COMPARISON OF WHITE HOUSE AND SENATE PLANS FOR HEALTH COVERAGE FOR HURRICANE KATRINA SURVIVORS
White House Waiver Plan Bipartisan Senate Bill
Eligibility Rules Varies State by State
Each states choose home state or suggested set of eligibility rules, adults without children, even if impoverished, are excluded unless elderly or disabled.
Nationwide
Eligibility is for all poor adults, children, pregnant women and Social Security Disability Insurance recipients with income below 200% of poverty are eligible.
Resource TestVaries State by State
States decide whether to impose assets test, can exclude or delay eligibility due to unknown status of assets left behind in affected states.
None
Duration of CoverageNo More Than 5 MonthsUp to 10 Months
Timing Uncertain
Only provided if the state where the survivor goes applies, negotiates for, and gets a waiver by January.
Immediate
States can begin to provide coverage as soon as the law is enacted, no state plan amendment or waiver needed.

General Benefits Could Be Less Than State's Benefits. Can provide additional benefits, but may also allow for a reduced package for Katrina survivors. Must Be At Least State's Benefits. Can provide supplemental mental health services and care coordination services needed by Katrina survivors; home and community-based services available beyond current waiver limits.
Benefits for Children Scaled Back
Poor children may be put in SCHIP which can have limited benefits, significant cost sharing, waiting lists.
Comprehensive
Maintains Medicaid benefits for poor children.

Federal Funding Mechanism Unknown
Current Federal matching rate, "The President is working with Congress" to reimburse states for their share, could vary by state.
Guaranteed
100% Federal Medicaid Payments Authorized by Congress with no need for state applications.
Timing Bill Now, Get Paid Later Immediate

Funding Mechanism for Uncompensated Care by Health Providers State-Created Pool
States may - or may not - create an uncompensated care pool.
National Approach
Congress would create a pool to fund uncompensated care and increase Medicare bad debt payments to hospitals in affected areas.
Timing Uncertain Immediate

Change in Federal Medicaid and CHIP Matching Rates None 100% for LA, MS, affected AL counties through 2006. Cancellation of Reduction in Rates for All States for FY 2006.
Timeline changes for Medicare recipients in affected states None Delays Part B Late Enrollment Penalty in Affected States, Requires Administration Plan for Drug Transition for Dual Eligibles.

Source: A memo obtained from Congressional sources and reviewed for accuracy by Consumers Union.