‘‘(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 
1948) 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-
VerDate Sep 11 2014 
21:01 Nov 06, 2023
Jkt 049200
PO 00000
Frm 00034
Fmt 6652
Sfmt 6201
E:\BILLS\H6029.IH
H6029
ddrumheller on DSK120RN23PROD with BILLS
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— 
VerDate Sep 11 2014 
21:01 Nov 06, 2023
Jkt 049200
PO 00000
Frm 00035
Fmt 6652
Sfmt 6201
E:\BILLS\H6029.IH
H6029
ddrumheller on DSK120RN23PROD with BILLS
‘‘(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 1948(b) of the Social Security Act, as added by 
section 2)) of a disaster, a State that contains a direct 
impact 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) by redesignating subparagraphs (A) and 
(B) as clauses (i) and (ii), respectively; 
VerDate Sep 11 2014 
21:01 Nov 06, 2023
Jkt 049200
PO 00000
Frm 00036
Fmt 6652
Sfmt 6201
E:\BILLS\H6029.IH
H6029
ddrumheller on DSK120RN23PROD with BILLS
(2) by striking ‘‘An ‘emergency area’ ’’ and in-
serting the following: 
‘‘(A) IN GENERAL.—An emergency area’’; 
and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(B) 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 1948(b)), any month any part of 
which is within the relief coverage period (as defined in 
paragraph (4) of such section) of such disaster’’. 
VerDate Sep 11 2014 
21:01 Nov 06, 2023
Jkt 049200
PO 00000
Frm 00037
Fmt 6652
Sfmt 6201
E:\BILLS\H6029.IH
H6029
ddrumheller on DSK120RN23PROD with BILLS
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 
Health and Human Services determines requires State 
legislation (other than legislation appropriating funds) in 
order for the plan to meet the additional requirement im-
posed by this section, the State plan shall not be regarded 
as failing to comply with the requirements of such title 
solely on the basis of the failure of the plan to meet such 
additional requirement before the 1st day of the 1st cal-
endar quarter beginning after the close of the 1st regular 
session of the State legislature that ends after the 1-year 
period beginning with the date of the enactment of this 
section. For purposes of the preceding sentence, in the 
case of a State that has a 2-year legislative session, each 
year of the session is deemed to be a separate regular ses-
sion of the State legislature. 
SEC. 8. IMPACT EVALUATION AND REPORTING. 
(a) IN GENERAL.—Not later than 24 months after 
the date of enactment of this Act, the Secretary of Health 
and Human Services shall enter into a 5-year agreement 
through a contract, grant, or cooperative agreement with 
VerDate Sep 11 2014 
21:01 Nov 06, 2023
Jkt 049200
PO 00000
Frm 00038
Fmt 6652
Sfmt 6201
E:\BILLS\H6029.IH
H6029
ddrumheller on DSK120RN23PROD with BILLS
an independent nonprofit entity experienced in conducting 
evaluations of program and systems change efforts to— 
(1) conduct a multi-year evaluation on the im-
pact of this Act, with respect to relief-eligible sur-
vivors (including people with disabilities and preg-
nant individuals); and 
(2) prepare the reports described in subsection 
(c). 
(b) EVALUATION.—In carrying out subsection (a)(1), 
the entity awarded a contract, grant, or cooperative agree-
ment under this section shall evaluate at a minimum— 
(1) the availability of and access to Medicaid 
services for relief-eligible survivors under the Med-
icaid program nationally and in each State, territory 
and tribal organization, including scope and cov-
erage of services, provision of home and community- 
based services and extended mental health and care 
coordination services; and provider capacity; 
(2) the demographics of individuals receiving 
these benefits, including individuals with disabilities 
and pregnant individuals; and 
(3) actions taken by States to comply with this 
Act, including coordination of efforts between 
States, coordination between State agencies and 
VerDate Sep 11 2014 
21:01 Nov 06, 2023
Jkt 049200
PO 00000
Frm 00039
Fmt 6652
Sfmt 6201
E:\BILLS\H6029.IH
H6029
ddrumheller on DSK120RN23PROD with BILLS