Cook County’s enacted budget for FY2026 totals $10.0 billion, half of which pertains to Cook County Health (CCH), which provides mandatory health services to County residents and others, including those who cannot afford care elsewhere. This report provides detail and context on Cook County Health’s fiscal impacts on the County as a whole. With preliminary FY2025 financial results now available, state budget deliberations underway, and continued federal policy shocks, the time is right to…
Mosquito abatement districts (MAD) in Illinois utilize integrated pest management strategies to control mosquito populations and prevent diseases from mosquito-borne viruses such as malaria, yellow fever, dengue, filariasis, encephalitis, and West Nile virus.Mosquito abatement services can be delivered by special district governments, municipal or county public health programs, public works programs, or through contracts with private companies. In parts of Cook County, four mosquito abatement…
Cook County Preliminary Forecast Shows Substantial Operating Surplus for Year-End FY2023 and Moderate Budget Deficit for FY2024 On June 22, 2023, Cook County Board President Toni Preckwinkle issued a preliminary budget forecast for fiscal year 2024. The fiscal year begins December 1, 2023, and ends November 30, 2024. The report provides end-of-year estimates for the current 2023 fiscal year and a forecast for the County’s operating funds in the upcoming 2024 fiscal year. This…
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 million addition in the CCH Board’s September 11 budget proposal. President Preckwinkle’s office…
2019 Civic Federation Legislative Priorities The Civic Federation's legislative priorities for 2019 include public employee pension reforms, consolidation of local government units in Illinois, enacting policies to rationalize the property tax system, creation of a Local Government Protection Authority, requiring the State of Illinois to build a rainy day fund, development and implementation of a capital improvement plan and improved…
On September 9, 2015, the Cook County Board of Commissioners approved the preliminary budget of the County’s public health system for the fiscal year that begins on December 1, 2015 and runs through November 30, 2016. The vote cleared the way for inclusion of the preliminary budget in the County Board President’s overall FY2016 budget recommendation, which is scheduled to be announced in October. In FY2016 the County is expected to reduce its tax support for the Cook County Health and…
The following posts were among the most highly read on the Civic Federation blog in 2014 and represent some of the most closely followed local government issues this year: Illinois General Assembly Passes Pension Reforms for Chicago April 16, 2014 This blog discussed Senate Bill 1922, which was approved by the Illinois House and Senate on April 8, 2014. The bill contained benefit reforms and funding increases intended to stabilize the financial condition of the City of Chicago’s Municipal and…
On June 26, 2014, Cook County Board President Toni Preckwinkle issued a preliminary budget forecast for fiscal year 2015, which begins on December 1, 2014. The report also provides estimated year-end results for FY2014. A public hearing on the preliminary FY2015 budget will be held on July 16, 2014. Board President Preckwinkle plans to present her final budget proposal for FY2015 in October 2014. Preliminary FY2015 Budget Forecast The preliminary FY2015 budget forecast for the…
UPDATE: On August 23, 2013, the preliminary FY2014 budget of the Cook County Health and Hospitals System was unanimously approved by the Health System's Board of Directors. The Cook County Board is expected to vote on the plan in October. The Health System's preliminary budget will then be included in the County Board President's overall budget proposal for FY2014. Original blog published on August 22, 2013: Cook County’s public health system would receive a smaller subsidy from County…
On July 22, 2013, Governor Pat Quinn signed legislation to allow Illinois to expand its Medicaid program under the federal Affordable Care Act beginning in January 2014. Illinois is among 23 states that are expected to join the Medicaid expansion, according to a recent report by the Kaiser Family Foundation. The District of Columbia is also participating. As of July 2013, six states were still debating the expansion, while 21 had decided not to move forward. The following table, based on the…
