Bill Text: IL SB4035 | 2021-2022 | 102nd General Assembly | Introduced
Bill Title: 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.
Sponsorship: Partisan Bill (Democrat 1)
Status: (Introduced - Dead) 2022-02-18 - Rule 3-9(a) / Re-referred to Assignments [SB4035 Detail]
Download: Illinois-2021-SB4035-Introduced.html
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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:
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| 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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