Federal Programs

.

Low patient numbers key as threat of hospital closures looms

This article explores inefficiencies in the Cook County Health and Hospitals System and the effect that the partial rollback of the sales tax in Cook County may have on the System. The Civic Federation is quoted saying that the tax rollback does not necessarily mean that cuts must be made to the Hospital System to balance Cook County’s budget.

.

Illinois’ Fiscal Tilt-A-Whirl

For anyone who missed a last ride on the tilt-a-whirl when Kiddieland closed last month, a quick review of our state’s fiscal situation can provide a similar type of stomach-churning, gravity-defying—though rather less pleasurable—experience. As Illinoisans endure the second year of a historic recession, Illinois government has no budget, no plan, a half-year’s worth of unpaid bills and sky-high…

.

Update on Howe Developmental Center

While politicians, unions and other supporters of Howe Developmental Center fight to keep it open, a new report from the U.S. Justice Department has raised more questions about Howe’s viability. The report is the result of a federal investigation that began in 2007 under the Civil Rights of Institutionalized Persons Act. The Justice Department found that Howe failed to protect its residents from…

.

Medicaid Prescription Drug Abuse Alleged in Illinois and Other States

Tens of thousands of Medicaid recipients and doctors were involved in potentially fraudulent or abusive purchases of prescription drugs in 2006 and 2007 in five states, including Illinois, according to a new report by the Government Accountability Office (GAO). The GAO examined cases of potential “doctor shopping,” in which a patient used at least six different doctors. Visits to numerous…

.

Governor Closes Howe Center Despite Union Opposition

Governor Pat Quinn has decided that the State of Illinois will shut down its troubled Howe Developmental Center in Tinley Park and move residents to other quarters by April 2010. The decision, announced on August 28, 2009, came four months after the General Assembly’s Commission on Government Forecasting and Accountability on April 28 backed a recommendation by the Illinois Department of Human…

.

Governor Puts Off Budget Cuts

Hoping that Illinois lawmakers will agree to an income tax increase later this year, Governor Pat Quinn chose not to make the necessary cuts to work within the budget approved on July 15, 2009 by the General Assembly. At a press conference on July 31, the Governor said he had already trimmed more than $1 billion from the FY2010 budget that he initially proposed in March. However, Governor Quinn…

.

Governor Postpones Decision on Closing Howe Developmental Center

  As Governor Pat Quinn searches for unaffordable programs to cut from the state budget, the fate of the troubled Howe Developmental Center in Tinley Park deserves close attention. Howe, a state-run facility for the developmentally disabled, was decertified by federal authorities in 2007 after reports of substandard care and safety violations, including deaths of residents in unexplained…

.

Illinois Medicaid Program: An Issue Brief

The Civic Federation's Institute for Illinois' Fiscal Sustainability wrote this issue brief about the Illinois Medicaid Program. The report provides an overview of Medicaid in Illinois and highlights areas where the program's cost efficiency might be improved. The report recommends that the General Assembly form a joint legislative and gubernatorial commission to launch a review of the future…

.

State of Illinois FY2010 Recommended Operating and Capital Budgets

The Civic Federation's Institute for Illinois' Fiscal Sustainability produced this analysis of the proposed FY2010 Illinois operating and capital budgets. The Civic Federation does not support the proposed operating budget because it raises taxes without fixing the state's structural deficit. If significant pension and employee healthcare reforms are implemented, the Federation could support a…

.

A Fiscal Roadmap for Creating a Sustainable State Budget: Actionable Recommendations for Governor Pat Quinn and the Illinois General Assembly

The Civic Federation's Institute for Illinois' Fiscal Sustainability produced this guide for addressing the state's FY2010 budget. The roadmap provides an in-depth outline of best practices for a budget that would confront the state's growing fiscal crisis, including the areas of state spending, revenue, pensions, employee and retiree health insurance, Medicaid, capital, and asset sales.