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| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022 SB4035 Introduced 1/21/2022, by Sen. Mike Simmons SYNOPSIS AS INTRODUCED: |
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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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| | SB4035 | | LRB102 23689 KTG 32873 b |
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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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