General Fund; FY2026 appropriation to University of Mississippi Medical Center to build a fire station.

2025 Regular Session Introduced by David Blount

Creates an easy-enrollment period for uninsured taxpayers who used the state’s outreach, allowing 60 days to enroll in a qualified plan after eligibility notice.

Died In Committee

#appropriations

Purpose / Intent

SB 2105 would add an "easy enrollment" special enrollment period (SEP) to the Illinois Health Benefits Exchange Law to make it easier for uninsured taxpayers who requested health insurance information through the state’s income-tax-based easy enrollment program to obtain coverage. The policy aims to connect uninsured individuals (and their qualified dependents) to qualified health plans or public coverage identified as likely available to them.

Key provisions

Adds new Section 5-11 to the Illinois Health Benefits Exchange Law (215 ILCS 122).

Creates an easy-enrollment SEP for:

An uninsured taxpayer who requested health insurance benefit information via the easy enrollment program under Section 513 of the Illinois Income Tax Act, and
The uninsured taxpayer’s qualified dependents (if applicable), provided they are eligible to enroll in a qualified health plan through the Exchange.

Notification requirement: The Exchange must notify the interested uninsured taxpayer by letter of the estimated eligibility for insurance affordability programs, including:

Medicaid,
Federal premium tax credits, and
Cost‑sharing reductions.

Enrollment window: The uninsured taxpayer and dependents would have 60 days from the date of the notification letter to select and enroll in a qualified health plan.

Coverage effective date: Coverage would become effective on the first day of the month following plan selection.

Rulemaking: Grants the Illinois Department of Insurance and the Department of Healthcare and Family Services authority to adopt rules necessary to implement the easy enrollment SEP.

Effective date: The act would take effect immediately upon becoming law.

Who would be affected

Primary: Uninsured Illinois taxpayers who request insurance information through the state’s easy enrollment program and their qualified dependents.

Administrative: Illinois Health Benefits Exchange (Exchange/GetCoveredIllinois), Department of Insurance, Department of Healthcare & Family Services.

Insurers: Issuers of qualified health plans participating in the Exchange.

Payers: Potential shifts in enrollment could affect state-administered Medicaid and federal premium tax credit utilization (federal funds for tax credits; state admin for Medicaid).

Potential impacts and considerations

May increase enrollment in either Medicaid or subsidized private coverage by creating a targeted SEP tied to an existing outreach mechanism.

Administrative work for the Exchange and state agencies to generate eligibility estimates, send notices, and process enrollments; rulemaking would be required to operationalize processes.

Fiscal impacts are not specified in the bill text; effects would depend on enrollment changes (federal vs. state share for Medicaid; federal premium tax credits largely federal).

Legislative history (selected actions as provided)

Filed/Introduced: 2/6/2025 (document header) / user-provided introduced March 7, 2025.

Referred to Assignments, then Insurance; committee hearings and votes recorded in March–May 2025 per provided history.

Listed as “Died In Committee” (status provided).

Note: The bill text amends statute 215 ILCS 122 by adding Section 5-11 and would take effect immediately if enacted.

Bill