S2071-119

In Committee

Disaster Relief Medicaid Act

119th Congress Introduced Jun 12, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

This bill creates a permanent Disaster Relief Medicaid program that would automatically provide health insurance to disaster survivors for up to two years. When a major disaster, national emergency, or public health emergency is declared, people in the affected area with incomes up to 133% of the poverty line (200% for pregnant women, children, and people with disabilities) would qualify for Medicaid through a simplified self-attestation process with no documentation required. The federal government would pay 100% of the costs. The bill also provides grants for states to set up Home and Community-Based Services emergency response teams, extends 100% federal funding for all Medicaid in direct impact areas, protects disaster survivors from Medicare late enrollment penalties, and requires a multi-year evaluation of the program.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

Establishes a comprehensive Disaster Relief Medicaid program providing automatic Medicaid eligibility and 100% federal funding for disaster survivors, including presumptive eligibility, simplified applications, extended mental health services, and home and community-based services.

Who Benefits

  • Disaster survivors who lack health insurance
  • Low-income families in disaster areas
  • People with disabilities affected by disasters

Who Bears Costs

  • Federal government (bears 100% of costs)
  • CMS (administrative burden of new program)

Key Policy Areas

Healthcare, Emergency Management, Social Safety Net

Primary Purpose

Establishes a comprehensive Disaster Relief Medicaid program providing automatic Medicaid eligibility and 100% federal funding for disaster survivors, including presumptive eligibility, simplified applications, extended mental health services, and home and community-based services.

Policy Domains

Healthcare Emergency Management Social Safety Net

Legislative Strategy

"Create a permanent federal framework for disaster Medicaid that eliminates need for ad hoc waivers, with 100% federal funding to remove state fiscal barriers to coverage expansion during disasters."

Legislative Progress

In Committee
Introduced Committee Passed
Jun 12, 2025

Mr. Blumenthal (for himself, Mr. Schatz, Mr. Schiff, Mrs. Gillibrand, …

Jun 12, 2025

Read twice and referred to the Committee on Finance.

Jun 12, 2025

Introduced in Senate

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Government
8 mentions across 5 clauses
+3 positive -3 negative ~2 mixed

Federal government, State Medicaid agencies, State Medicaid programs

Positive-direction: State Medicaid programs, State governments in disaster areas, U.S. territories

Negative-direction: Federal government, State legislatures

Healthcare
6 mentions across 6 clauses
+6 positive

All Medicaid/CHIP enrollees in direct impact areas, Disaster evacuees in receiving communities, Disaster survivors and evacuees

Health Professionals
4 mentions across 4 clauses
+4 positive

Healthcare providers in disaster areas, Healthcare providers in evacuee-receiving areas, Home and community-based service providers

Nonprofits
2 mentions across 2 clauses
+2 positive

Independent nonprofit evaluation entities, Nonprofit service providers

8/9
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Emergency Management
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare Emergency Management
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare Public Finance
Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare Government Operations
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services

Key Definitions

Terms defined in this bill

4 terms
"disaster" §1949(b)(1)

A major disaster declared by the President under the Stafford Act, a national emergency under the National Emergencies Act, or a public health emergency declared by the HHS Secretary.

"direct impact area" §1949(b)(2)

The geographic area in which the disaster exists, as posted by CMS and FEMA.

"relief coverage period" §1949(b)(4)

The period from the date the disaster is declared through 2 years after that date.

"relief-eligible survivor" §1949(b)(5)

A disaster survivor whose family income does not exceed the higher of 133% (200% for pregnant, children, disabled) of the poverty line or the applicable State Medicaid income standard.

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology