Disaster Relief Medicaid Act

Full Title:
Disaster Relief Medicaid Act

Summary#

This bill (Disaster Relief Medicaid Act) creates a new Medicaid option to give medical coverage to people affected by declared disasters and emergencies. It adds a new section (section 1949) to the Social Security Act. The bill defines "disaster," who counts as a "survivor," and sets a "relief coverage period" that lasts 2 years after a disaster is declared. States must make medical assistance available to "relief-eligible survivors" with simplified applications, presumptive eligibility through qualified providers, and continuous eligibility during the relief coverage period. The bill allows states to provide home and community-based services and expanded mental health and care coordination services for survivors. States must issue a disaster relief Medicaid card to eligible people. The bill also requires states to report counts of people served and sets 100 percent federal matching for covered care and related administrative costs. It creates targeted full federal matching for assistance provided to residents of disaster "direct impact areas," pauses eligibility redeterminations in those areas during the relief coverage period, and allows certain waivers for areas hosting evacuees. It exempts months in a relief coverage period from counting toward Medicare Part B late enrollment penalties. The law would take effect on enactment, with a time delay allowed for states needing state legislation.

What it means for you#

  • People who live in or are displaced from areas hit by declared disasters may be able to get Medicaid-like coverage for up to 2 years after the disaster if they meet income and residency rules.
  • States must offer a simplified application and can temporarily enroll people based on a qualified provider's determination (presumptive eligibility).
  • Pregnant people and some others get higher income limits and special continued coverage rules.
  • People who need home and community-based services or extra mental health supports after a disaster can get those if the state chooses to offer them.
  • Residents of direct impact areas have protections like a moratorium on redeterminations during the relief coverage period.

Expenses#

  • The bill sets the Federal Medical Assistance Percentage (FMAP) at 100 percent for medical assistance provided under the new section and for related administrative costs.
  • It also sets a 100 percent match for assistance provided in disaster direct impact areas (Medicaid and CHIP).
  • The bill authorizes $10,000,000 per year for fiscal years 2027 through 2032 (to remain available until expended) for grants to establish or operate HCBS emergency response corps in up to 5 States.
  • No publicly available information on the total federal cost or estimated budgetary impact is included in the bill text provided.

Proponents' View#

The bill's stated purpose is to provide Medicaid assistance to individuals and families affected by disasters or emergencies, streamline enrollment, and support access to home and community-based services and mental health care for disaster survivors. It also aims to ensure states receive full federal matching funds for that care.

Opponents' View#

No publicly available information.