Illinois Audit Reveals $1.6 Billion Overrun in Noncitizen Health Care Programs

An audit report revealed that Illinois' health care programs for noncitizen immigrants have cost the state $1.6 billion since their inception in 2020, significantly exceeding initial estimates. The report highlighted discrepancies in enrollment, noting over 6,000 individuals classified as 'undocumented' actually possessed Social Security numbers, and nearly 700 seniors under age 65 were incorrectly enrolled in that program. Governor JB Pritzker's administration has proposed cutting funding for the program aimed at noncitizens aged 42 to 64 in an effort to address a budget shortfall, which has drawn criticism from Republicans who argue the program has not been effectively managed. Pritzker defended the programs, emphasizing the ongoing need for health coverage among vulnerable populations and his support for universal health care. The audit findings have intensified the debate over the financial viability and transparency of these health care initiatives for immigrants. As the governor moves to defund one program, some legislators are advocating to maintain it, citing the essential services it provides.