(6) STATE.—The term ‘‘State’’ has the mean-
ing given that term for purposes of title XIX of the 
Social Security Act (42 U.S.C 1396 et seq.). 
SEC. 102. DISASTER RELIEF MEDICAID. 
(a) AUTHORITY TO PROVIDE DISASTER RELIEF 
MEDICAID.—Notwithstanding any provision of title XIX 
of the Social Security Act, a State shall, as a condition 
of participation in the Medicaid program established 
under title XIX of the Social Security Act (42 U.S.C. 
1396 et seq.), provide medical assistance to DRM-eligible 
Katrina Survivors (as defined in subsection (b)) under a 
State medicaid plan established under such title during 
the DRM coverage period in accordance with the following 
provisions of this section and without submitting an 
amendment to the State Medicaid plan. Such assistance 
shall be referred to as ‘‘DRM assistance’’. 
(b) 
DRM-ELIGIBLE
KATRINA
SURVIVOR
DE-
FINED.—In this section, the term ‘‘DRM-eligible Katrina 
Survivor’’ means a Katrina Survivor who is otherwise eli-
gible for medical assistance under the State Medicaid plan 
for the State in which the Survivor was residing as of the 
week described in section 101(3)(B). 
(c) ELIGIBILITY DETERMINATION; NO CONTINU-
ATION OF DRM ASSISTANCE.—
(1) STREAMLINED ELIGIBILITY PROCESS.—The 
State shall use the following streamlined procedures 
in processing applications and determining eligibility 
for DRM assistance for DRM-eligible Katrina Sur-
vivors: 
(A) A common 1-page application form de-
veloped by the Secretary of Health and Human 
Services in consultation with the National Asso-
ciation of State Medicaid Directors. Such form 
shall— 
(i) require an applicant to provide an 
expected address for the duration of the 
DRM coverage period and to agree to up-
date that information if it changes during 
such period; 
(ii) include notice regarding the pen-
alties for making a fraudulent application 
under subsection (h); 
(iii) require the applicant to assign to 
the State any rights of the applicant (or 
any other person who is a DRM-eligible 
Katrina Survivor and on whose behalf the 
applicant has the legal authority to execute 
an assignment of such rights) under any
group health plan or other third-party cov-
erage for health care; and 
(iv) require the applicant to list any 
health insurance coverage which the appli-
cant was enrolled in immediately prior to 
submitting such application. 
(B) Self-attestation by the applicant that 
the applicant— 
(i) is a DRM-eligible Katrina Sur-
vivor; and 
(ii) if applicable, requires home and 
community-based services provided under 
such DRM assistance in accordance with 
subsection (d)(3). 
(C) No requirement for documentation evi-
dencing the basis on which the applicant quali-
fies to be a DRM-eligible Katrina Survivor or, 
if applicable, requires home and community- 
based services. 
(D) Issuance of a DRM assistance eligi-
bility card to an applicant who completes such 
application, including the self-attestation re-
quired under subparagraph (B). Such card shall 
be valid as long as the DRM coverage period is 
in effect and shall be accompanied by notice of
the termination date for the DRM coverage pe-
riod and, if applicable, notice that such termi-
nation date may be extended. If the President 
extends the DRM coverage period, the State 
shall notify DRM-eligible Katrina Survivors en-
rolled in DRM assistance of the new termi-
nation date for the DRM coverage period. 
(E) If an applicant completes the applica-
tion and presents it to a provider or facility 
participating in the State medicaid plan that is 
qualified to make presumptive eligibility deter-
minations under such plan (which at a min-
imum shall consist of facilities identified in sec-
tion 1902(a)(55) of the Social Security Act (42 
U.S.C. 1396a(a)(55)) and it appears to the pro-
vider that the applicant is a DRM-eligible 
Katrina Survivor based on the information in 
the application, the applicant will be deemed to 
be a DRM-eligible Katrina Survivor eligible for 
DRM assistance in accordance with this section, 
subject to subsection (g). 
(F) Continuous eligibility, without the need 
for any redetermination of eligibility, for the 
duration of the DRM coverage period. 
(2) NO CONTINUATION OF DRM ASSISTANCE.—
(A) IN GENERAL.—Except as provided in 
subparagraphs (B) and (C), no DRM assistance 
shall be provided after the end of the DRM cov-
erage period. 
(B) PRESUMPTIVE
ELIGIBILITY.—In the 
case of any DRM-eligible Katrina Survivor who 
is receiving DRM assistance from a State in ac-
cordance with this section and who, as of the 
end of the DRM coverage period, has an appli-
cation pending for medical assistance under the 
State medicaid plan for periods beginning after 
the end of such period, the State shall provide 
such Survivor with a period of presumptive eli-
gibility for medical assistance under the State 
Medicaid plan (not to exceed 60 days) until a 
determination with respect to the Survivor’s ap-
plication has been made. 
(C) PREGNANT WOMEN.—In the case of a 
DRM-eligible Katrina Survivor who is receiving 
DRM assistance from a State in accordance 
with this section and whose pregnancy ended 
during the 60-day period prior to the end of the 
DRM coverage period, or who is pregnant as of 
the end of such period, such Survivor shall con-
tinue to be eligible for DRM assistance after
the end of the DRM coverage period, including 
(but not limited to) for all pregnancy-related 
and postpartum medical assistance available 
under the State Medicaid plan, through the end 
of the month in which the 60-day period (begin-
ning on the last day of her pregnancy) ends. 
(3) TREATMENT OF KATRINA SURVIVORS PRO-
VIDED
ASSISTANCE
PRIOR
TO
DATE
OF
ENACT-
MENT.—Any Katrina Survivor who is provided med-
ical assistance under a State medicaid plan in ac-
cordance with guidance from the Secretary during 
the period that begins on August 28, 2005, and ends 
on the date of enactment of this Act shall be treated 
as a DRM-eligible Katrina Survivor, without the 
need to file an additional application, for purposes of 
eligibility for DRM assistance under this section. 
(d) SCOPE OF COVERAGE.— 
(1) CATEGORICALLY
NEEDY
BENEFITS.—The 
State shall treat a DRM-eligible Katrina Survivor as 
an individual eligible for medical assistance under 
the State plan under title XIX of the Social Security 
Act on the basis of section 1902(a)(10)(A)(i) of the 
Social Security Act (42 U.S.C. 1396a(a)(10)(A)(i)), 
with coverage for such assistance retroactive to 
items and services furnished on or after August 28,
2005 (or in the case of applications for DRM assist-
ance submitted after January 1 2006, the first day 
of the 5th month preceding the date on which such 
application is submitted). 
(2) EXTENDED MENTAL HEALTH AND CARE CO-
ORDINATION
BENEFITS.—The State may provide, 
without regard to any restrictions on amount, dura-
tion, and scope, comparability, or restrictions other-
wise applicable under the State medicaid plan (other 
than restrictions applicable under such plan with re-
spect to services provided in an institution for men-
tal diseases), to DRM-eligible Katrina Survivors ex-
tended mental health and care coordination benefits 
which may include the following: 
(A) Screening, assessment, and diagnostic 
services (including specialized assessments for 
individuals with cognitive impairments). 
(B) Coverage for a full range of mental 
health medications at the dosages and fre-
quencies prescribed by health professionals for 
depression, post-traumatic stress disorder, and 
other mental disorders. 
(C) 
Psychotherapy, 
rehabilitation 
and 
other treatments administered by psychiatrists, 
psychologists, or social workers for conditions
exacerbated by, or resulting from, Hurricane 
Katrina. 
(D) In-patient mental health care. 
(E) Family counseling for families where a 
member of the immediate family is a first re-
sponder to Hurricane Katrina or includes an in-
dividual who has died as a result of Hurricane 
Katrina. 
(F) In connection with the provision of 
health and long-term care services, arranging 
for, (and when necessary, enrollment in waiver 
programs or other specialized programs), and 
coordination related to, primary and specialty 
medical care, which may include personal care 
services, durable medical equipment and sup-
plies, assistive technology, and transportation. 
(3) HOME
AND
COMMUNITY-BASED
SERV-
ICES.— 
(A) IN GENERAL.—In the case of a State 
with a waiver to provide home and community- 
based services granted under section 1115 of 
the Social Security Act or under subsection (c) 
or (d) of section 1915 of such Act, the State 
may provide such services to DRM-eligible 
Katrina Survivors who self-attest in accordance
with subsection (c)(1)(B)(ii) that they require 
immediate home and community-based services 
that are available under such waiver without re-
gard to whether the Survivors would require the 
level of care provided in a hospital, nursing fa-
cility, or intermediate care facility for the men-
tally 
retarded, 
including 
to 
DRM-eligible 
Katrina Survivors who are individuals described 
in subparagraph (B). 
(B) INDIVIDUALS
DESCRIBED.—Individ-
uals described in this subparagraph are individ-
uals who— 
(i) on any day during the week pre-
ceding August 28, 2005— 
(I) had been receiving home and 
community-based services under a 
waiver described in subparagraph (A) 
in a direct impact parish or county; 
(II) had been receiving support 
services from a primary family care-
giver who, as a result of Hurricane 
Katrina, is no longer available to pro-
vide services; or 
(III) had been receiving personal 
care, home health, or rehabilitative
services under the State medicaid plan 
or under a waiver granted under sec-
tion 1915 or 1115 of the Social Secu-
rity Act; or 
(ii) are disabled (as determined under 
the State medicaid plan). 
(C) WAIVER OF RESTRICTIONS.—The Sec-
retary shall waive with respect to the provision 
of home and community-based services under 
this paragraph any limitations on— 
(i) the number of individuals who 
shall receive home or community-based 
services under a waiver described in sub-
paragraph (A); 
(ii) budget neutrality requirements ap-
plicable to such waiver; and 
(iii) targeted populations eligible for 
services under such waiver. 
The Secretary may waive other restrictions ap-
plicable under such a waiver, that would pre-
vent a State from providing home and commu-
nity-based services in accordance with this 
paragraph. 
(4) CHILDREN BORN TO PREGNANT WOMEN.— 
In the case of a child born to a DRM-eligible
Katrina Survivor who is provided DRM assistance 
during the DRM coverage period, such child shall be 
treated as having been born to a pregnant woman el-
igible for medical assistance under the State med-
icaid plan and shall be eligible for medical assistance 
under such plan in accordance with section 
1902(e)(4) of the Social Security Act (42 U.S.C. 
1396a(e)(4)). The Federal medical assistance per-
centage applicable to the State medicaid plan shall 
apply to medical assistance provided to a child under 
such plan in accordance with the preceding sentence. 
(e) TERMINATION OF COVERAGE; ASSISTANCE WITH 
APPLYING FOR REGULAR MEDICAID COVERAGE.— 
(1) NOTICE
OF
EXPECTED
TERMINATION
OF 
DRM
COVERAGE
PERIOD.—A State shall provide 
DRM-eligible Katrina Survivors who are receiving 
DRM assistance from the State in accordance with 
this section, as of the beginning of the 4th month 
(and, if applicable, 9th month) of the DRM coverage 
period with— 
(A) notice of the expected termination date 
for DRM assistance for such period; 
(B) information regarding eligibility for 
medical assistance under the State’s eligibility
rules otherwise applicable under the State med-
icaid plan; and 
(C) an application for such assistance and 
information regarding where to obtain assist-
ance with completing such application in ac-
cordance with paragraph (2). 
(2) APPLICATION ASSISTANCE.—A State shall 
provide DRM-eligible Katrina Survivors who are re-
ceiving DRM assistance from the State in accord-
ance with this section with assistance in applying for 
medical assistance under the State medicaid plan for 
periods beginning after the end of the DRM cov-
erage period, at State Medicaid offices and at loca-
tions easily accessible to such Survivors. 
(3) STATE REPORTS.—A State providing DRM 
assistance in accordance with this section shall sub-
mit to the Secretary the following reports: 
(A) TERMINATION
AND
TRANSITION
AS-
SISTANCE
TO
REGULAR
MEDICAID
COVERAGE 
FOR DRM-ELIGIBLE KATRINA SURVIVORS ELIGI-
BLE FOR SUCH ASSISTANCE.—A report detail-
ing how the State intends to satisfy the require-
ments of paragraphs (1) and (2). 
(B) ENROLLMENT.—Reports regarding—