# 119-hr-3990: Disaster Relief Medicaid Act

119-hr-3990, Disaster Relief Medicaid Act, is a 119th Congress bill sponsored by Rep. Panetta, Jimmy [D-CA-19] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-08-29).

- Canonical: https://policyrisk.com/legislation/119-hr-3990
- As of: 2026-08-29
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3990
- Congress: 119
- Title: Disaster Relief Medicaid Act
- Status: introduced
- Introduced: 2025-06-12
- Sponsor: Rep. Panetta, Jimmy [D-CA-19] (D-CA)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-29

## Summary

**A new disaster-triggered Medicaid relief pathway** would create time-limited, federally supported medical coverage for people hit by qualifying disasters, with streamlined enrollment and presumptive eligibility. It would start for disasters declared after 2026 and cover survivors for up to two years from the declaration date. - Families, children, pregnant people, and people with disabilities would qualify based on family income up to the greater of 133% of the Federal Poverty Line or higher home-State standards. Pregnant people, children, and some people with disabilities could qualify up to 200% of the Federal Poverty Line and newborns born during the relief period get Medicaid treatment like other children. - States and providers must offer a streamlined application and a presumptive eligibility process so people get coverage quickly. States cannot do eligibility redeterminations for people living in Direct Impact Areas during the relief period and must honor home-State payment parity or usual and customary rates. - The federal government would pay 100% of Medicaid costs for residents of Direct Impact Areas during the relief period and provide 100% matching for certain CHIP disaster spending. The law would create Home- and Community-Based Services Emergency Response Corps grants for rapid HCBS support, fund up to five States, and authorize $10 million per year for fiscal years 2027 through 2032.

## Cosponsors (2)

- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-06-12T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2026-08-27T00:00:00.000Z

## Provisions PRIA read

- Federal pays 100% disaster Medicaid: benefit, high. The federal government would pay 100% of Medicaid costs for people who live in a disaster impact area during the relief period. States would also get a 100% match for CHIP coverage for affected kids and pregnancy care. States would receive extra CHIP funds up front based on projections, with a late…
- Medicaid help for disaster survivors: benefit, high. Starting January 1, 2027, if a major disaster, national emergency, or public health emergency is declared, survivors in posted impact areas could get temporary Medicaid for up to two years. Your home state would be where you lived on the declaration date, and losing housing or work from the disaste…
- Medicare and waiver relief in disasters: benefit, medium. If you are a disaster survivor, months that fall in the relief period would not count against your Medicare Part B late-enrollment clock. Territories would be able to keep extra Medicaid money tied to the 100% match outside some federal caps. The Secretary could also treat areas with many evacuees…
- Five-year independent review and reports: benefit, low. The Secretary would hire an independent nonprofit to study how the program works for disaster survivors. The study would start within 24 months, run five years, and review access to care, provider capacity, and state compliance. An interim report would be due three years after the study starts and…
- Grants for emergency home care teams: benefit, low. The government could give grants to up to five states to run emergency home- and community-based care teams. It would authorize $10 million each year from 2027 through 2032, with two-year grants. These teams would help older adults and people with disabilities during disasters.

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-4669: FEMA Act of 2025
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-7973: Momnibus Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-7853: PrEP Access and Coverage Act of 2026

## Sources
- [119-hr-3990 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3990)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3990 (as of 2026-08-29).