The State of Illinois has asked the federal government to extend Cook County’s Medicaid expansion plan to ensure that recipients remain covered after the end of 2013. In a letter on March 21, 2013, the Illinois Department of Healthcare and Family Services (HFS) told federal authorities that it still expects the State to pass legislation allowing Illinois to expand its entire Medicaid program beginning in January 2014. HFS stated that it was requesting an extension for the Cook County plan as a…
A look back at the Civic Federation’s blog this year provides a preview of upcoming fiscal challenges for local governments in 2013. Pension Funding The most urgent fiscal challenge for Illinois governments continues to be the pension funding crisis. The combined funded ratio for the four City of Chicago pension funds fell to 43.3% in FY2011. The funded status of the Cook County Pension Fund also fell in FY2011 to 57.5%. The County’s fund was over 90% funded as recently as FY2000. The…
UPDATE: House Bill 6253, which would lift the Illinois moratorium on Medicaid expansion for those who will be eligible under national healthcare reform in 2014, has been filed in the Illinois General Assembly. Watch this space for more information about Medicaid expansion under the Affordable Care Act. Original blog published on November 20, 2012
UPDATE: Cook County has received federal approval for a Medicaid expansion plan that is projected to bring in $99 million in net revenues in FY2013 and is a key component of the County’s FY2013 budget. The approval, announced by the County on October 26, 2012, means that an estimated 250,000 low income Cook County residents will have early access to Medicaid coverage before Medicaid expansion begins under national healthcare reform in 2014. As discussed here and here, the Cook County Health and…
On June 27, 2012, the Office of Cook County Board President Toni Preckwinkle released its annual Preliminary Budget Estimates report for fiscal year 2013. The report summarizes mid-year FY2012 revenues and expenditures, expected current year-end estimates for FY2012 and projected revenues and expenditures for the upcoming FY2013.[1] The preliminary budget estimate is required by Executive Order 2012-1 issued by President Preckwinkle last year. The Executive Order requires that the County issue…
Cook County’s public health system faces significant financial challenges in fiscal year 2013, although the outlook could improve if the federal government signs off on a plan to expand Medicaid coverage in advance of national healthcare reform. New financial projections for the Cook County Health and Hospitals System were included in the Preliminary Budget Estimates report for FY2013, issued on June 27, 2012 by the Office of Cook County Board President Toni Preckwinkle. As discussed here, the…
This blog post was updated on June 4, 2012 to reflect corrected information. With just hours to go before a midnight adjournment deadline, the Illinois General Assembly has passed most components of a legislative package designed to eliminate a projected $2.7 billion gap in the Medicaid budget for FY2013. The bills, which are expected to be signed by Governor Pat Quinn, include Medicaid program reductions, reimbursement rate cuts for healthcare providers and a cigarette tax increase. Another…
UPDATE: On May 24, 2012 the Illinois General Assembly approved legislation to permit Cook County’s public health system to obtain federal funding for medical services for low-income adults under the Medicaid program. The plan must still be approved by the federal government. House Bill 5007 passed the House by a vote of 62 to 55 and the Senate by a vote of 35 to 22. The Cook County plan required an amendment to a State law enacted in January 2011 that placed a two-year moratorium on…
UPDATE: On May 24, 2012 the Illinois General Assembly approved legislation to permit Cook County’s public health system to obtain federal funding for medical services for low-income adults under the Medicaid program. The plan must still be approved by the federal government. House Bill 5007 passed the House by a vote of 62 to 55 and the Senate by a vote of 35 to 22. The Cook County plan required an amendment to a State law enacted in January 2011 that placed a two-year moratorium on expansion…
In 2011 the Civic Federation blog provided weekly context, information and perspective on government budgets and fiscal issues across Illinois. Posts in 2011 focused on FY2012 local government budget analysis and the severe challenges facing local government pension funds, as well as a series of recommendations for improving the fiscal sustainability of the City of Chicago and Cook County. The following is a selection of the year’s posts. FY2012 Local Government Budget…
