pended by the State during the fiscal year for medical as-
sistance for an individual who, during the fiscal quarter 
in which the assistance is provided to the individual, is 
a resident of a direct impact area of a disaster during the 
disaster’s relief coverage period (as such terms are defined 
in section 1949).’’. 
(2) EXCLUSION
OF
ENHANCED
PAYMENTS 
FROM
TERRITORIAL
CAPS.—Notwithstanding any 
other provision of law, for purposes of section 1108 
of the Social Security Act (42 U.S.C. 1308), with re-
spect to any additional amount paid to a territory as 
a result of the application of subsection (kk) of sec-
tion 1905 of the Social Security Act (42 U.S.C. 
1396d), as added by paragraph (1)— 
(A) the limitation on payments to terri-
tories under subsections (f) and (g) of such sec-
tion 1108 shall not apply to such additional 
amounts; and 
(B) such additional amounts shall be dis-
regarded in applying such subsections. 
(3) APPLICATION TO CHIP.— 
(A) IN GENERAL.—Section 2105(c) of the 
Social Security Act (42 U.S.C. 1397ee(a)) is 
amended by adding at the end the following 
new paragraph: 
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‘‘(13) 100 PERCENT MATCH FOR ASSISTANCE 
PROVIDED IN DISASTER DIRECT IMPACT AREAS.— 
Notwithstanding 
subsection 
(b), 
the 
enhanced 
FMAP for a State, with respect to payments under 
subsection (a) for expenditures under the State plan 
for child health assistance for targeted low-income 
children or pregnancy-related assistance for individ-
uals who are targeted low-income women that is pro-
vided to such a child or individual who, at the time 
the assistance is provided, is a resident of a direct 
impact area of a disaster during the disaster’s relief 
coverage period (as such terms are defined in section 
1949) shall be equal to 100 percent.’’. 
(B) 
ADJUSTMENT
OF
CHIP
ALLOT-
MENTS.—Section 2104(m) of the Social Secu-
rity Act (42 U.S.C. 1397dd(m)) is amended— 
(i) in paragraph (2)(B), by striking 
‘‘and (12)’’ and inserting ‘‘(12), and (13)’’; 
and 
(ii) by adding at the end the following 
new paragraph: 
‘‘(13) ADJUSTING
ALLOTMENTS
TO
ACCOUNT 
FOR INCREASED FEDERAL PAYMENTS FOR ASSIST-
ANCE
PROVIDED
IN
DISASTER
DIRECT
IMPACT 
AREAS.—If a State (including the District of Colum-
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bia and each commonwealth and territory) receives 
a payment for a fiscal year under subsection (a) of 
section 2105 for expenditures that are subject to the 
enhanced FMAP specified under subsection (c)(13) 
of such section— 
‘‘(A) the amount of the allotment deter-
mined for the State under this subsection for 
such fiscal year shall be increased by the prod-
uct of— 
‘‘(i) the amount of such expenditures 
that the State is projected to make for 
such fiscal year; and 
‘‘(ii) a percentage equal to 100 per-
cent reduced by a number of percentage 
points equal to the enhanced FMAP deter-
mined for the State and fiscal year under 
subsection (b) of section 2105; and 
‘‘(B) once actual expenditures for the fiscal 
year are available, the amount of such allot-
ment, as increased under subparagraph (A), 
shall be further increased or reduced, as appro-
priate, on the basis of the difference between— 
‘‘(i) the amount of the increase deter-
mined under subparagraph (A); and 
‘‘(ii) the product of— 
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‘‘(I) the actual amount of State 
expenditures that are subject to the 
enhanced FMAP specified under sec-
tion 2105(c)(13); and 
‘‘(II) the percentage determined 
for the State under subparagraph 
(A)(ii).’’. 
(b) MORATORIUM ON REDETERMINATIONS.—During 
the relief coverage period (as defined in paragraph (4) of 
section 1949(b) of the Social Security Act, as added by 
section 2) of a disaster, a State that contains a direct im-
pact area (as defined in paragraph (2) of such section) 
of the disaster shall not be required to conduct eligibility 
redeterminations under the State’s plans or waivers of 
such plans under title XIX or XXI of such Act (42 U.S.C. 
1396 et seq., 1397aa) with respect to individuals who re-
side in such area. 
SEC. 5. AUTHORITY TO WAIVE REQUIREMENTS DURING NA-
TIONAL EMERGENCIES WITH RESPECT TO 
EVACUEES FROM AN EMERGENCY AREA. 
Section 1135(g)(1) of the Social Security Act (42 
U.S.C. 1320b–5(g)(1)) is amended— 
(1) in subparagraph (A), by striking ‘‘subpara-
graph (B)’’ and inserting ‘‘subparagraphs (B) and 
(C)’’; and 
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(2) by adding at the end the following new sub-
paragraph: 
‘‘(C) ADDITIONAL
AREAS.—Any geographical 
area in which the Secretary determines there are a 
significant number of evacuees from an area de-
scribed in subparagraph (A) shall also be considered 
to be an ‘emergency area’ for purposes of this sec-
tion.’’. 
SEC. 6. EXCLUSION OF DISASTER RELIEF COVERAGE PE-
RIOD IN COMPUTING MEDICARE PART B 
LATE ENROLLMENT PERIOD. 
Section 1839(b) of such Act (42 U.S.C. 1395r(b)) is 
amended, in the second sentence, by inserting before the 
period at the end the following: ‘‘or, in the case of an indi-
vidual who is a survivor of a disaster (as defined in para-
graph (6) of section 1949(b)), any month any part of 
which is within the relief coverage period (as defined in 
paragraph (4) of such section) of such disaster’’. 
SEC. 7. EFFECTIVE DATE. 
(a) IN GENERAL.—Subject to subsection (b), this Act 
and the amendments made by this Act shall take effect 
on the date of enactment of this Act. 
(b) DELAY PERMITTED IF STATE LEGISLATION RE-
QUIRED.—In the case of a State plan approved under title 
XIX of the Social Security Act which the Secretary of 
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