Illinois lawmakers are on a fast-track schedule to reform the State’s Medicaid program, but proposals from state officials and other experts appear to face stiff opposition. As previously discussed in this blog, the Illinois General Assembly’s review of the Medicaid program is part of a push by Democrats that began after the November 2 elections to make changes in state programs long criticized…
State of Illinois officials want to tighten procedures for Medicaid by using electronic data to verify eligibility—a step also viewed as crucial to deal with the surge in Medicaid enrollment expected under federal healthcare reform. On November 29, 2010, Julie Hamos, Director of the Department of Healthcare and Family Services (HFS), told a committee of the Illinois Senate that HFS needs to cross…
The Civic Federation's legislative priorities for 2011 include public pension reform, requiring state government to develop and implement a capital improvement plan, the dissolving of the Illinois International Port District, creating a new governing board for the Cook County Forest Preserve District, reinstating means-tested transit discounts for seniors, requiring large counties to hold budget…
The purpose of the Cook County Modernization Report is to provide leaders of the County with ideas for reshaping and refining County government that will improve service delivery to residents while reducing wasteful spending and decreasing reliance on taxpayer funds. The Modernization Project provides a roadmap for creating a government that is more efficient, less costly and more accountable.…
The State of Illinois will receive less federal Medicaid funding than it budgeted for in FY2011—but more than had been feared several months ago. After months of debate, Congress in August of 2010 passed and President Obama signed a bill extending enhanced Medicaid payments that were contained in the American Recovery and Reinvestment Act of 2009. The enhanced payments, which began in…
The State of Illinois lags behind other states in the use of community care for the developmentally disabled, but a new plan would bring Illinois in line with national standards by 2017. The strategic plan for FY2011 to FY2017, issued by the Division of Developmental Disabilities (DDD) of the Illinois Department of Human Services, aims to provide care in community settings rather than large…
On July 14, 2010, Cook County Commissioners approved by a vote of 9 to 3 a strategic plan to reorient the County’s health system more toward outpatient care and away from inpatient hospital services. The five-year plan calls for closing the emergency room and inpatient facilities at Oak Forest Hospital. At Provident Hospital, the emergency room would remain open, but most inpatient beds would be…
This editorial discusses recent efforts to reform Illinois’ Medicaid system. It cites a finding in the Civic Federation’s “Fiscal Rehabilitation Plan for the State of Illinois” that enrollment in the system doubled between 1998 and 2008 while the State’s population only increased by 5.1 percent.
The State of Illinois is not the only cash-strapped state that shied away from major tax increases to improve its financial condition in FY2011. According to Stateline.org, most states avoided raising significant revenue and instead patched together FY2011 budgets by finding a few new items to tax, curtailing spending and relying on federal stimulus dollars. So far only Kansas and Arizona have…
Illinois and many other states drafted budget plans for FY2011 based on the assumption that Congress would extend the expiration date for enhanced federal Medicaid funding by six months—from December 31, 2010 to June 30, 2011. Now that assumption is looking increasingly shaky, adding to concerns about mounting state budget deficits. Just before the Memorial Day weekend, the U.S. House of…
