ADDITIONAL FEDERAL PAYMENTS UNDER HURRICANE-RELATED MULTI-STATE SECTION 1115 DEMONSTRATIONS.

SEC. 6201. ADDITIONAL FEDERAL PAYMENTS UNDER HURRICANE-RELATED MULTI-STATE SECTION 1115 DEMONSTRATIONS.(a) In General.—The Secretary of Health and Human Services shall pay to each eligible State, from amounts appropriated pursuant to subsection (e), amounts for the following purposes:(1) Under the authority of an approved Multi-State Section 1115 Demonstration Project (in this section referred to as a “section 1115 project”)—(A) with respect to evacuees receiving health care under such project, for the non-Federal share of expenditures:(i) for medical assistance furnished under title XIX of the Social Security Act, and(ii) for child health assistance furnished under title XXI of such Act;(B) with respect to evacuees who do not have other coverage for such assistance through insurance, including (but not limited to) private insurance, under title XIX or title XXI of the Social Security Act, or under State-funded health insurance programs, for the total uncompensated care costs incurred for medically necessary services and supplies or premium assistance for such persons, and for those evacuees receiving medical assistance under the project for the total uncompensated care costs incurred for medically necessary services and supplies beyond those included as medical assistance or child health assistance under the State’s approved plan under title XIX or title XXI of the Social Security Act;(C) with respect to affected individuals receiving health care under such project for the non-Federal share of the following expenditures:(i) for medical assistance furnished under title XIX of the Social Security Act, and(ii) for child health assistance furnished under title XXI of such Act; and120 STAT. 133(D) with respect to affected individuals who do not have other coverage for such assistance through insurance, including (but not limited to) private insurance, under title XIX or title XXI of the Social Security Act, or under State-funded health insurance programs, for the total uncompensated care costs incurred for medically necessary services and supplies or premium assistance for such persons, and for those affected individuals receiving medical assistance under the project for the total uncompensated care costs incurred for medically necessary services and supplies beyond those included as medical assistance or child health assistance under the State’s approved plan under title XIX or title XXI of the Social Security Act.(2) For reimbursement of the reasonable administrative costs related to subparagraphs (A) through (D) of paragraph (1) as determined by the Secretary.(3) Only with respect to affected counties or parishes, for reimbursement with respect to individuals receiving medical assistance under existing State plans approved by the Secretary of Health and Human Services for the following non-Federal share of expenditures: (A) For medical assistance furnished under title XIX of the Social Security Act.(B) For child health assistance furnished under title XXI of such Act.(4) For other purposes, if approved by the Secretary under the Secretary’s authority, to restore access to health care in impacted communities.(b) Definitions.—For purposes of this section:(1) The term “affected individual” means an individual who resided in an individual assistance designation county or parish pursuant to section 408 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, as declared by the President as a result of Hurricane Katrina and continues to reside in the same State that such county or parish is located in.(2) The term “affected counties or parishes” means a county or parish described in paragraph (1). (3) The term “evacuee” means an affected individual who has been displaced to another State.(4) The term “eligible State” means a State that has provided care to affected individuals or evacuees under a section 1115 project.(c) Application to Matching Requirements.—The non-Federal share paid under this section shall not be regarded as Federal funds for purposes of Medicaid matching requirements, the effect of which is to provide fiscal relief to the State in which the Medicaid eligible individual originally resided.(d) Time Limits on Payments.—(1) No payments shall be made by the Secretary under subsection (a)(1)(A) or (a)(1)(C), for costs of health care provided to an eligible evacuee or affected individual for services for such individual incurred after June 30, 2006.(2) No payments shall be made by the Secretary under subsection (a)(1)(B) or (a)(1)(D) for costs of health care incurred after January 31, 2006.120 STAT. 134(3) No payments may be made under subsection (a)(1)(B) or (a)(1)(D) for an item or service that an evacuee or an affected individual has received from an individual or organization as part of a public or private hurricane relief effort.(e) Appropriations.—For the purpose of providing funds for payments under this section, in addition to any funds made available for the National Disaster Medical System under the Department of Homeland Security for health care costs related to Hurricane Katrina, including under a section 1115 project, there is appropriated out of any money in the Treasury not otherwise appropriated, $2,000,000,000, to remain available to the Secretary until expended. The total amount of payments made under subsection (a) may not exceed the total amount appropriated under this subsection.