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Big Beautiful Bill roundup: Pritzker says special session may not be needed, warns 330,000 Illinoisans could lose Medicaid; Planned Parenthood of Illinois pledges to continue care despite cuts (Updated)

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* Click here for reactions to the budget reconciliation bill’s passage. AP

President Donald Trump’s big bill to cut taxes and reduce federal spending on some social safety net programs could have large implications for states, but for many it’s too late to do much about it this year.

Tuesday marks the start of a new budget year in 46 states. Though some legislatures are still working, most already have adjourned and finalized their spending plans without knowing whether federal funding will be cut and, if so, by how much. […]

Several states have taken preemptive steps, setting aside money in reserves or tasking committees to monitor the impact of federal funding reductions. Others are tentatively planning to return in special sessions this year to account for potential funding cuts to joint federal-state programs such as Medicaid and the Supplemental Nutrition Assistance Program, or SNAP. Others will have to wait until their legislatures are back in session next year.

The Tribune’s Olivia Olander wrote a nice explainer last month on the $100 million ’safety valve’ Pritzker can use to fill budget holes.

* Center Square

Asked during a campaign stop in Chicago Wednesday about the bill Congress was advancing, and whether Illinois legislators should come back to Springfield to react, [Governor JB Pritzker] said that may not be necessary.

“Just to be clear, many of the provisions that are in the big terrible bill, are provisions that don’t go into effect until perhaps a year plus from now,” Pritzker told reporters.

One area Pritzker anticipates action is if there are fewer federal tax funds for things like the Affordable Care Act.

“We might need to take the funds that are matching funds because they’re going to take away their federal funds, take our matching funds, and figure out how we’re going to distribute those among the critical access and safety net hospitals that are threatened to close as a result of what they’re doing in Washington, D.C.,” Pritzker said.

* WTTW

In Illinois, 1.9 million residents receive SNAP benefits, including more than 891,000 people in Cook County. Approximately 3.4 million Illinoisans are covered by Medicaid.

The legislation would slash $287 billion from SNAP and more than $1 trillion from Medicaid and the Affordable Care Act over the next decade.

Gov. JB Pritzker’s office said the loss in federal funding could cost the state $1.2 billion annually.

“The food pantries are going to feel it,” said Danielle Perry, vice president of policy and advocacy at the Greater Chicago Food Depository. “The lines are already long. We’re at the numbers we were during COVID. Can you imagine what will happen when people lose their SNAP benefits?”

* Capitol News Illinois

The U.S. House gave final passage Thursday to a budget bill that will cut federal Medicaid spending by an estimated $1 trillion over 10 years.

All three Republican members of the Illinois congressional delegation voted in favor of the bill, despite a last-minute plea from Democratic Gov. JB Pritzker who warned the bill will result more than 330,000 Illinoisans losing Medicaid coverage and have a devastating effect on some rural hospitals.[…]

Today, according to the Illinois Department of Healthcare and Family Services, the [Medicaid] covers about 3.4 million people in Illinois, or a fourth of the state’s population. At a total cost of $33.7 billion a year, it is one of the largest single categories of expenditures in the state’s budget. It pays for about 40% of all childbirths in the state, according to KFF, as well as 69% of all nursing home care. […]

Those include imposing a work requirement on adults enrolled in Medicaid through the Affordable Care Act, also known as “Obamacare.” That law expanded eligibility for Medicaid to working-age adults with incomes up to 138% of the federal poverty level. About 772,000 people in Illinois are enrolled under that program.

The bill also calls for requiring people enrolled through the ACA expansion to verify their continued eligibility for Medicaid twice a year instead of annually. That is expected to filter out enrollees whose incomes rise above the eligibility limit as well as those who simply fail to complete the verification process.

Another provision would limit the ability of states to finance their share of the cost of Medicaid by levying taxes on health care providers. Illinois imposes such taxes on hospitals, nursing facilities and managed care organizations that administer the program. Revenue from those taxes is used to draw down federal matching funds that are then used to fund higher reimbursement rates to health care providers.

The final version of the bill does not, however, include a provision penalizing states like Illinois that also provide state-funded health care to noncitizens who do not have lawful status to be in the United States. That provision, which was included in the earlier House version, was not included in the Senate bill, according to KFF.

* Sun-Times

The $4.5 trillion in tax cuts that Trump sought would make the current tax rates and brackets permanent, eliminate taxes on tips and overtime pay, and add a $6,000 deduction for older Americans who make $75,000 or less. It also raises the child tax credit to $2,200.

Workers will be able to deduct $25,000 in tips a year from their income. After that, tips will be federally taxed.

A Congressional Budget Office analysis last month found the wealthiest households would see an average income increase of $12,000 annually, while it will cause low-income Americans to lose $1,600 a year. Middle-income households should see a tax break of between $500 and $1,200.

Consumer watchdogs at the Citizens Utility Board said the measure will mean higher power bills for consumers in Illinois and across the country. […]

The bill ends these tax credits by Dec. 31, 2025. The Joint Economic Committee estimated those tax cuts had helped a typical family save up to $1,080 every year.

* WTTW

Sarah Garza Resnick, president and CEO of Chicago-based pro-choice advocacy group Personal PAC, said both the judicial decision and Trump’s spending bill will cut access to reproductive care for Medicaid patients, providing them few alternatives. […]

In a statement Thursday, Planned Parenthood of Illinois said it will keep providing all types of sexual health and reproductive services that the organization says patients can’t go without.

“We refuse to stop providing care to our patients even though it’s clear the Republicans in Congress are trying to force us to do so,” Tonya Tucker, interim president and CEO of Planned Parenthood of Illinois, said in a statement. “Over 40% of PPIL patients use Medicaid to cover the cost of their health care and we will not allow people to forgo essential health care!”

…Adding… Gov. JB Pritzker…

Following the signing of Trump and Republicans’ ‘Big Beautiful Bill,’ Illinois is raising awareness about the devastating impacts on our working families. This includes draconian cuts and alterations to the Supplemental Nutrition Assistance Program (SNAP), which threatens food benefits for an estimated 360,000 Illinoisans, jeopardizes jobs, grocery stores, and harms local economies. ​

“SNAP has been a crucial federal resource for families trying to put food on the table for more than 60 years, but Trump and Republicans would rather children go hungry so their friends can receive tax cuts,” said Governor JB Pritzker. “Here in Illinois, we have been working to combat food insecurity for years, and while no state can backfill these costs, the State of Illinois will continue to fight against these harmful impacts and stand up for working families.” ​

SNAP has been a permanent, 100% federally-funded food benefit for more than 60 years. The bill threatens SNAP benefits for Illinoisans in three fundamental ways: ​

These changes from the federal government will harm hundreds of thousands of working families across Illinois and drastically impact how SNAP functions across the state, leaving veterans, children, unhoused populations, and older adults vulnerable. In FY25, $4.7 billion in SNAP benefits were issued to Illinoisans, supporting over one million households (1.8 million individuals total). ​

Data from the Food Research and Action Center on SNAP issuance in Illinois indicates that:

Trump’s spending bill endangers families that rely on SNAP, stripping their eligibility for assistance and making it harder to put food on the table. The State of Illinois also expects substantial economic harm to reverberate from these cuts, as SNAP supports more than 18,000 jobs in Illinois, across both the grocery and other supporting industries, including agriculture, manufacturing, transportation, and municipal services. ​

An overview of the expected impacts in Illinois can be found below.

* More…

posted by Isabel Miller
Monday, Jul 7, 25 @ 9:56 am

Comments

  1. Gutting rural healthcare to pay for tax cuts for the wealthy seems like one of the biggest perversions of the big, ugly bill. Shouldn’t Rep. Bost have yelled and punched some papers to stop it?

    Comment by Three Dimensional Checkers Monday, Jul 7, 25 @ 10:09 am

  2. If all of this was so good for the average person/family then why are we pushing the effective dates until after the next midterm.?.?.?.?.?.?.?

    Would we not want voters to experience all this winning before the election to win their votes.?.?.?.?.?.?.?

    Truly evil humans

    Comment by Bellville Bruce Monday, Jul 7, 25 @ 10:20 am

  3. Closing the only hospital for fifty miles to own the libs.

    Comment by Irreverent Monday, Jul 7, 25 @ 10:23 am

  4. @ Belleville Bruce - when things go south, they’ll pin it on the Democrats, and use the negative press in political ads/campaigns.

    Comment by The Dude Abides Monday, Jul 7, 25 @ 10:26 am

  5. Rich recently posted an excerpt from the Sun-Times listing nine Illinois hospitals at risk of closure due to the big terrible bill. All nine are in republican districts. Patrick Windhorst has three of them.

    I wouldn’t think Pritzker wants to expenditure much political capital on a problem the local legislators are cheerfully supporting, but maybe I’m wrong.

    Comment by Socially DIstant Watcher Monday, Jul 7, 25 @ 10:32 am

  6. @Socially

    You are, unfortunately, wrong. We see it over and over again. Disaster aid, industrial programs, you name it. Democrats govern for Republican regions as well as Democratic ones. As much as I wish they would, Democrats never let red voters taste the full flavor of what they voted for.

    Comment by Irreverent Monday, Jul 7, 25 @ 10:35 am

  7. Some of this sounds a little bit like “Deja vu all over again”

    After having vetoed two welfare reform bills, on this day in 1996 President Bill Clinton signed the Personal Responsibility and Work Opportunity Reconciliation Act.

    Drafted by Rep. John Kasich (R-Ohio) in a GOP-controlled Congress, the act ended welfare as an entitlement program; required recipients to begin working after two years of receiving benefits; placed a lifetime limit of five years on benefits paid by federal funds; sought to encourage two-parent families and to discourage out-of-wedlock births; enhanced enforcement of child support, and required state professional and occupational licenses to be withheld from undocumented immigrants.

    Comment by Mason County Monday, Jul 7, 25 @ 11:10 am

  8. Regarding work requirements for the ACA adult population, it’s funny that they’re punishing the people who already have jobs. The ACA population, be definition, makes too much money to be in the “traditional” Medicaid population. They make 100% to 138% of FPL, so in the previous year they had some kind income or maybe they have a part time job, whatever, but a single person would have to make something like $16k to $22k a year. So still quite poor, but they have some source of income already. The people who have no income don’t have to meet the work requirements.

    Really a solution in search of a problem.

    Comment by Perrid Monday, Jul 7, 25 @ 11:11 am

  9. These cuts were enacted by Republicans who get their taxpayer-paid health insurance even after adding trillions to debt. Republican presidents leave economic messes for Democrats to clean up, and they’re forcing work requirements on the poor to get Medicaid. They should have performance requirements for legislators to get health insurance. /s

    Comment by Grandson of Man Monday, Jul 7, 25 @ 11:12 am

  10. ==tax cuts for the wealthy==

    Many not so wealthy Illinois taxpayers stand to benefit from the SALT deduction limit increase.

    Comment by City Zen Monday, Jul 7, 25 @ 11:14 am

  11. The bill’s cuts are so large and the economy and economic outlook are so uncertain, that states can’t make up the cuts. It’s going to be grim for the foreseeable future. Glad I’m a geezer. Sad I’m a father and grandfather.

    Comment by Sir Reel Monday, Jul 7, 25 @ 11:21 am

  12. ==Many not so wealthy Illinois taxpayers stand to benefit from the SALT deduction limit increase.==

    Umm, it didn’t increase.

    Comment by Demoralized Monday, Jul 7, 25 @ 11:28 am

  13. It went from $10,000 to $40,000 for households with incomes less than $500,000 in Illinois until 2029

    Comment by Johnny B Monday, Jul 7, 25 @ 11:37 am

  14. This would have been an opportunity for JB to float a special session to pass transit reform and funding bills. I worry they’re sleepwalking into a transportation disaster.

    Comment by DS Monday, Jul 7, 25 @ 12:00 pm

  15. =Many not so wealthy Illinois taxpayers stand to benefit from the SALT deduction limit increase.=

    Those not so wealthy tax payers tend not to itemize. And if you have the ability to take advantage of a $40K SALT deduction you are, by all objective measures, wealthy.

    Comment by Pundent Monday, Jul 7, 25 @ 12:09 pm

  16. Most normal taxpayers don’t pay 20K in property taxes.

    Comment by Steve Monday, Jul 7, 25 @ 1:05 pm

  17. Steve- with our RE taxes being as high as they are- add in the Illinois income tax- most middle income taxpayers who own their home actually will benefit from the increased SALT deductions- the RE taxes on a 500k home which is what many middle income folks own can easily be 12 to 15 thousand in most of the suburbs

    Comment by Sue Monday, Jul 7, 25 @ 2:34 pm

  18. =most middle income taxpayers who own their home actually will benefit from the increased SALT deductions=

    I think you have a very stilted view of “middle income taxpayers.”

    https://www.foxbusiness.com/fox-news-politics/salt-deduction-do-nothing-90-percent-us-taxpayers-economists-say

    Comment by Pundent Monday, Jul 7, 25 @ 2:45 pm

  19. You should read beyond the headline

    90% of taxpayers don’t live in the high property tax states like Illinois, New York etc.

    The average property tax bill

    $5,900 in Cook
    $6,500 in Mc Henry
    $7,600 in Du Page
    $7,800 in Lake

    Add in state income tax and the average homeowner is well over $10,000

    Comment by Johnny B Monday, Jul 7, 25 @ 3:37 pm

  20. =Add in state income tax and the average homeowner is well over $10,000=

    The average homeowner has and will continue to use the standard deduction. The SALT cap limit only comes into play if you itemize. As the article clearly captures only the highest earners and tax payers will benefit. And yes they tend to be in blue states. And no they aren’t “average” taxpayers by any stretch of the imagination.

    Comment by Pundent Monday, Jul 7, 25 @ 3:57 pm

  21. Cool stories about the SALT deduction, but the CBO analysis shows what the bill is about. The rich will pay a lot less tax, the poor pay more, and the middle maybe pays a little less. Something is very wrong when representatives will sacrifice foundational institutions like a rural hospital to pay for that.

    Comment by Three Dimensional Checkers Monday, Jul 7, 25 @ 4:26 pm

  22. In Illinois 13.7% of population have property tax bills exceeding $10,000

    If the property taxes and state income taxes paid exceed the standard deduction it makes sense to itemize

    You can then also take advantage of deducting mortgage interest which is much higher for newer homeowners

    The SALT limit declines for those making over $500,000 so your comment that only the highest earners benefit is inaccurate

    https://finance.yahoo.com/news/who-stands-to-benefit-from-the-new-salt-cap-high-earning-homeowners-in-high-tax-states-204904190.html

    Comment by Johnny B Monday, Jul 7, 25 @ 4:26 pm

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