Gov. JB Pritzker provides an update on the new migrant arrivals, during a news conference in Chicago, Sept. 14, 2022. | Antonio Perez/ Chicago Tribune
By Jeremy Gorner and Dan Petrella | Chicago Tribune
SPRINGFIELD — Gov. JB Pritzker’s administration vastly underestimated the cost and attraction of a pair of controversial programs that provide state-funded health insurance for immigrants who are not citizens, according to an audit report released Wednesday.
The programs have cost the state more than $1.6 billion since the initiative began in late 2020 and also have been plagued by improper enrollments and a failure to move some recipients who were eligible into Medicaid, the traditional health insurance program for the poor that is jointly funded by the federal government, according to the report from Illinois Auditor General Frank Mautino’s office.
While widely supported by the Latino caucus in Springfield and other progressive lawmakers, the programs have been a source of tension among the Democrats who control the legislature and briefly derailed budget negotiations two years ago before legislators reached a compromise that gave Pritzker broad latitude to rein in costs.
The audit’s release comes a week after the governor proposed eliminating funding beginning July 1 for the program that insures people younger than 65, a move his administration estimates would save $330 million and help erase a state budget deficit for the coming year it once estimated at more than $3 billion.
The cost overruns were particularly pronounced in the program meant for recipients ages 42 to 64, with the actual expenditure of $485 million through the three years ending June 30, 2023, the period covered by the audit, coming in at nearly four times the initially estimated cost of $126 million, according to the report. During the same period, the actual cost of the program for those 65 and older was $412 million, nearly double the original projection of $224 million.
At a news conference in Chicago on Wednesday to announce another round of medical debt relief for Illinois residents, Pritzker did not answer directly when asked why the estimates his administration used for the programs were so far off. Instead, he said some individuals were at times kept on the programs’ rolls for a period before the state determined they were no longer eligible, either because of a change in immigration or employment status or some other factor.
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