102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
SB4035

 

Introduced 1/21/2022, by Sen. Mike Simmons

 

SYNOPSIS AS INTRODUCED:
 
330 ILCS 126/15

    Amends the Veterans' Health Insurance Program Act of 2008. Expands eligibility under the Veterans' Health Insurance Program to former members of the National Guard who have completed their 8-year enlistment period or their spouses.


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A BILL FOR

 

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1    AN ACT concerning veterans.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Veterans' Health Insurance Program Act of
52008 is amended by changing Section 15 as follows:
 
6    (330 ILCS 126/15)
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
17Program shall remain eligible for 12 months, provided the
18veteran or spouse remains a resident of the State and is not
19excluded under subsection (c) of this Section and provided the
20Department has not limited the enrollment period as set forth
21in subsection (b) of Section 10.
22    (c) A veteran or spouse is not eligible for coverage under
23the 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,
10including, but not limited to, rules relating to eligibility,
11re-enrollment, grace periods, notice requirements, hearing
12procedures, cost-sharing, covered services, and provider
13requirements.
14(Source: P.A. 95-755, eff. 7-25-08; 96-45, eff. 7-15-09.)