Capitol Fax.com - Your Illinois News Radar » “Repeal and replace” bill could blow a $4 billion hole in Illinois budget
SUBSCRIBE to Capitol Fax      Advertise Here      Mobile Version     Exclusive Subscriber Content     Updated Posts    Contact
CapitolFax.com
To subscribe to Capitol Fax, click here.
“Repeal and replace” bill could blow a $4 billion hole in Illinois budget

Friday, Mar 17, 2017

* A House committee took testimony yesterday about the impact of the US House’s Obamacare replacement bill on the state’s Medicaid fund

Illinois Health and Hospital Association spokesman David Gross testified that Illinois would lose at least $38 billion in federal Medicaid funding over the act’s 10-year lifespan. The association arrived at this figure by taking Illinois’ share of the nation’s Medicaid beneficiaries and multiplying it by the $880 billion in reductions estimated by the nonpartisan Congressional Budget Office under the Republican plan. Gross said the cuts would jeopardize patient care.

Democratic Rep. Greg Harris of Chicago, who chairs the appropriations committee for human services, said one in four Illinois citizens receives Medicaid benefits and could be affected.

Illinois currently devotes $10 billion in state funds each year to Medicaid, or about one-quarter of the general fund. The federal government matches that amount.

Harris said lawmakers would need to find ways to fill the $4 billion-a-year hole.

* Tribune

Officials pointed to two aspects of the GOP plan that would hurt the state’s Medicaid system. One provision would cap how much the federal government reimburses states, which is different from the current system. States that exceed the cap would be responsible for shouldering the additional costs, something that could prove challenging for cash-strapped Illinois.

The proposal also would freeze Medicaid expansion in 2020. People enrolled before then would be allowed to stay in the program but only if they never leave the program. Anyone who loses coverage starting in 2020 couldn’t re-enroll.

“We know from the data that this is really an end to the expansion, that people circulate off the Medicaid program. And this is not a gentle slope. This is a cliff for the Medicaid program,” said Roberta Rakove, senior vice president for government and public affairs at Sinai Health System.

Rep. Tom Demmer, R-Dixon, said Thursday that lawmakers also should focus on problems with the Affordable Care Act put in place under Barack Obama when he was president. He cited one portion of the congressional report that said the Republican health care proposal would reduce federal costs and lower the deficit.

Keep in mind, however, that at the moment this thing is “just a bill.” There’s a very long way to go.

- Posted by Rich Miller        

25 Comments
  1. - annonin' - Friday, Mar 17, 17 @ 9:55 am:

    Right. Pay no attention to those carin’ folks in DC we know they will do the right thing. Anyone askin’ what EmptySuitLaHood is doin’
    Could someone wake up Demmer and tell him Obama left office in January.


  2. - AC - Friday, Mar 17, 17 @ 9:57 am:

    If a grand bargain is worth about 4.5 billion, we’ll just need another one. So, with the 12 billion backlog it’ll only take about 4 grand bargains to make up the difference. Another 25-30 grand bargains would take care of the pension debt too. /s


  3. - Flynn's mom - Friday, Mar 17, 17 @ 10:00 am:

    No worries we don’t have a budget to blow a hole in…


  4. - Juice - Friday, Mar 17, 17 @ 10:03 am:

    The $4 billion number is wrong.

    The big savings from the Medicaid changes come after 2020, so the savings are backloaded. In 2026, the cut (assuming the IHAs overall assumptions are correct) would be closer to $6.5 billion.


  5. - @MisterJayEm - Friday, Mar 17, 17 @ 10:04 am:

    But can’t Bruce just bring it back into balance with another $4.6B line item labeled “working together on a second ‘grand bargain’”?

    – MrJM


  6. - PublicServant - Friday, Mar 17, 17 @ 10:05 am:

    How are our representatives in the house and senate positioning themselves on it?


  7. - Anon221 - Friday, Mar 17, 17 @ 10:10 am:

    Vox has a very good article from a few days ago on this…

    http://www.vox.com/policy-and-politics/2017/3/10/14847218/medicaid-ahca-republican-obamacare-replacement


  8. - Dome Gnome - Friday, Mar 17, 17 @ 10:16 am:

    This has literally caused me to lose sleep during the past few weeks. Serious stuff.


  9. - Nick Name - Friday, Mar 17, 17 @ 10:24 am:

    Blasting “boss Madigan” and his co-conspirator Susana Mendoza and passing term limits will magic the problem away.


  10. - 47th Ward - Friday, Mar 17, 17 @ 10:25 am:

    ===Keep in mind, however, that at the moment this thing is “just a bill.”===

    It’s more than a bill, it’s a perfect example of Republican’s governing philosophy. All they offer America are tax cuts and guns.


  11. - Captain Illini - Friday, Mar 17, 17 @ 10:30 am:

    The fact of the matter is the ACA was temporarily supporting Medicaid to states that expanded, and at some point would have had to carry all the freight, So what’s the difference? The carrot extended - with a hidden lead pipe - to state to “encourage” their medicaid expansion was the federal subsidy…and that was the rub from the beginning, since many states determined that their budgets would be smashed when the subsidy went away. Regardless of how potential federal funds go away or not, Illinois has its own chance to craft a program which tries to assist as many in need as it can moving forward.


  12. - @MisterJayEm - Friday, Mar 17, 17 @ 10:34 am:

    “Illinois has its own chance to craft a program which tries to assist as many in need as it can moving forward”

    Illinois also has a chance to craft their own space program, but that too seems unlikely.

    – MrJM


  13. - Norseman - Friday, Mar 17, 17 @ 10:46 am:

    Dear Rep. Demmer, I understand that with Rauner’s impasse you’re not used that silly thing we call a budget. However, you ARE a STATE legislator who needs to care about the ILLINOIS budget. Coming up with a state budget is important to your constituents and the rest of us in Illinois. You are NOT a federal legislator. You may want to become one, but at the moment, please DO YOUR JOB as a STATE legislator. Passing Trumpcare to lower the federal deficit and be a tax boon for the wealthy, it will really, really make balance a budget in Illinois even harder than it is now. Yes, a budget. We use to do that here in Illinois. If you’ve got a plan to balance the Illinois budget with the additional cuts planned by Cong. GOP, let’s see it.

    P.S. If you got suggestions about ACA changes that we in IL can make, we would love to see them.


  14. - Irish1 - Friday, Mar 17, 17 @ 10:50 am:

    @Captain Illini, Medicaid Expansion states received 100% match 2014-2016, then 90% match thereafter, Illinois’s match for all non expansion is right around 51%.


  15. - Dome Gnome - Friday, Mar 17, 17 @ 10:50 am:

    Thank you, Norseman, I may just sleep a little better tonight.


  16. - A guy - Friday, Mar 17, 17 @ 11:03 am:

    Just the thought of it ought to inspire a balanced budget and a bill.

    It would anywhere else.


  17. - Sue - Friday, Mar 17, 17 @ 12:07 pm:

    Perhaps the expansion of Medicaid was always going to be like the Quinn tax hike- temporary


  18. - Captainillini - Friday, Mar 17, 17 @ 12:33 pm:

    Mr. MJM - classic, with respect!
    Irish - thanks for the info. My point in this is that perpetual expectation of federal monies to cover state expenses should not be the norm, rather it should be our task to craft programs for our neediest that are sustainable…but alas, that would actually take a functional legislature and executive. Uh…never mind…


  19. - Anonymous - Friday, Mar 17, 17 @ 12:50 pm:

    I tremble to think of how much Federal funding Chicago stands to lose if Rahm Emanuel insists upon maintaining “sanctuary city” policies and continues to refuse to comply with ICE.


  20. - Mod Dem - Friday, Mar 17, 17 @ 1:51 pm:

    I am disappointed that Gov Rauner was not one of the four governor’s to come out against the Health Care Act today. You would think that this would be a no brainer for the Gov, he has air cover from four other Governors, and clearly the bill hurts Illinois. Unless he is truly for the bill, which he should then make his position known.


  21. - Mama - Friday, Mar 17, 17 @ 1:52 pm:

    Does anyone know if Medicaid is used for people with Disabilities for health insurance who can not otherwise get insurance coverage?


  22. - Truth - Friday, Mar 17, 17 @ 2:01 pm:

    Illinois the welfare state .


  23. - Dome Gnome - Friday, Mar 17, 17 @ 2:03 pm:

    Mama, there are two main types of Medicaid — traditional Medicaid and ACA Expansion Medicaid. Both types are for people in poverty, including persons with disabilities. The coverage includes healthcare and often pays for attendants for personal care, so that people with disabilites can work and/or live in their own homes instead of relying on more expensive institutional care. The AHCA cuts take a swipe at both types of Medicaid.


  24. - Norseman - Friday, Mar 17, 17 @ 2:40 pm:

    Mod Dem, Rauner is not exactly a portrait of courage. Also, being concerned about Trumpcare’s impact on Illinois only matters if you want to govern. We’ve not seen any indications that he wants to do that.


  25. - RNUG - Friday, Mar 17, 17 @ 4:24 pm:

    == Does anyone know if Medicaid is used for people with Disabilities for health insurance who can not otherwise get insurance coverage? ==

    I.don’t know about that, but it is definitely used by the working poor who can’t afford either traditional health insurance or even ACA coverage.


Sorry, comments for this post are now closed.


* Watch the Democratic candidates' forum tonight at 6
* *** UPDATED x1 *** Audit finds a mess in $60 billion Medicaid MCO program
* *** UPDATED x3 - Ives, Pritzker, Biss campaigns respond *** Rauner denied all knowledge of lawsuit, but suit reveals he held two meetings with plaintiff in 2015
* Chris Kennedy admits error, but still blames Berrios
* *** UPDATED x1 *** Illinois Policy Institute moves its news network from one Tillman group to another
* Question of the day
* Rauner calls marijuana a "very dangerous drug" as he plans court appeal
* *** UPDATED x3 - Pritzker, Biss, Kennedy respond *** Rauner campaign echoes Blagojevich demand to release the FBI tapes
* Jimenez wants Sangamon County to get priority for most new state jobs
* Ives' state budget solution: Slash CPS funding and repeal Obamacare expansion
* *** UPDATED x1 - Ives responds *** Rauner promises to patch $2.3 billion hole, balance next year's budget, start rolling back the tax hike and provide "record funding" for K-12
* Dick Uihlein gives Proft group another $3 million
* Legionella bacteria might have been found at Capitol Complex
* Yesterday's stories

Support CapitolFax.com
Visit our advertisers...

...............

...............

...............

...............
<


Loading


* Conservative Jeanne Ives Takes on Republican In.....
* Munger: To get Amazon HQ, IL needs to “get our .....
* Capitol Complex employees told to take water-re.....
* Audit finds lax monitoring of $7B in Medicaid p.....
* Audit finds lax monitoring of $7B in Medicaid p.....
* Audit finds lax monitoring of $7B in Medicaid p.....
* Audit finds lax monitoring of $7B in Medicaid p.....
* Audit finds lax monitoring of $7B in Medicaid p.....
* Rauner: Cut taxes, 'wasteful spending' to curb .....
* Audit Finds Lax Monitoring of $7B in Medicaid P.....


* Lawsuit: Gov. Rauner met about investments while in office
* Duckworth to be first sitting US senator to give birth
* Audit finds lax monitoring of $7B in Medicaid payments
* 80-year sentence handed Illinois man for girl's 1985 death
* US Sen. Tammy Duckworth is pregnant, to give birth in spring
* Retrial to begin in 1995 arson, murder case
* Appeals court doesn't throw out charges in officer slaying
* Southern Illinois massage therapist gets 16 years in assault
* Illinois hunters take more than 147,500 deer this season
* Ex-doctor gets 20 years for trying to kidnap prosecutor

* Audit finds lax monitoring of $7B in state Medicaid payments
* Capitol Complex employees told to take water-related precautions
* Former Springfield Ald. Jobe added to State Fair Advisory Board
* Democratic governor candidates to have 1st televised forum
* Popular Lincoln sculpture in Bloomington needs cleaning
* Legionella bacteria possibly in Capitol Complex water system
* Rauner wants to 'step-down' income tax increase
* Sangamon County should get first dibs on state jobs, lawmaker says
* Report: State agencies holding nearly $2.5 billion in bills
* Illinois lawmakers hold hearing on marijuana legalization

* Audit stings Rauner's Medicaid program
* Tax winnings in hand, Chase shares some with 2,700-plus local workers


* Boy, 16, shot in Logan Square
* Bob Costas left out of NBC’s Super Bowl coverage
* Jurors begin deliberating in case of murdered Cook County sheriff’s investigator
* Analysis: Does Washington, D.C., area have edge in Amazon second HQ sweepstakes?
* LeBron James congratulates himself; Twitter turns it into meme
* Man gets 80 years in prison for teen’s 1985 murder in Glen Ellyn cold case
* Gather team doubles down on Lincoln Square with new restaurant The Warbler
* Illinois governor’s debate 2018 live stream: Democrats square off
* Yarn, thrift store employees in Evanston threatened by gunman demanding money
* Lawsuit Rauner wanted kept secret reveals details over $67.5M settlement fight


* 2 dead, 17 injured in Kentucky school shooting; suspect held
* Archdiocese announces mergers for North Shore, Lake County parishes
* Cougar proves elusive after reported sightings in DuPage County
* Minnesota Public Radio: Allegations against Keillor far beyond single touch
* Federal prosecutor named to focus on opioid crimes in Northwest Indiana
* Undersea quake sends Alaskans fleeing from feared tsunami
* Glenbrook District 225 approves transgender student policy; 'These kids have rights too'
* Rauner had meeting about investment that earned him $15 million, unsealed lawsuit alleges
* Chicago Bears look to partner in branded Vernon Hills fitness club
* Mueller seeks to question Trump about Flynn, Comey departures


» 'Possible Presence' of Legionella In Illinois Statehouse Complex
» IL Seniors Group Issues Voting Record Report Ahead of Primary
» State Pays $1 Billion In Late-Payment Charges
» CHA To Add More Mixed-Income Housing In Bronzeville
» National Study Hammers Illinois Budget Practices
» Hundreds Of Thousands Gathered For Women's March In Chicago
» Women's March Chicago Stays on Message - Get to the Polls
» Chicago Schools Chief: Cost A Driver In Special Ed Overhaul
» One Year Later, Women’s March Demands More Than Attendance
» State Week: Education Funding, Pritzker-Blagojevich, Rauner-Duke


* Capitol Complex employees told to take water-related precautions
* Audit finds lax monitoring of $7B in state Medicaid payments
* Former Springfield Ald. Jobe added to State Fair Advisory Board
* Democratic governor candidates to have 1st televised forum
* Popular Lincoln sculpture in Bloomington needs cleaning
* Legionella bacteria possibly in Capitol Complex water system
* IBHE: There is a need for bold changes for Illinois' higher education system
* Rauner wants to 'step-down' income tax increase
* Sangamon County should get first dibs on state jobs, lawmaker says
* Report: State agencies holding nearly $2.5 billion in bills


* DACC trustees to hear about finances
* Alorton’s city manager indicted for allegedly giving false statements
* Scott Air Force Base is one of the best places to be stationed, military news site says
* Police investigating alleged abduction attempt
* Sanguinetti discusses 'community approach' to opioid crisis
* Tammy Duckworth announces she is pregnant, will be 1st sitting senator to give birth
* Man pleads guilty to assisting in May 2014 Cairo attempted bank robbery that left 2 dead
* Local small schools thrive in latest AP girls' hoops poll
* Bulldogs, Rockets net votes in latest AP boys' hoops poll
* Vehicle rolls over on Interstate 255 ramp


* Glen Ellyn District 89, teachers union agree to 5-year contract
* Officials working to identify Addison fire victims
* Hanover Park man faces 30 years in prison for armed robbery
* Norge trained three suburban Olympic ski jumping hopefuls
* Report: Former Zurich headquarters in Schaumburg sold

* Bipartisan Illinois criticism follows Trum...
* US places Pakistan on special watch list f...
* 'Time' Magazine's Powerful Cover Features ...
* Letter: Talk to tax preparer about GOP tax...
* Our view: End patronage at Algonquin Towns...
* Letters to the editor: Election commission...
* Teacher raised in Yorkville running agains...
* Suburban Democrats line up to challenge Ro...
* Dissident artist Ai Weiwei and US Rep. Ran...
* Lawmakers back renaming Warrenville post o...

* This RSS feed URL is deprecated...
* White House on Graham-Durbin DACA Bill: 'D......
* US Democrats withdraw offer to fund Trump'......
* White House: 'Flake-Graham-Durbin' Agreeme......
* Democrats withdraw offer to fund Trump's b......

* This RSS feed URL is deprecated...
* Duckworth to be first sitting US senator t......
* Duckworth to be first sitting US senator t......
* Duckworth to be first sitting US senator t......
* Duckworth to be first sitting US senator t......

* "The Renslow" Rendering Surfaces For Former Man's Country Site
* Life In Chicago: Grant Fraud, Boot Bribery & Unnecessary OT
* Napkin sketch.
* Napkin sketch.
* Ald. Cappleman: Chicago Market, Housing & Women's Rights
* Two gubernatorial candidates support repealing Illinois’s rent control ban
* Academy Awards 2018: The Oscar nominees
* Hitting Left with the Klonsky Brothers. Episode #48. Amber Smock, people with disabilities advocate and activist.
* Sketchbook.
* Ahead of Janus, union haters are collecting teacher names.


* Illinois Awarded Funds to Offer Advanced Training on Detecting Impaired Driving
* Illinois EPA Announces Upcoming Household Hazardous Waste Collection Events
* IEMA Highlights Emergency Preparedness for People with Access and Functional Needs in May - Ready Illinois website offers preparedness tips for people, caregivers
* First Lady Launches Illinois Family Connects
* Governor and Lt. Governor Unveil 2016 Journal of Local Government Shared Service Best Practices

  
* Facebook acquires biometric ID verification startup Confirm.io
* iTunes Opens 'Double Features' Movie Sale With $9.99 HD Bundles
* The latest iOS update fixes a glitch that would let others crash your phone with a text message
* Plans for new Samsung OLED factory on indefinite hold
* HomePod AppleCare+ plan will cost $39
* Cambassy lets you be your country’s digital ambassador
* RED’s ‘holographic,’ ‘SOLID’ Hydrogen phone will ship this summer

* Anderson on mission after challenging 2017
* Notable 2018 Spring Training non-roster invitees
* Anderson on mission after challenging 2017
* Burger third among top third-base prospects
* Burger among MLB's Top 10 3B prospects
* Kopech, Jimenez among White Sox NRIs
* Baseball America top 100, Sox-Brewers rumors, and other reading


Main Menu
Home
Illinois
YouTube
Pundit rankings
Obama
Subscriber Content
Durbin
Burris
Blagojevich Trial
Advertising
Updated Posts
Polls

Archives
January 2018
December 2017
November 2017
October 2017
September 2017
August 2017
July 2017
June 2017
May 2017
April 2017
March 2017
February 2017
January 2017
December 2016
November 2016
October 2016
September 2016
August 2016
July 2016
June 2016
May 2016
April 2016
March 2016
February 2016
January 2016
December 2015
November 2015
October 2015
September 2015
August 2015
July 2015
June 2015
May 2015
April 2015
March 2015
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
February 2014
January 2014
December 2013
November 2013
October 2013
September 2013
August 2013
July 2013
June 2013
May 2013
April 2013
March 2013
February 2013
January 2013
December 2012
November 2012
October 2012
September 2012
August 2012
July 2012
June 2012
May 2012
April 2012
March 2012
February 2012
January 2012
December 2011
November 2011
October 2011
September 2011
August 2011
July 2011
June 2011
May 2011
April 2011
March 2011
February 2011
January 2011
December 2010
November 2010
October 2010
September 2010
August 2010
July 2010
June 2010
May 2010
April 2010
March 2010
February 2010
January 2010
December 2009
November 2009
October 2009
September 2009
August 2009
July 2009
June 2009
May 2009
April 2009
March 2009
February 2009
January 2009
December 2008
November 2008
October 2008
September 2008
August 2008
July 2008
June 2008
May 2008
April 2008
March 2008
February 2008
January 2008
December 2007
November 2007
October 2007
September 2007
August 2007
July 2007
June 2007
May 2007
April 2007
March 2007
February 2007
January 2007
December 2006
November 2006
October 2006
September 2006
August 2006
July 2006
June 2006
May 2006
April 2006
March 2006
February 2006
January 2006
December 2005
April 2005
March 2005
February 2005
January 2005
December 2004
November 2004
October 2004

Blog*Spot Archives
November 2005
October 2005
September 2005
August 2005
July 2005
June 2005
May 2005

Syndication

RSS Feed 2.0
Comments RSS 2.0
WordPress




Hosted by MCS SUBSCRIBE to Capitol Fax Advertise Here Mobile Version Contact Rich Miller