
Message from the President
Dr. Tasha Green Cruzat
Dear Friends,
Generally, we enter spring with a sense of optimism as we think about the longer and warmer days ahead. However, many Illinois families are entering this spring season with a sense of concern about the days ahead of them.
President Donald Trump has signed an executive order calling for the dismantling of the U.S. Department of Education. As of last week, the Department’s Office for Civil Rights, which investigates claims of discrimination against students, had been cut in half. The U.S. Department of Agriculture has cancelled two programs, with a total of more than $1 billion, that helped schools and food banks buy food from local farms and ranchers.
Yet, those two actions alone represent what could be just the start of a round of deep budget cuts that could impact the health, housing, and food security – just to name a few areas – of our children.
With Congress passing a continuing resolution to keep the federal government running until September 30th, its attention now turns to the new federal fiscal year that begins on October 1st. In February, the U.S. House passed a resolution establishing the framework for future federal budgets. It calls for $4.5 trillion in tax cuts over the next ten years with $2 billion in budget cuts. Those cuts include instructions to the House Energy and Commerce Committee to cut $880 billion over 10 years. That committee oversees Medicaid.
While the White House has stated the President will not cut Medicaid benefits, the administration has also indicated its commitment to eliminate “waste, fraud and abuse”. Members of Congress have also indicated their commitment to Medicaid. Yet, the Congressional Budget Office noted in a March 5th memo that outside of Medicaid the rest of the expenditures on programs under the House Energy and Commerce Committee would only total $581 billion over ten years and that includes the Children’s Health Insurance Program. Absent a change in the resolution (and the U.S. Senate and House still need to agree on the same version) that would mean $299 billion worth of cuts to Medicaid.
All of this could have big implications for Illinois children and their families. According to the Illinois Department of Healthcare and Family Services, Medicaid covered 3.4 million Illinoisans in the state’s Fiscal Year 2024 (FY24). That’s more than a quarter of the state’s population. However, it is a much higher rate for children. Medicaid covers 44% of the state’s children. It covers approximately half of all births in Illinois.
The 2010 Affordable Care Act allowed an expansion of Medicaid health insurance coverage to nearly all adults with up to 138% of the federal poverty level. In FY24, that provision alone allowed the state to provide health insurance to 770,000 individuals and brought in more than $7 billion dollars. (According to the Department, Illinois received more than $20 billion from the federal government for state Medicaid spending.)
There have been various reports of how Congress might change Medicaid but when it comes to the bottom line Governor J.B. Pritzker has stated, “We cannot make up for billions of dollars of Medicaid that might be taken away from the state of Illinois”.