Targeted Medicaid relief for direct impact areas

(a) 100 percent Federal matching payments for medical assistance provided in a direct impact 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 assistance 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 expended by the State during the fiscal year for medical assistance 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 respect to any additional amount paid to a territory as a result of the application of subsection (kk) of section 1905 of the Social Security Act (42 U.S.C. 1396d), as added by paragraph (1)— (A) the limitation on payments to territories under subsections (f) and (g) of such section 1108 shall not apply to such additional amounts; and (B) such additional amounts shall be disregarded 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: (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 individuals who are targeted low-income women that is provided 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 allotments Section 2104(m) of the Social Security 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 assistance provided in disaster direct impact areas If a State (including the District of Columbia 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 determined for the State under this subsection for such fiscal year shall be increased by the product 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 percent reduced by a number of percentage points equal to the enhanced FMAP determined 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 allotment, as increased under subparagraph (A), shall be further increased or reduced, as appropriate, on the basis of the difference between— (i) the amount of the increase determined under subparagraph (A); and (ii) the product of— (I) the actual amount of State expenditures that are subject to the enhanced FMAP specified under section 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 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 reside in such area.