| 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 Test | Varies 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 Coverage | No More Than 5 Months | Up 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. | | |||||||||||||||||