ii7 ends ) 7& includes7 ! e>li] (-- 7aa7 ! day on :i* a det]m9ation is made ) respect to ! eligibility ( ! individual = m$ical assi/ance z a relief-eligible survivor "u ?is section2 or 7bb7 9 ! case ( an individual :o does n file an application by ! la/ day ( ! mon? foll[+ ! mon? dur+ :i* ! provid] makes ! det]m9ation ref]r$ to 9 item 7aa71 su* la/ day2 & 7ii7 ! t]m qualifi$ provid] has ! mean+ giv5 su* t]m 9 section #aibj4 7,c7 ,coord9ation betwe5 ,/ate ag5cies & qualifi$ provid]s 7i7 ,provision ( =ms & in=mation to qualifi$ provid]s ,! ,/ate ag5cy %all provide qualifi$ provid]s )-- 7,i7 su* =ms z are necess>y = an individual to make application = m$ical assi/ance "u ! ,/ate plan z a relief-eligible survivor2 & 7,,ii7 in=mation on h[ to assi/ individuals & _! au?oriz$ repres5tatives 9 complet+ & fil+ su* =ms4 7ii7 ,provision ( notice ( det]m9ations to ,/ate ag5cies ,a qualifi$ provid] t det]m9es "u ?is subp>agraph t an individual is eligible = m$ical assi/ance "u a ,/ate plan z a relief-eligible survivor "u ?is section %all-- 7,i7 notify ! ,/ate ag5cy ( ! det]m9ation )9 #e work+ days aft] ! date on :i* det]m9ation is made2 & 7,,ii7 in=m ! individual at ! "t ! det]m9ation is made t ! individual is requir$ to make application = m$ical assi/ance "u ! ,/ate plan by n lat] ?an ! la/ day ( ! mon? foll[+ ! mon? dur+ :i* ! det]m9ation is made4 7,d7 ,application requirem5t ,an individual :o is det]m9$ by a qualifi$ provid] to be presumptively eligible z a relief-eligible survivor = m$ical assi/ance "u a ,/ate plan %all make application = m$ical assi/ance "u su* plan by n lat] ?an ! la/ day ( ! mon? foll[+ ! mon? dur+ :i* ! det]m9ation is made1 :i* application may be ! /reaml9$ application describ$ 9 p>agraph 7#a74 7,e7 ,treatm5t z m$ical assi/ance ,not)/&+ any o!r provision ( ?is title1 items & s]vices t are-- 7i7 furni%$ to an individual dur+ a presumptive eligibility p]iod "u ?is p>agraph by a provid] t is eligible = paym5ts "u ! ,/ate plan2 & 7ii7 includ$ 9 ! c>e & s]vices cov]$ by ! ,/ate plan2 %all be treat$ z m$ical assi/ance provid$ to a relief-eligible survivor ( a disa/] dur+ ! relief cov]age p]iod ( ! disa/] "u ?is section4 7#c7 ,cont9u\s eligibility 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 an individual :o is det]m9$ by a ,/ate to be a relief-eligible survivor ( a disa/] %all rema9 eligible = m$ical assi/ance "u ! ,/ate plan 7or a waiv] ( su* plan7 z su* a survivor1 )\t ! ne$ = any r$et]m9ation ( eligibility1 = ! duration ( ! relief cov]age p]iod ( ! disa/]4 7,b7 ,exceptions ,a ,/ate may t]m9ate ! eligibility ( an individual :o is det]m9$ by a ,/ate to be a relief-eligible survivor ( a disa/] be=e ! end ( ! relief cov]age p]iod ( ! disa/] if-- 7i7 ! individual 7or ! individual's au?oriz$ repres5tative7 reque/s a volunt>y t]m9ation ( eligibility2 7ii7 ! individual ceases to be a resid5t ( ! ,/ate2 7iii7 ! ,/ate det]m9es t eligibility 0 errone\sly grant$ because ( ,/ate error or fraud1 abuse1 or p]jury attribut$ to ! individual 7or ! individual's au?oriz$ repres5tative72 or 7iv7 ! individual dies4 7#d7 ,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$ical assi/ance "u ?is section1 :i* %all be valid = ! duration ( ! relief cov]age p]iod ( ! disa/]4 7#e7 ,v]ification ( /atus z a relief-eligible survivor 7,a7 ,9 g5]al ,! ,/ate %all make a good fai? ef=t to v]ify ! /atus ( an individual :o is enroll$ 9 ! ,/ate plan 7or a waiv] ( su* plan7 z a relief-eligible survivor ( a disa/] 9 accordance ) ?is section4 ,su* ef=t %all n delay ! det]m9ation ( ! eligibility ( ! individual = m$ical assi/ance "u ?is section1 & a ,/ate may enroll an individual 9 ! ,/ate plan or waiv] "u ?is section p5d+ su* v]ification4 7,b7 ,evid5ce ( v]ification ,a ,/ate may satisfy ! v]ification requirem5t "u subp>agraph 7,a7 ) respect to an individual by %[+ t ! ,/ate obta9$ in=mation f ! ,social ,security ,adm9i/ration1 ! ,int]nal ,rev5ue ,s]vice1 or1 if applicable1 ! ,/ate ,m$icaid ag5cy ( ! home ,/ate ( ! individual4 7#f7 ,det]m9ation by ,express ,lane ag5cy ,any det]m9ation or r$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 ,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 at lea/ 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$ical assi/ance provid$ "u ?is section by a ,/ate to a relief-eligible survivor ( a disa/] ^: home ,/ate is n ! ,/ate provid+ su* assi/ance = an item or s]vice :i* is n o!rwise 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 lea/ 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$ical assi/ance 9 accordance ) ?is section is ! date t is #ij days aft] ! end ( ! disa/]'s relief cov]age p]iod4 7#d7 ,*ildr5 born to relief-eligible survivors ( a disa/] ,9 ! case ( a *ild born to a relief-eligible survivor ( a disa/] :o is provid$ 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 individual 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 7f71 ! ,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 social work]s1 or o!r qualifi$ m5tal or behavioral heal? pr(essionals = 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 ,inpati5t & outpati5t m5tal heal? c>e4 7,h7 ,family c\nsel+ = families :]e a memb] ( ! imm$iate family is a survivor ( ! disa/] or a fir/ respond] to ! disa/] or includes an individual :o has di$ 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 subp>agraph 7,a71 7,b71 or 7,c7 ( subsection 7b77#a71 z applicable7-- 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 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$ 9 accordance ) ! ,/ate plan ( ! home ,/ate ( ! individual74 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 7e7 ,/ate reports ,ea* ,/ate %all submit to ! ,secret>y an annual report t includes-- 7#a7 ! numb] ( survivors ( a disa/] :o 7 det]m9$ by ! ,/ate to be relief-eligible survivors ( a disa/] 9 ! prec$+ ye>2 & 7#b7 ! numb] ( relief-eligible survivors ( a disa/] :o 7 det]m9$ 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 7f7 #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/] &1 9 ! case ( individuals describ$ 9 clause 7ii7 or 7iii7 ( subsection 7b77#e77;,c71 dur+ ! applicable p]iods describ$ 9 su* clauses2 & 7,b7 t are directly attributable to adm9i/rative activities relat$ to ! provision ( m$ical assi/ance "u ?is section1 includ+ co/s attributable to obta9+ recov]ies "u subsection 7g74 7#b7 ,disreg>d ( limits on paym5ts to t]ritories ,! limitations on paym5t "u subsections 7f7 & 7g7 ( section #aajh %all n apply to ,f$]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 7g7 ,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 7h7 ,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$ical assi/ance foll[+ a disa/] 7a7 ,guidance on increas+ access to provid]s ,n lat] ?an ,janu>y #a1 #bjbg1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ 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 #aidi7;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 #aidi7;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 #aidi7;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 ,individuals :o are enroll$ 9 ! ,/ate ,m$icaid program "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 or ! ,*ildr5's ,heal? ,insurance ,program "u title ,,xxi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;aa et seq474 7viii7 ,c5t]s = indep5d5t liv+1 z describ$ 9 "p ,c ( title ,,vii ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gif;f et seq474 7ix7 ,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 #aidi7;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 #bjbg ?r\gh #bjcb1 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$-- 7,a7 9 subsection 7b71 by /rik+ & 7ii7 & ins]t+ 7ii71 & 7kk72 & 7,b7 by add+ at ! end ! foll[+ new subsection3 7kk7 #ajj p]c5t ,,fmap = all m$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+ ! fiscal ye> = m$ical assi/ance = an individual :o1 dur+ ! fiscal qu>t] 9 :i* ! assi/ance is provid$ 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 #aidi74 4 7#b7 ,exclusion ( enhanc$ paym5ts f t]ritorial caps ,not)/&+ any o!r provision ( law1 = purposes ( section #aajh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acjh71 ) respect to any additional am\nt paid to a t]ritory z a result ( ! application ( subsection 7kk7 ( section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d71 z add$ by p>agraph 7#a7-- 7,a7 ! limitation on paym5ts to t]ritories "u subsections 7f7 & 7g7 ( su* section #aajh %all n apply to su* additional am\nts2 & 7,b7 su* additional am\nts %all be disreg>d$ 9 apply+ su* subsections4 7#c7 ,application to ,,*ip 7,a7 ,9 g5]al ,section #baje7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;ee7a77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ac7 #ajj p]c5t mat* = assi/ance provid$ 9 disa/] direct impact areas ,not)/&+ subsection 7b71 ! enhanc$ ,,fmap = a ,/ate1 ) respect to paym5ts "u subsection 7a7 = exp5ditures "u ! ,/ate plan = *ild heal? assi/ance = t>get$ l[-income *ildr5 or pregnancy-relat$ assi/ance = individuals :o are t>get$ l[-income wom5 t is provid$ to su* a *ild or individual :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 #aidi7 %all be equal to #ajj p]c5t4 4 7,b7 ,adju/m5t ( ,,*ip allotm5ts ,section #bajd7m7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;dd7m77 is am5d$-- 7i7 9 p>agraph 7#b77;,b71 by /rik+ & 7#ab7 & ins]t+ 7#ab71 & 7#ac72 & 7ii7 by add+ at ! end ! foll[+ new p>agraph3 7#ac7 ,adju/+ allotm5ts to acc\nt = increas$ f$]al paym5ts = assi/ance provid$ 9 disa/] direct impact areas ,if a ,/ate 7includ+ ! ,di/rict ( ,columbia & ea* commonweal? & t]ritory7 receives a paym5t = a fiscal ye> "u subsection 7a7 ( section #baje = exp5ditures t are subject to ! enhanc$ ,,fmap specifi$ "u subsection 7c77#ac7 ( su* section-- 7,a7 ! am\nt ( ! allotm5t det]m9$ = ! ,/ate "u ?is subsection = su* fiscal ye> %all be increas$ by ! product (-- 7i7 ! am\nt ( su* exp5ditures t ! ,/ate is project$ to make = su* fiscal ye>2 & 7ii7 a p]c5tage equal to #ajj p]c5t r$uc$ by a numb] ( p]c5tage po9ts equal to ! enhanc$ ,,fmap det]m9$ = ! ,/ate & fiscal ye> "u subsection 7b7 ( section #baje2 & 7,b7 once actual exp5ditures = ! fiscal ye> are available1 ! am\nt ( su* allotm5t1 z increas$ "u subp>agraph 7,a71 %all be fur!r increas$ or r$uc$1 z appropriate1 on ! basis ( ! diff]5ce betwe5-- 7i7 ! am\nt ( ! increase det]m9$ "u subp>agraph 7,a72 & 7ii7 ! product (-- 7,i7 ! actual am\nt ( ,/ate exp5ditures t are subject to ! enhanc$ ,,fmap specifi$ "u section #baje7;c77#ac72 & 7,,ii7 ! p]c5tage det]m9$ = ! ,/ate "u subp>agraph 7,a77ii74 4 7b7 ,moratorium on r$et]m9ations ,dur+ ! relief cov]age p]iod 7z def9$ 9 p>agraph 7#d7 ( section #aidi7;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 9 subp>agraph 7,a71 by /rik+ subp>agraph 7,b7 & ins]t+ subp>agraphs 7,b7 & 7,c72 & 7#b7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,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 #aidi7;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 #h4 ,impact evaluation & report+ 7a7 ,9 g5]al ,n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all ent] into a #e ye> agreem5t ?r\gh a contract1 grant1 or coop]ative agreem5t ) an indep5d5t nonpr(it entity exp]i5c$ 9 conduct+ evaluations ( program & sy/ems *ange ef=ts to-- 7#a7 conduct a multi-ye> evaluation on ! impact ( ?is ,act1 ) respect to relief-eligible survivors 7includ+ p ) disabilities & pregnant individuals72 & 7#b7 prep>e ! reports describ$ 9 subsection 7c74 7b7 ,evaluation ,9 c>ry+ out subsection 7a77#a71 ! entity aw>d$ a contract1 grant1 or coop]ative agreem5t "u ?is section %all evaluate at a m9imum-- 7#a7 ! availability ( & access to ,m$icaid s]vices = relief-eligible survivors "u ! ,m$icaid program nationally & 9 ea* ,/ate1 t]ritory & tribal organization1 includ+ scope & cov]age ( s]vices1 provision ( home & community-bas$ s]vices & ext5d$ m5tal heal? & c>e coord9ation s]vices2 & provid] capacity2 7#b7 ! demographics ( individuals receiv+ ^! b5efits1 includ+ individuals ) disabilities & pregnant individuals2 & 7#c7 actions tak5 by ,/ates to comply ) ?is ,act1 includ+ coord9ation ( ef=ts betwe5 /ates1 coord9ation betwe5 /ate ag5cies & qualifi$ provid]s1 & activities ( ,,hcbs em]g5cy response corps 7z describ$ 9 section #c7;c774 7c7 ,reports ,! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,f9ance ( ! ,s5ate1 ! ,special ,committee on ,ag+ ( ! ,s5ate1 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 & ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives ! foll[+ reports on ! evaluation conduct$ "u subsection 7a77#a73 7#a7 ,an int]im report on ! evaluation1 to be submitt$ n lat] ?an #c ye>s aft] ! evaluation comm5ces4 7#b7 ,a foll[-up report on su* evaluation1 to be submitt$ n lat] ?an #bd mon?s aft] ! date on :i* ! int]im report is issu$4