Republicans Push Back On Ballooning Costs of Free Health Care for Undocumented Immigrants, Democrats Shut Republicans Out of Budget Talks

The Medicaid-style health benefits program for undocumented immigrants now costs $1.1 billion, which is $880 million more than had been previously projected by the Illinois Department of Healthcare and Family Services (DHFS).  

Within the terms of this controversial program, Illinois has repeatedly expanded taxpayer-funded health benefits for undocumented immigrant adults. The current program covers all adults in these categories who are aged 42 and up. These adults are covered in age groups aged 42 to 54, aged 55 to 64, and those aged 65 and up. Immigrant enrollees pay no insurance premiums or co-pays for this taxpayer-funded health benefits program.

Budget analysts say that the cost of this program, which has seen massive expansions in the Democrats’ budgets as recently as April 2022, is now swallowing up almost all of the natural growth in resources enjoyed by the State sector of Illinois’ overall public sector. Because this program is growing so fast, there is no additional money to deal with other urgent priorities.  

The Rules of the House and Senate chambers of the Illinois General Assembly provide for appropriations committees to meet, hear witnesses, discuss the budget issues facing Illinois, and allocate available money. In a series of moves associated with Illinois’ current budget shortfall, and with the sharp cost pressures associated with undocumented immigrants and other needs, the hard numbers in the FY24 budget have been pulled out of the appropriations committees and moved behind the Democrats’ closed doors.