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1 | AN ACT concerning veterans.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Veterans' Health Insurance Program Act of | |||||||||||||||||||
5 | 2008 is amended by changing Section 15 as follows: | |||||||||||||||||||
6 | (330 ILCS 126/15)
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7 | Sec. 15. Eligibility. | |||||||||||||||||||
8 | (a) To be eligible for the Program, a person must: | |||||||||||||||||||
9 | (1) be either: | |||||||||||||||||||
10 | (A) a veteran who is not on active duty and who has | |||||||||||||||||||
11 | not been dishonorably discharged from service or the | |||||||||||||||||||
12 | spouse of such a veteran; or | |||||||||||||||||||
13 | (B) a former member of the National Guard who has | |||||||||||||||||||
14 | completed his or her 8-year enlistment period or the | |||||||||||||||||||
15 | spouse of such a person; | |||||||||||||||||||
16 | (2) be a resident of the State of Illinois; | |||||||||||||||||||
17 | (3) be at least 19 years of age and no older than 64 | |||||||||||||||||||
18 | years of age; | |||||||||||||||||||
19 | (4) be uninsured, as defined by the Department by | |||||||||||||||||||
20 | rule, for a period of time established by the Department | |||||||||||||||||||
21 | by rule, which shall be no less than 3 months; | |||||||||||||||||||
22 | (5) not be eligible for medical assistance under the | |||||||||||||||||||
23 | Illinois Public Aid Code or healthcare benefits under the |
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1 | Children's Health Insurance Program Act or the Covering | ||||||
2 | ALL KIDS Health Insurance Act; | ||||||
3 | (6) not be eligible for medical benefits through the | ||||||
4 | Veterans Health Administration; and | ||||||
5 | (7) have a household income no greater than the sum of | ||||||
6 | (i) an amount equal to 25% of the federal poverty level | ||||||
7 | plus (ii) an amount equal to the Veterans Administration | ||||||
8 | means test income threshold at the initiation of the | ||||||
9 | Program; depending on the availability of funds, this | ||||||
10 | level may be increased to an amount equal to the sum of | ||||||
11 | (iii) an amount equal to 50% of the federal poverty level | ||||||
12 | plus (iv) an amount equal to the Veterans Administration | ||||||
13 | means test income threshold. This means test income | ||||||
14 | threshold is subject to alteration by the Department as | ||||||
15 | set forth in subsection (b) of Section 10. | ||||||
16 | (b) A veteran or spouse who is determined eligible for the | ||||||
17 | Program shall remain eligible for 12 months, provided the | ||||||
18 | veteran or spouse remains a resident of the State and is not | ||||||
19 | excluded under subsection (c) of this Section and provided the | ||||||
20 | Department has not limited the enrollment period as set forth | ||||||
21 | in subsection (b) of Section 10. | ||||||
22 | (c) A veteran or spouse is not eligible for coverage under | ||||||
23 | the Program if: | ||||||
24 | (1) the premium required under Section 35 of this Act | ||||||
25 | has not been timely paid; if the required premiums are not | ||||||
26 | paid, the liability of the Program shall be limited to |
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1 | benefits incurred under the Program for the time period | ||||||
2 | for which premiums have been paid and for grace periods as | ||||||
3 | established under subsection (d); if the required monthly | ||||||
4 | premium is not paid, the veteran or spouse is ineligible | ||||||
5 | for re-enrollment for a minimum period of 3 months; or | ||||||
6 | (2) the veteran or spouse is a resident of a nursing | ||||||
7 | facility or an inmate of a public institution, as defined | ||||||
8 | by 42 CFR 435.1009. | ||||||
9 | (d) The Department shall adopt rules for the Program, | ||||||
10 | including, but not limited to, rules relating to eligibility, | ||||||
11 | re-enrollment, grace periods, notice requirements, hearing | ||||||
12 | procedures, cost-sharing, covered services, and provider | ||||||
13 | requirements.
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14 | (Source: P.A. 95-755, eff. 7-25-08; 96-45, eff. 7-15-09 .)
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