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November 2015

Victory for Illinois Young and Old
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Illinois Gov. Bruce Rauner stepped back on twocontroversial measures that severely limited eligibility for Illinoisans on opposite ends of the life spectrum. While advocates are celebrating, they are also ruing the missed opportunity of preventing the Governor from adoptingharsh eligibility rulesever again.

The Governor is no longer trying to increase the minimum cut off score for the Determination of Need (DON) assessment,used for eligibilityfor Home and Community Based Services obtained by older adults and people with disabilities.

He's also scalingback his restrictiveeligibilityrequirements for the Child Care Assistance Program which hadleft70,000 childrenwithout care.

State lawmakers could have done more. They fell one vote short of overriding the Governor's Amendatory Veto of House Bill 2482, which would have kept the DON cut-off scoreat 29. One additional vote was all lawmakers needed to prevent the Governor from making unilateral changes in child care eligibility. These losses put a damper on celebrations as advocatesmust continue the fight against cuts for another day.

alt tag From our blog

An Observation on the “Observation Status” Law: It Doesn’t Work The law, called the NOTICE Act, requires hospitals to notify patients hospitalized for more than 24 hours if they are on observation status. The law won’t go into effect until next August, which is great, because it could be better.

The way the law is written right now, it’s almost like asking a patient under anesthesia to sign a consent form. Within the first 24 hours of being admitted to the hospital for a medical event, many people—especially older people—aren’t able to focus on complicated issues of their status and its consequences. Read more...

On our site

IHM's home pageis chock-full of outreach and enrollment resources toget OE3 started on the right note!You'll find fun flyersthat can be used for outreachevents and shared through social media. The flyers cover talking points forconversations on why health insurance is a good thing. Once people want to get covered, they can find help through another tool featured on the home page: theGet Covered Connector. From our friends at Enroll America, the toollocates and schedules appointments with Enrollment Assisters nearby. With these resources, the Illinois outreach and enrollment community is ready to rockenroll!As always, drop us a line at with your thoughts ormaterials to be featured on the home page.

In case you missed it

Health insurance prices are going upfor Illinois Marketplace shoppers in OE3. Even people receiving financial assistance will also face higher monthly premiums.

Health insurance companies are teaming up with hospital systems to create new health insurance plans trying tocontrol costs for consumers and providers. The new model is popping up as an option forMarketplace plans offered in Illinois.

Recent resources

Enrollment Assisters can lead effective health care outreach with this communications guide from Enroll America.
Talking Up Obamacare

This October 2015 guide from the National Health Law Program explains the new income counting and household composition rules used when applying for health insurance.
Every Little Thing You Do is MAGI identifies what information Marketplace shoppers will need to have on hand when enrolling in a health insurance plan.
Check This List Twice

This FAQ from The Chicago Coalition for the Homeless, Shriver Center, EverThrive Illinois and the Legal Assistance Foundation of Chicago answers common questions about Medicaid redeterminations in Illinois
Help! I Lost My Medicaid


Find enrollment events in your area at the Get Covered Illinois Events page.

Find volunteer and community engagement opportunities at Get Covered America Events page.

Download a presentation and/or watch a recording from the EverThrive Illinois Webinar series.

Learn what the ACA means for a small business owner from the Small Business Majority's Thursday talks.

From our social media

On Twitter
@ILHealthMatters: ACA Open Enrollment Fact: Pick a plan by Dec 15 so coverage kicks in the 1st of the new year #GetCovered #OE3

On Twitter
@ILHealthMatters: Coverage protects your health & your wallet #GetCovered

On Facebook
Insurers offer narrower networks on health exchanges

For the latest on how the new health care law is impacting Illinois, follow us on Twitter, Facebook, LinkedIn and YouTube. You can also email us at or send us your question here. If you have friends or colleagues interested in these issues, please feel free to forward the newsletter to them.

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