* Senate Bill 2026 was somewhat of a delayed reaction to fears that former Gov. Bruce Rauner would apply for a federal waiver to reduce health insurance coverage, including narrowing pre-existing conditions. Legislators wanted to make sure no governor would do that in the future…

Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (ACA) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with pre-existing conditions and coverage for services identified as essential health benefits under the ACA. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the ACA that was in effect on January 1, 2017, including, but not limited to, any protection for persons with pre-existing conditions and coverage for services identified as essential health benefits under the ACA. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Public Aid Code. Prohibits the State or an agency of the executive branch from applying for any federal Medicaid waiver that would result in more restrictive standards, methodologies, procedures, or other requirements than those that were in effect in Illinois as of January 1, 2017 for the Medical Assistance Program, the Children’s Health Insurance Program, or any other medical assistance program in Illinois operating under any existing federal waiver authorized by specified provisions of the Social Security Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution.

The bill passed the Senate 56-0 and the House 75-41.

* Gov. Pritzker vetoed the bill today, his first. If you can’t read his veto message, click the pic for a better view…

His Medicaid buy-in idea, which he talked about a lot during the campaign, might possibly require some federal waivers.

Thoughts?

…Adding… Center Square…

State Rep. David McSweeney, R-Barrington Hills, voted against the bill, but had a mixed reaction to the veto message.

“Great decision by the governor, bad bill, and he’s exactly right that we have to keep that flexibility,” McSweeney said. “The place that I disagree with him is that he says he’s not going to actively seek those waivers. He should be seeking those.”

McSweeney has for years urged the state to seek waivers for ways to save taxpayers money. He said the state could file waivers with the federal government to shore up eligibility for certain programs, or to find innovative ways to capture more federal tax dollars to offset the state taxpayer cost.

“Ways that we can look at improving our access to federal funding, ways to address vouchers, ways to address tightening up eligibility, that should all be on the table,” McSweeney said. “Now I want to be clear, the governor is saying none of that.”

*** UPDATE *** GOP Sen. Sue Rezin, the chief Senate sponsor…

As I am driving to my brother’s funeral today the irony of the Governor’s first veto is not lost. My brother drove a semi truck his entire life. He was a hard worker but like many people lived paycheck to paycheck. Often times he made just enough to get by but too much to be covered by Medicaid. His entire life he struggled to access the healthcare system because of his preexisting conditions and his inability to afford health insurance. Jim did not go to the doctor when he was having symptoms because he couldn’t afford to. This bill was passed unanimously in the Senate and would have guaranteed health insurance coverage for hard working people, such as my brother, who have preexisting conditions.

Jim was 58 years old.

She was not given a heads up before the veto was announced. Bad form.