Bills of Congress by U.S. Congress

S.2071 - Disaster Relief Medicaid Act (119th Congress)

Summary

S.2071, the Disaster Relief Medicaid Act, aims to provide Medicaid assistance to individuals and families affected by disasters or emergencies. The bill amends Title XIX of the Social Security Act to ensure medical assistance is available to relief-eligible survivors during relief coverage periods, starting January 1, 2027. It defines key terms like 'disaster,' 'direct impact area,' and 'relief-eligible survivor' to clarify eligibility and scope.

Expected Effects

The bill would expand Medicaid coverage to disaster survivors, offering simplified application processes and presumptive eligibility. It also allows states to provide extended mental health and home and community-based services. Furthermore, the federal government would cover 100% of the costs for medical assistance provided under this act, reducing the financial burden on states.

Potential Benefits

  • Increased Healthcare Access: Provides immediate access to healthcare for disaster survivors who may not otherwise qualify for Medicaid.
  • Simplified Enrollment: Streamlined application process makes it easier for eligible individuals to enroll.
  • Comprehensive Coverage: Ensures coverage includes mental health services and home and community-based services.
  • Financial Relief for States: 100% federal matching payments alleviate the financial burden on states during disasters.
  • Continuous Eligibility: Maintains eligibility for pregnant and postpartum individuals, as well as those with pending applications.

Potential Disadvantages

  • Potential for Fraud: Simplified application process may increase the risk of fraudulent applications.
  • Delayed Implementation: The Act's provisions do not fully take effect until January 1, 2027, delaying immediate relief.
  • Administrative Burden: States may face administrative challenges in implementing the new requirements and coordinating with federal agencies.
  • Cost Uncertainty: While the federal government covers 100% of initial costs, the long-term financial implications for the Medicaid system are uncertain.
  • State Legislation Requirement: Some states may require additional legislation to comply with the Act, causing further delays.

Constitutional Alignment

The bill aligns with the General Welfare Clause (Article I, Section 8) of the Constitution, which allows Congress to provide for the general welfare of the United States. By providing healthcare to disaster survivors, the bill aims to improve public health and well-being. The expansion of Medicaid also falls under Congress's power to regulate interstate commerce (Article I, Section 8), as healthcare services often involve interstate transactions.

Impact Assessment: Things You Care About

This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).