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In a shocking revelation, Illinois taxpayers have shouldered a staggering $1.6 billion in healthcare costs for illegal immigrants since 2020. This figure far exceeds the budget estimates projected by Governor JB Pritzker’s administration, as highlighted by a newly released state audit at the request of Republican legislators.
The recent audit has unearthed alarming discrepancies in the healthcare programs, revealing that significant amounts of state funds were allocated to individuals who were actually U.S. citizens or eligible for federal programs. State Senate Republican leader John Curran remarked on the findings, stating, “This audit shows that the governor and the program were rampant in overspending. It spent well in excess of 200% more than what was estimated in budgets and in appropriations.”
Curran emphasized the implications of the mismanagement, saying, “Thousands of people were allowed to sign up for free healthcare for years on the state taxpayer dime that should not have been eligible under the parameters laid out for this program.” He also criticized the governor for failing to seek federal reimbursement, which left additional federal funds unclaimed for years.
Illinois Auditor General Frank J. Mautino flagged over 6,000 individuals classified as ‘undocumented’ who possessed Social Security numbers. Some of these individuals may be legal permanent residents eligible for Medicaid, which could have brought in federal funding for them. A review of 94 cases from the audit found that 19 should have been categorized as legal residents instead of noncitizens.
The findings also pointed out that nearly 700 individuals over 65 were incorrectly enrolled in a senior health program. The audit confirmed many errors stemmed from inaccurate birth dates, which were corrected after review. Additionally, almost 400 enrollees seemed to have lived in the U.S. for more than five years and should have qualified for Medicaid, further complicating the state’s finances.
This report, which Curran described as gross mismanagement, surfaced just a week after Governor Pritzker proposed cuts to the funding for healthcare services offered to illegal immigrants under 65 or legal immigrants without a green card. These funding reductions are part of a larger strategy to address a budget shortfall exceeding $3 billion. The proposed cuts are expected to save the state $330 million.
Curran voiced his concerns regarding the funding strategies employed by the governor, stating, “The governor was papering over this large spending with tax increases over the last several years, alongside COVID relief funds. He has not attempted to rein in spending in Illinois.” He noted that with a decrease in federal funds, the state now faces a significant budget deficit, forcing the governor to consider ending the program for working adults.
As of December, a total of 41,505 individuals were enrolled in programs that fall under the Health Benefits for Immigrant Adults scheme, which Pritzker intends to cut starting July 1. Despite the proposed cuts, Governor Pritzker positioned himself in favor of some form of universal health coverage during a recent press conference.
He stated, “The broader context is that people need to get health care,” and highlighted the pressing need for coverage among many who are left out of the current system. Pritzker acknowledges that the situation demonstrates a troubling reality where many individuals desperately seek healthcare coverage.
Critics like Curran have accused Pritzker of adopting a confrontational stance toward federal policies, particularly toward President Donald Trump’s administration. Curran argued that this adversarial approach puts Illinois and cities like Chicago in a difficult position. “What we would like to see is a more cooperative tone,” he added.
The issue becomes even more complex in Chicago, a city regarded as a sanctuary city. Hundreds of illegal immigrants have been detained by U.S. Customs and Immigration Enforcement since Trump took office. Pritzker and Chicago Mayor Brandon Johnson have resisted Trump’s enforcement practices, vowing to protect residents without regard to their immigration status.
As the debate continues regarding funding and healthcare for immigrants, the financial strains on Illinois taxpayers remain a critical issue. The outcome of proposed budget cuts and its implications for low-income residents will play a significant role in shaping the state’s healthcare landscape in the coming months.
Despite the challenges, Curran urges a reevaluation of healthcare policies in Illinois, emphasizing the need for a more sustainable approach. Exploring alternative solutions to support immigrants while managing state finances effectively becomes increasingly urgent.
Nevertheless, Pritzker’s office did not respond to requests for comments before the publication deadline, leaving many questions about the future of healthcare funding unanswered.