Rep. Camille Y. Lilly

Filed: 3/17/2025

 

 


 

 


 
10400HB1931ham001LRB104 09305 JRC 23930 a

1
AMENDMENT TO HOUSE BILL 1931

2    AMENDMENT NO. ______. Amend House Bill 1931 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Department of Insurance Law of the Civil
5Administrative Code of Illinois is amended by changing Section
61405-25 as follows:
 
7    (20 ILCS 1405/1405-25)
8    Sec. 1405-25. Uninsured Ombudsman Program.
9    (a) The Department of Insurance shall establish and
10operate an Ombudsman Program for uninsured individuals to
11provide assistance and education to those individuals
12regarding health insurance benefits options and rights under
13State and federal law. The program may include, but is not
14limited to, counseling for uninsured individuals in the
15discovery, evaluation, and comparison of options for obtaining
16health insurance coverage.

 

 

10400HB1931ham001- 2 -LRB104 09305 JRC 23930 a

1    (b) The Department may recruit and train volunteers to
2assist in the Ombudsman Program. The volunteers may provide
3one-on-one counseling on health insurance availability matters
4and provide education to uninsured individuals through public
5forums.
6    (c) The Department may issue reasonable rules necessary to
7implement this Section.
8    (d) The Department shall conduct a study to better
9understand the gaps in health insurance coverage for uninsured
10residents in Illinois. The study shall look at reasons why an
11individual is uninsured, such as a part-time or full-time
12working status, the inability to afford coverage, barriers to
13accessing employer-sponsored health care, the rationale of
14health plans continuously increasing health rates and its
15impact on making health insurance unaffordable, and the
16inability to qualify for coverage under the medical assistance
17program established under Article V of the Illinois Public Aid
18Code. The study shall also look at those residents in Illinois
19who are insured and whether they are covered through an
20employer-sponsored plan or through an affordable Illinois
21health insurance marketplace plan. The Department shall submit
22a report of its findings and recommendations to reduce the
23number of uninsured residents in Illinois to the General
24Assembly no later than 12 months after the effective date of
25this amendatory Act of the 104th General Assembly. In the
26development of its report, the Department shall consult with

 

 

10400HB1931ham001- 3 -LRB104 09305 JRC 23930 a

1an association representing a majority of Illinois hospitals
2and an association representing a majority of health insurance
3plans in Illinois.
4(Source: P.A. 92-331, eff. 1-1-02.)".