Illinois Office of Management and Budget

This document, 'Quantifying Inequities for Illinois,' outlines significant healthcare disparities, particularly within Black populations in Illinois, and proposes a strategic framework for 'Budgeting for Results in Healthcare.' The plan advocates for key reforms including the elevation of health prevention and promotion to parity with curative care, the implementation of separate external and internal performance assessments for the Managed Care Organization program, the alignment of incentives through contractually predetermined key performance indicators, the fostering of culturally specific participation and service delivery, and the establishment of a robust system for the practice of public health. The overarching goal is to transition Illinois' healthcare system from an overwhelming focus on sick care to one centered on prevention, thereby mitigating clinical and financial inequities.

The Fiscal Year 2027 Illinois State Budget details a comprehensive plan to maintain fiscal responsibility, drive economic growth, and improve the quality of life for all residents. The plan prioritizes strategic investments in education, including early childhood, K-12, and higher education affordability; expands access to affordable healthcare and human services for vulnerable communities; strengthens public safety; advances clean energy and environmental sustainability; modernizes infrastructure; and promotes workforce development and business growth. These efforts are aimed at securing a stronger future for Illinoisans within a balanced budgetary framework.

This document presents detailed performance measures and projections for Fiscal Years 2023 to 2027 across various state agencies. It covers key outcomes such as enhanced economic well-being, improved natural and cultural resources, increased access to cost-effective healthcare, enhanced government efficiency, and strengthened public safety. The report includes actual performance data, estimates, and future projections for numerous programs and initiatives.

The Proposed Fiscal Year 2027 Budget for the State of Illinois outlines the state's financial plan, building on seven years of fiscal progress. It prioritizes maintaining fiscal responsibility and fostering economic growth through targeted investments. Key areas of focus include Early Childhood Education and Child Care, K-12 and Higher Education, Health and Human Services, Public Safety and Violence Prevention, and Environmental, Natural, and Cultural Resources. The budget also addresses pension funding liabilities and significant capital investments aimed at rebuilding infrastructure and achieving long-term fiscal stability for the state.

This document provides an update to the October 2025 Economic and Fiscal Policy Report, detailing the potential magnitude of impacts to the Illinois budget resulting from changes in federal law and policy. It analyzes the implications of H.R. 1, including modifications to federal tax provisions affecting state revenues and programmatic changes to SNAP and Medicaid. The report also addresses the potential for federal funding freezes in critical human services programs, outlining significant budgetary pressures and increased state liabilities for the General Funds projected through fiscal year 2033.