Illinois State Program Offers Health Coverage to Seniors Regardless of Legal Status

Illinois has implemented a program that offers health coverage to low-income immigrant seniors regardless of their legal status in the U.S.

What We Know:

  • This is important because, under federal law, Americans who lack legal status are not eligible for Medicare, Medicaid, or Obamacare enrollment. The bill was signed into law last year, and 2,200 people have enrolled since its institution. The Department of Healthcare and Family Services expects the policy to cover almost 4,600 people statewide.
  • According to Hayley Burgess of the National Immigration Law Center, Illinois is the first state to fully fund a health coverage program that focuses on noncitizen immigrant seniors. The health coverage bill is sponsored by Democratic State Rep. Delia Ramirez, who is also a member of the Illinois Legislative Latino Caucus. The program was successfully passed in 2020, notably due to the impact of COVID-19. Ramirez remarked, “Covid was killing people, and it was a human rights violation.”
  • As mentioned above, the program is state-funded, which means that patients don’t experience any copays or enrollment fees. Before the program was implemented, a clinic in Brighton Park, Chicago, revealed that the uninsured rate for older patients older than 65 was 31%. Two-thirds of Brighton Park’s senior population are immigrants, according to census data. With the increased expansion of the program, it’s possible to lower the rate of 31% down to 14.5%.
  • Currently, it costs 8,500 a year to ensure a senior citizen under the program. According to a recent study by FAIR Health, the average cost for an uninsured hospitalized COVID-19 patient reaches as high as $74,000 for a week visit. However, despite the number of costs the program saves patients, a few remain hesitant to apply.
  • This has caused concern to rise regarding fear of being deported, which can be attributed to Trump’s immigration policies. A study by the Urban Institute found 1 in 7 adults in immigrant families have reported not having enrolled in healthcare programs, even when they’re eligible for benefits. They fear enrollment could impact their legal status.

Only time will tell how successful the innovative program may turn out for many and if other regions in the U.S will follow by example.