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This briefing presents an overview of the FY2015 budget for the Illinois Department of Public Health (IDPH), amounting to $603.8 million. It highlights the major budget comparisons with FY2014 and outlines key mandates that constitute 96.7% of the General Revenue Fund (GRF). With top mandates accounting for 61% of GRF, the briefing emphasizes the importance of health programs such as medical cannabis and preventive screenings. It also addresses ongoing needs for clients in the Medicaid program, including the AIDS Drug Assistance Program and Breast Cervical Cancer Program.
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FY2015 Budget LaMar Hasbrouck, MD, MPH, Director Joint Human Services Budget Briefing March 26, 2014
Budget Comparison: FY2015 vs. FY2014(millions)* *numbers rounded
Top 10 GRF-funded Mandates • Top 10 mandates account for 61% of GRF • 200+ additional mandates (incl., medical cannabis, school based clinics, family planning, vision/hearing, prostate screening, etc.) • Mandates account for 96.7% of GRF (very few non-mandated programs)
FY2015 Budget RequestHighlights • “Other State” funds increased due to fee supported funds • Collective bargaining costs (GRF increase) • Serve Illinois (AmeriCorps program) $15M federal grant (GRF $500k) • Nursing Home Surveyors increase mandated • ADAP/IBCCP are flat funded; however, ACA savings will be tracked
ACA Migration Update:AIDS Drug Assistance Program (7,000 clients) Efforts to “Facilitate” Progress-to-Date 528 clients successfully migrated to Medicaid 1,122 clients successfully migrated to Marketplace 5,396 eligible remain in program Ongoing Needs: Services not covered by Medicaid Deductibles, premiums (e.g., CHIC) ACA ineligible clients • 3 webinars • 16 town hall meetings • Mass mailings to all clients • Launched web based application • IDPH Program designated as Certified Application Counselor (CAC) to provide direct assistance
ACA Migration Update: Breast Cervical Cancer Program (27,500 clients) Efforts to “Facilitate” Progress-to-Date 7,150 (26%) clients successfully migrated 14,025 eligible remain in program Priority waiting list 5,785 Ongoing Need: Undocumented Uninsured ACA ineligible clients Those that “opt out” of ACA • 35 lead agency mailings, calls to all eligible clients • All lead agencies have ACA Navigators to provide direct assistance • Barriers identified • Co-pays • Assumption automatic enrollment • Medicaid enrollment delays
Programs Threatened by Potential Cuts in GRF • Client services: HIV/ADAP, IBCCP • Staffing: Nursing Home Surveyors, others • Labs • Environmental health • Infectious disease • Local Health Department core funding • Other key programs: • Vaccines • School Health Centers • Poison Control • Perinatal services