SEC. 3. PROMOTING EFFECTIVE AND INNOVATIVE STATE 
RESPONSES TO INCREASED DEMAND FOR 
MEDICAL ASSISTANCE FOLLOWING A DIS-
ASTER. 
(a) GUIDANCE
ON INCREASING ACCESS
TO PRO-
VIDERS.—Not later than January 1, 2027, the Secretary 
of Health and Human Services (in this section referred 
to as the ‘‘Secretary’’) shall issue (and update as the Sec-
retary determines necessary) guidance to State Medicaid 
directors on best practices for— 
(1) expediting the approval of providers under 
a State Medicaid plan under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.), or waiver of 
such plan, after a disaster to meet increased demand 
for medical assistance under the plan or waiver from 
relief-eligible survivors (as defined in section 
1949(b)(5) of such Act) of disasters; and 
(2) using out-of-State providers to provide care 
to relief-eligible survivors of a disaster under the 
plan or waiver. 
(b) TECHNICAL ASSISTANCE AND SUPPORT FOR IN-
NOVATIVE STATE STRATEGIES TO RESPOND
TO IN-
CREASED DEMAND
FOR MEDICAL ASSISTANCE FOL-
LOWING A DISASTERS.— 
(1) IN GENERAL.—The Secretary shall provide 
technical assistance and support to States to develop 
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or expand infrastructure, strategies, or innovations 
(including through State Medicaid demonstration 
projects) to provide medical assistance under a State 
Medicaid plan under title XIX of the Social Security 
Act (42 U.S.C. 1396 et seq.), or a waiver of such 
a plan, to relief-eligible survivors (as defined in sec-
tion 1949(b)(5) of such Act) of disasters. 
(2) REPORT.—Not later than 180 days after 
the date of enactment of this Act, the Secretary 
shall issue a report to Congress detailing a plan of 
action to carry out the requirements of paragraph 
(1). 
(c) HCBS EMERGENCY RESPONSE CORPS GRANT 
PROGRAM.— 
(1) IN GENERAL.—The Secretary shall award 
grants under this subsection to States for the pur-
pose of establishing or operating HCBS emergency 
response corps that meet the requirements of para-
graph (2) to provide medical assistance for home 
and community-based services under a State Med-
icaid plan under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.) to relief-eligible survivors 
(as defined in section 1949(b)(5) of such Act) of dis-
asters. 
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(2) HOME
AND
COMMUNITY-BASED
SERVICES 
EMERGENCY
RESPONSE
CORPS.—An HCBS emer-
gency response corps meets the requirements of this 
paragraph if it satisfies the following requirements: 
(A) 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 dis-
aster (as determined by the Secretary). 
(B) The corps is composed of representa-
tives from each of the following: 
(i) Voluntary organizations delivering 
assistance. 
(ii) Area agencies on aging (as defined 
in section 102 of the Older Americans Act 
of 1965 (42 U.S.C. 3002)). 
(iii) The Medicare program under title 
XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.). 
(iv) The State agency responsible for 
administering the State Medicaid program 
under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.). 
(v) State agencies serving older adults 
and people with disabilities. 
(vi) Nonprofit service providers. 
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(vii) Individuals who are enrolled in 
the State Medicaid program under title 
XIX of the Social Security Act (42 U.S.C. 
1396 et seq.) or the Children’s Health In-
surance Program under title XXI of the 
Social Security Act (42 U.S.C. 1397aa et 
seq.). 
(viii) Centers for independent living, 
as described in part C of title VII of the 
Rehabilitation Act of 1973 (29 U.S.C. 
796f et seq.). 
(ix) Other organizations that address 
the needs of older adults and people with 
disabilities. 
(C) The corps is led by a representative of 
a State or nonprofit agency serving older adults 
or people with disabilities. 
(D) The corps operates under a plan to 
meet the acute and long-term services and sup-
port needs of relief-eligible survivors (as defined 
in section 1949(b)(5) of the Social Security 
Act) of disasters, and is provided with the re-
sources necessary to execute such plan. 
(3) GRANTS.— 
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(A) 
LIMITATION.—The 
Secretary 
may 
award a grant under this subsection to up to 5 
States. 
(B) TERM OF GRANTS.—Grants under this 
subsection shall be made for a term of 2 years. 
(4) AUTHORIZATION.—There are authorized to 
be appropriated to carry out this subsection, 
$10,000,000 for each of fiscal years 2027 through 
2032, to remain available until expended. 
SEC. 4. TARGETED MEDICAID RELIEF FOR DIRECT IMPACT 
AREAS. 
(a) 100 PERCENT FEDERAL MATCHING PAYMENTS 
FOR MEDICAL ASSISTANCE PROVIDED IN A DIRECT IM-
PACT AREA.— 
(1) IN GENERAL.—Section 1905 of the Social 
Security Act (42 U.S.C. 1396d) is amended— 
(A) in subsection (b), by striking ‘‘and 
(ii)’’ and inserting ‘‘(ii), and (kk)’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(kk) 100 PERCENT FMAP FOR ALL MEDICAL AS-
SISTANCE
PROVIDED
IN
DISASTER
DIRECT
IMPACT 
AREAS.—Notwithstanding subsection (b), the Federal 
medical assistance percentage for a State and fiscal year 
shall be equal to 100 percent with respect to amounts ex-
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