UPDATE: In the final hours of the lame duck session on January 13, the Illinois General Assembly passed legislation providing for spending up to $150 million annually through fiscal year 2027 to modernize safety net hospitals. Senate Bill 1510, as amended, is similar to the transformation funding proposal described below by the State’s Medicaid agency. A new provision would allow for the creation…
UPDATE: On September 21, the Cook County Health (CCH) Board approved by a vote of eight to three an amended FY2021 proposed budget with $40 million of additional County funding, instead of the $53 million in the September 11 version. That amounts to $10 million more than the $30 million increase originally approved by County Board President Toni Preckwinkle’s office, but it is less than the $23…
Cook County’s public health system has sounded an alarm about the increasing cost of services for which it does not receive reimbursement, saying that Cook County Health will not be able to fulfill its mission of providing care to all—regardless of ability to pay—if the trend continues. Cook County Health expects to provide $544 million of uncompensated care in the current fiscal year, which…
A key Illinois Medicaid panel has recommended that the State move away from costly and often ineffective hospital detoxification services to treat opioid addiction. The Medicaid Advisory Committee on August 2 urged the State’s Medicaid agency to revise its reimbursement practices to discourage traditional hospital detox stays and provide financial incentives for evidence-based care such as…
Governor J.B. Pritzker’s FY2020 budget features an array of revenue-raising proposals, such as recreational cannabis and sports betting, that have attracted considerable attention. Another idea is less flashy but just as important to next year’s budget: a tax on health insurance plans. As outlined by the Governor, the tax on managed care organizations (MCOs) would generate $390 million to be…
A new study by the Kaiser Family Foundation found that Medicaid enrollment declined by 0.6% across the United States in 2018—the first nationwide drop since 2007. The decrease was linked to a stronger economy, which caused more people to gain jobs and health insurance, as well as increased efforts in some states to verify eligibility. The Kaiser study did not provide enrollment information for…
(CHICAGO) In a report released today, the Civic Federation announced support for Cook County’s proposed FY2019 budget. The $5.9 billion budget proposal is structurally balanced without raising new taxes and continues the practice of making supplemental pension payments. The full report is available here. “Overall, this budget is a prudent plan for the coming year—but it fails to set its sights…
Click here to read the full report. The Civic Federation supports Cook County’s proposed FY2019 budget of $5.9 billion because it is structurally balanced without raising new taxes and continues the practice of making supplemental pension payments. The Federation is encouraged by the County’s strong level of fund balance reserves and its commitment to performance-based budgeting and…
The following news items cover the release of the Institute for Illinois' Fiscal Sustainability at the Civic Federation's analysis of the State of Illinois FY2019 Recommended Operating Budget. The Federation could not support Governor Bruce Rauner’s recommended budget because it is precariously balanced and its modest surplus relies on aggressive assumptions. Additionally, the…
Click here to read the full report. The Civic Federation’s Institute for Illinois’ Fiscal Sustainability is not able to support Governor Bruce Rauner’s recommended FY2019 budget because it is precariously balanced and its modest surplus relies on aggressive assumptions. Additionally, the proposal does little to address Illinois’ massive backlog of bills. While the Civic Federation is encouraged…
