Illinois Moves to Cut Thousands of Non-Citizens From Taxpayer-Subsidized Health Care

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Illinois is struggling to contain soaring costs for its program, which covers illegal immigrants.

Illinois officials are moving to stop providing taxpayer-subsidized health care to thousands of non-citizens, including many illegal immigrants, in a bid to rein in soaring costs.

The Illinois Department of Healthcare and Family Services said in a recent statement it will start annually verifying the eligibility for two programs—Health Benefits for Immigrant Adults (HBIA) and Health Benefits for Immigrant Seniors (HBIS)—after enrollment was paused due to budget concerns.

“This process will mirror the redetermination process used in the traditional Medicaid program to ensure those enrolled remain eligible,” the agency said.

The plans include closing cases for people who are enrolled who make over a certain amount or who otherwise are no longer eligible for the program in which they’re enrolled. Officials also plan on removing legal permanent residents who qualify for Medicaid, which is a federal program.

“The redetermination process ensures that those who are enrolled remain eligible for coverage,” Illinois Department of Healthcare and Family Services spokesperson Jamie Munks told WBEZ. “If an individual loses coverage through the redetermination process, it is because they no longer meet eligibility requirements, or they are required to respond or submit additional information to prove their continued eligibility, but they do not do so.”

The processes are estimated to reduce the number of enrollees in the state programs by about 6,000 people, state Sen. Don DeWitte, a Republican, told the Center Square after hearing from state health officials. Those removals would result in savings of $14 million.

HBIS, launched in 2020, provides taxpayer-funded health care for seniors who would receive Medicaid coverage but can’t get it due to their immigration status. HBIA, introduced in 2022, provides the same state benefits for people aged 42 to 64. Illegal immigrants are among the approximately 63,000 covered.

“Everyone, regardless of documentation status, deserves access to holistic healthcare coverage,” Illinois Gov. J.B. Pritzker, a Democrat, said in one of his statements in support of the programs.

Many Republicans have opposed the programs, noting that some citizens still lack health care.

By Zachary Stieber

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