This legislation, titled the "Disaster Relief Medicaid Act," aims to provide crucial medical assistance to individuals and families impacted by various types of disasters. It amends Title XIX of the Social Security Act to ensure that states offer Medicaid coverage to "relief-eligible survivors" during a specified "relief coverage period." This period generally extends for two years following the declaration of a major disaster, national emergency, or public health emergency. A "relief-eligible survivor" is defined as an individual whose family income does not exceed 133% of the poverty line (or 200% for pregnant individuals, children, or those receiving disability benefits), or their home state's existing income eligibility standard, whichever is higher. Notably, unemployment compensation and Federal Emergency Management Agency (FEMA) individual assistance grants are disregarded when calculating a survivor's income for eligibility purposes. This ensures that emergency aid does not inadvertently disqualify individuals from needed medical support. The bill streamlines the application process by allowing states to use a simplified, self-attestation form, and it prohibits states from requiring documentation to prove survivor status or need for home and community-based services. It also introduces presumptive eligibility , allowing qualified providers to immediately grant temporary coverage, and mandates continuous eligibility for the entire relief coverage period without redetermination, with specific extensions for pregnant and postpartum individuals. States are required to provide comprehensive medical assistance that is at least equal to what would be available to individuals under their standard Medicaid plans. This includes coverage for services provided by out-of-state providers if the survivor's home state plan would cover them. Furthermore, the bill mandates retroactive coverage for services furnished from the first day of the disaster's relief coverage period, provided an application is submitted within 90 days after the period ends. The legislation offers states the option to provide extended mental health and care coordination benefits, covering a wide range of services from screening and treatment for disaster-related conditions to family counseling and mobile crisis services. States may also offer home and community-based services (HCBS) to survivors, including those who self-attest to needing such services, without requiring a specific level of care. The Secretary is authorized to waive limitations on HCBS, such as budget neutrality requirements or caps on the number of individuals served. To incentivize states, the bill provides a 100% Federal Medical Assistance Percentage (FMAP) for amounts expended on medical assistance for relief-eligible survivors and related administrative activities. This enhanced federal funding aims to alleviate the financial burden on states responding to disasters. It also ensures that these increased federal payments do not count against existing limitations on payments to U.S. territories. Beyond individual survivor benefits, the bill also provides 100% FMAP for all Medicaid and Children's Health Insurance Program (CHIP) services provided to any resident within a disaster's direct impact area during the relief coverage period. Additionally, states are not required to conduct eligibility redeterminations for individuals residing in these direct impact areas during the disaster's relief coverage period, further reducing administrative burdens during emergencies. To support state efforts, the Secretary of Health and Human Services is directed to issue guidance on best practices for expediting provider approval and utilizing out-of-state providers after a disaster. The bill also establishes an HCBS Emergency Response Corps Grant Program , authorizing $10 million annually for fiscal years 2027 through 2032, to help states develop corps composed of various stakeholders to address the acute and long-term service needs of survivors. Other provisions include expanding the definition of an "emergency area" under existing waiver authority to encompass areas with significant numbers of evacuees from a disaster zone. It also ensures that the disaster relief coverage period does not count towards the calculation of Medicare Part B late enrollment penalties. Finally, the bill mandates a multi-year evaluation of its impact on relief-eligible survivors, including people with disabilities and pregnant individuals, with interim and follow-up reports to Congress.