MR #25.40 Health Benefits for Immigrant Adults (HBIA) Sunset

10/27/2025

Summary

Health Benefits for Immigrant Adults (HBIA) ended effective July 1, 2025.
There is no change with the current Health Benefits for Immigrant Seniors (HBIS) program, coverage, or policies. The pause in new enrollment continues to be in effect.

Effective 7/1/2025, the Health Benefits for Immigrant Adults (HBIA) program was ended.

Health Benefits for Immigrant Adults (HBIA) provided state-funded coverage for noncitizen individuals between the ages of 42 and 64. Income eligibility was determined by using Modified Adjusted Gross Income (MAGI) budgeting.
On April 1, 2025, HBIA customers were sent CN25.03 Notice of Program Closure for Health Benefits for Immigrant Adults (HBIA) to inform them of the program ending.

The Health Benefits for Immigrant Seniors (HBIS) program provides state-funded medical coverage for noncitizen individuals aged 65 and older who do not meet the immigration requirements for federally sponsored medical benefits. This program is not affected by this update. Income eligibility follows the current AABD community eligibility criteria.

Note: New enrollment in the Health Benefits for Immigrant Seniors (HBIS) program was paused effective November 6, 2023, at 5 p.m.
Detailed policies and procedures should be reviewed at MR #24.12 Health Benefits for Immigrant Adults (HBIA) and Health Benefits for Immigrant Seniors (HBIS).

Eligibility

The Health Benefits for Immigrant Adults (HBIA) program ended on July 1, 2025, and the last day of medical coverage through HBIA was June 30, 2025.

After June 30, 2025, individuals may have access to primary and preventative care at Federally Qualified Health Centers (FQHC) and free and charitable clinics that serve uninsured and underinsured people regardless of their immigration status and ability to pay. More information and clinic locations are available online at https://www.illinoisfreeclinics.org/ and https://www.iphca.org/health-center-locator/.

Individuals with a documented noncitizen status may be eligible for coverage through the Health Insurance Marketplace. Individuals may visit https://healthcare.gov/ to apply directly for Health Insurance Marketplace coverage.

Documented noncitizens include individuals with an immigration status that is "lawfully present," such as those with Temporary Protected Status (TPS), individuals with active parole, and individuals with active work authorization. A full list of eligible statuses can be found here: https://www.healthcare.gov/immigrants/immigration-status/.
The plans available through the Health Insurance Marketplace cover preventative care, doctor visits, prescription drugs, maternity and newborn care, hospitalizations, emergency services, mental health, substance use disorder, rehabilitative, and other services.
On May 19, 2025, documented noncitizen customers were sent CN 25.05 Health Benefits for Immigrant Adults (HBIA) Marketplace Notice.

Integrated Eligibility System (IES)/MANG P

An IES indicator and specific MANG P code were created to identify individuals approved as HBIA.

In IES, the special indicator "(A)" is shown with the existing ACA Adult and Family Health Plan Types of Assistance (TOA) within the eligibility summary to identify the individual as HBIA.

Special indicator screen shot

In MMIS the MANG P code is NI.

The IES indicator and the MANG P-code will be deactivated, and overrides to the HBIA program will no longer be available.

Forms Referenced

CN25.03 Notice of Program Closure for Health Benefits for Immigrant Adults (HBIA)

CN 25.05 Health Benefits for Immigrant Adults (HBIA) Marketplace Notice

Manual Revisions

[signed copy on file]

Dulce M. Quintero

Secretary, Illinois Department of Human Services

Elizabeth M. Whitehorn

Director, Illinois Department of Healthcare and Family Services