Illinois
Illinois' immigrant health programs enact copays as cost estimates decline
SPRINGFIELD, Ill. — Cost estimates for a pair of state-funded health care programs serving certain low-income noncitizens have declined by tens of millions of dollars in recent months as the state rolled out new copay and co-insurance requirements this week.
The Health Benefits for Immigrant Adults and Health Benefits for Immigrant Seniors programs provide state-funded Medicaid-like benefits to individuals aged 42 and over who would otherwise be eligible for the federal low-income health care program if not for their immigration status.
That includes those in the U.S. without legal permission and those who have obtained a green card but not yet completed a five-year waiting period to earn federal benefits. Individuals who have applied for asylum or sanctuary in the U.S. – which includes many of the more than 34,000 migrants bused to Illinois from Texas in the last year-and-a-half – more likely qualify for other preexisting state or federal benefits.
Advocates for the programs contend they are not only lifesaving but also cost-saving in the long-run as they give individuals access to preventative care rather than making them reliant upon expensive emergency room visits to treat conditions that worsen due to lack of care. Opponents of the programs, namely Republican lawmakers, have criticized them as an expensive enticement for people illegally residing in the U.S. to relocate to Illinois.
The programs, originally launched for those aged 65 and older in 2020 then expanded in waves, became a sticking point in state budget negotiations last year when Gov. JB Pritzker’s administration projected their single-year costs to exceed $1 billion.
But current estimates now project the programs will cost $773 million in the current fiscal year. Those estimates, however, have declined by $60 million since August, the month following the Pritzker administration’s initial announcement of certain cost-saving measures.
Cost-saving measures
Ultimately, the contentious budget negotiations ended last year with lawmakers allocating $500 million in funding to the program from the state’s General Revenue Fund and giving the Pritzker administration authority to limit program enrollment and costs.
The administration in turn paused enrollment in HBIA as of July 1 and in HBIS as of Nov. 6. The two programs now collectively serve about 69,000 people aged 42 and older, and enrollment remains paused.
In January, the administration also began moving enrollees to the state’s Medicaid managed care program, which connects individuals with private insurers who contract with the state to oversee routine and follow-up health care.
The Department of Healthcare and Family Services, which administers the programs, expects the managed care transition to be complete in April.
After months of delays, the department announced that copays and co-insurance for certain services went live Thursday.
“Most services covered by the HBIA and HBIS programs … will continue to be free for customers, including primary care visits, prescription medications and vaccinations at a pharmacy or doctor’s office,” the department said in a news release. “The new copays and co-insurance will apply to the use of non-emergency hospital or surgical center services, like nonemergent elective surgeries, physical therapy and lab work.”
Enrollees may see a $250 copay per nonemergency inpatient hospitalization and a 10 percent charge for nonemergency outpatient services or care received from ambulatory surgical treatment centers. It’s a major difference from the federally funded Medicaid program, which does not require copays.
Whether individuals are subject to those copays and co-insurance requirements will depend on if they have already been enrolled in managed care and which managed care organization is serving them, according to the department. The state reimburses managed care organizations at a specified rate, giving the MCOs authority to charge copays or co-insurance without requiring them to do so.
CountyCare in Cook County, where most program enrollees are located, is waiving all copays and coinsurance requirements, per the department.
The department announced it no longer plans to issue a copay for emergency room visits.
The Healthy Illinois Campaign, a statewide coalition of immigrant and health care advocates, has pushed for an expansion of the program and fought any efforts to limit it or install cost-sharing.
The group’s director, Tovia Siegel, praised the administration’s decision not to charge a copay for emergency room care but said the other copays “place a significant burden on both providers and patients, limiting access to healthcare for Illinois’ immigrant community.”
The copays, advocates noted, are charged to medical providers by MCOs, but the providers are required to collect them from patients, creating an administrative burden. As well, they warned that individuals may choose to defer certain “elective” procedures, such as a colonoscopy, due to the copay requirement, potentially undermining the program’s preventative care goals.
“We urge the Department of Healthcare and Family Services and Managed Care Organizations to reconsider implementing these charges, which will generate a relatively small amount of money but can be the difference between life and death for low-income Illinoisans,” Siegel said in a statement.
Costs declining
The programs’ cost estimates, meanwhile, have been on the decline amid the administration’s savings measures. In September, an HFS analysis estimated the programs’ 12-month cost to be $832 million for the fiscal year that ends June 30. But the department’s latest estimate, published Jan. 9, now projects the programs will cost $773 million. In total, the state has spent nearly $330 million collectively on the programs in the first six months of the fiscal year, per the January estimate.
The department’s data shows average monthly costs for the programs decreased steadily between August and December, from $72.7 million to $45.3 million.
When the state announced its enrollment caps, it noted per-enrollee costs were higher among the HBIA and HBIS populations “due to more prevalent, untreated chronic conditions and higher hospital costs.” With the caps in place, the program is now populated with individuals who’ve been receiving routine care, rather than a steady stream of new enrollees who are more expensive to insure.
Thus, the per-patient monthly costs have also declined. In August, per-patient costs reached $1,232 for enrolled individuals aged 65 and older, $1,295 for those aged 55-64, and $844 for those aged 42-54. In December, those numbers declined to $778, $805 and $541, respectively.
Advocates pointed to those declines as evidence that the programs are accomplishing their intended goal of replacing costly emergency care with more cost-efficient preventative services.
“While there are several potential explanations, cost decreases in the HBIA and HBIS programs can be an indication that enrollees are receiving more preventative care and therefore needing less intensive, expensive care,” Siegel said. “However, the implementation of copays could threaten these gains as enrollees are dissuaded from receiving this cost-saving preventative care.”
Capitol News Illinois is a nonprofit, nonpartisan news service covering state government. It is distributed to hundreds of newspapers, radio and TV stations statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation, along with major contributions from the Illinois Broadcasters Foundation and Southern Illinois Editorial Association.
Illinois
Historical Corn versus Soybean Returns in Illinois – farmdoc daily
Average per acre returns to soybean production have exceeded those for corn production in 10 out of the 13 crop years from 2013 to 2025. The opposite was true over the prior 13 crops years from 2000 to 2012. Acreage trends in Illinois indicate farmers are responding to the shift in relative profitability by planting a smaller percentage of their acres to corn.
Corn versus Soybean Returns in Illinois
Figure 1 shows average corn minus soybean returns for central Illinois grain farms with high-productivity farmland enrolled in Illinois FBFM from 2000 to 2025, with projections for 2026 based on the latest Illinois crop budgets (see farmdoc daily from May 19, 2026).
From 2000 to 2012, average per acre returns to corn production exceeded returns to soybeans in 10 years with an average advantage for corn of $59 per acre. The latter half of this period includes the years of high returns and farm incomes during the biofuel boom resulting from the Renewable Fuel Standard.
The large increases in use of corn for ethanol production largely came to an end by 2013. Since 2013, average returns to soybeans have exceeded those for corn. Soybean returns exceeded corn returns in 10 out of the 13 years from 2013 to 2025, with an average advantage for soybeans of $53 per acre. The 2013 to 2025 period has been characterized by lower returns due to low commodity price levels relative to production costs, which have increased consistently through time. Exceptions include the 2020 to 2022 crop years when a significant amount of ad hoc assistance was provided in response to the pandemic (2020), and corn and soybean prices saw significant increases (2021 and 2022) due in part to supply chain issues associated with the pandemic and the start of the Russia-Ukraine War. The largest return advantage for soybeans in the last 25 years occurred in 2023 when average soybean returns exceeded corn returns by $237 per acre. Notably, average farmer returns to both corn and soybeans were negative in 2023 but the average loss for soybeans was less than that for corn acres.
Acreage Allocation Trends
Figure 2 shows the percentage of total tillable acres planted to corn by grain farms enrolled in FBFM in the northern (upper panel), central (middle panel), and southern (lower panel) regions of Illinois from 2003 to 2024. The percentage of acres planted to corn has trended down slightly in all three regions over the past 12-15 years, a period which corresponds with the greater relative returns to soybean acres. This indicates a response from farmers in adjusting their crop rotation decisions to the shift in relative profitability.

Historically, a higher percentage of acres have been planted to corn in northern Illinois. This is due to continuous corn rotations being more common in the northern region of the state, which can be linked to greater feed demand from beef and dairy operations in that region of Illinois among other factors. Corn and soybeans are by far the primary crops planted over the past 25 years in both northern and central Illinois, with both typically accounting for 95% or more of total planted acreage. Thus, reductions (increases) in corn acreage are typically offset by corresponding increases (reductions) in soybean acres. The proportion of corn acres in northern Illinois has dropped back under 60% in recent crop years after exceeding that level from 2007 to 2018 with a peak of just over 69% in 2011. The share of corn acres in central Illinois has dropped down to around 50%, trending down from a peak of nearly 60% in the 2007 crop year.
Southern Illinois has historically had the smallest percentage of acres planted to corn. While planted on a small percentage of total acres, wheat more commonly enters farmers’ crop rotations in southern Illinois, often with wheat followed by double-crop soybeans. The percentage of corn acres has trended down from around 47% in 2012 to around 40% in 2024.
Discussion
The shift towards higher returns to soybeans over the last 13 crop years can be linked to a number of factors.
- Since the 2012 drought, both corn and soybean yield performance has, on average, been relatively good across Illinois. Average soybean yields in particular have been strong, exceeding trend levels in all years but 2019. Anecdotal evidence suggests that farmers are improving management decisions and practices on soybean acres, moving to earlier planting dates and adopting new technologies such as seed treatments which can improve yields particularly in stressful conditions (see the Illinois Soybean Management Guide for more information).
- Except for the three-year period from 2020 to 2022, market returns have been relatively poor for corn and soybean producers since 2013. The non-land costs to produce soybeans are smaller than those for corn. Fertilizer costs have been volatile and machinery costs have been on the rise, particularly since the pandemic and 2020 crop year – both of which are lower for soybeans than for corn.
- While trade policies over the past decade have negatively impacted export markets for U.S. agricultural commodities, and in particular for U.S. soybeans, trade aid payments have helped to partially offset those losses.
- The RFS was a rising tide that tended to lift all boats in the form of higher commodity prices in the latter half of the 2000s. The initial impact of U.S. biofuel policy was arguably more beneficial to corn, but over time the role of biodiesel has increased resulting in greater demand for feedstocks, primarily soybean oil (see farmdoc daily from April 12, 2024). The share of acreage planted to corn in Illinois rose to meet the increase in demand for ethanol and has declined back to levels similar to the early 2000s. In contrast, the share of acres planted to soybeans declined and then increased as relative returns have shifted.
- The planting flexibility provision of the 1996 farm bill has provided farmers a better ability to respond to return conditions through acreage adjustments (see farmdoc daily article from March 3, 2025).
A key question is whether returns will continue to favor soybeans over corn for grain farms in Illinois and across the Midwest. If so, will producers continue to shift towards more soybean acres in their crop rotations? This would imply some farmers moving to planting soybeans to the same land in consecutive years (i.e. soybeans on soybeans). Agronomists tend to advise against planting multiple years of soybeans in a row due to concerns over disease, weed, and other pest pressures and the potential for the development of pest resistance to existing tools (Illinois Soybean Management Guide). However, research is being done on continuous soybean rotations in the Midwest (see here for an example of a recent study in Iowa).
Over the next few months we plan to provide a short series of articles which take a closer look at the shift in relative profitability of corn versus soybeans over the past 25 years. These will include more analysis of the factors that have contributed to the shift and whether we should expect the trend to continue.
Acknowledgments
The authors would like to acknowledge that data used in this study comes from Illinois Farm Business Farm Management (FBFM) Association. Without their cooperation, information as comprehensive and accurate as this would not be available for educational purposes. FBFM, which consists of 4,900 plus farmers and 80 plus professional field staff, is a not-for-profit organization available to all farm operators in Illinois. FBFM field staff provide on-farm counsel with recordkeeping, farm financial management, business entity planning and income tax management. For more information, please contact the State FBFM Office located at the University of Illinois Department of Agricultural and Consumer Economics at 217-333-8346 or visit the FBFM website at www.fbfm.org.
References
Gerveni, M., T. Hubbs and S. Irwin. “FAME Biodiesel, Renewable Diesel, and Biomass-Based Diesel Feedstock Trends over 2011-2023.” farmdoc daily (14):71, Department of Agricultural and Consumer Economics, University of Illinois at Urbana-Champaign, April 12, 2024.
Illinois Soybean Management Guide, 2025. University of Illinois Extension.
Paulson, N., G. Schnitkey, C. Zulauf and B. Zwilling. “Spring Revision to 2026 Illinois Crop Budgets.” farmdoc daily (16):88, Department of Agricultural and Consumer Economics, University of Illinois at Urbana-Champaign, May 19, 2026.
Zulauf, C., J. Coppess, G. Schnitkey and N. Paulson. “US Corn, Soybean, and Wheat Acres in the Planting Flexibility Era.” farmdoc daily (15):40, Department of Agricultural and Consumer Economics, University of Illinois at Urbana-Champaign, March 3, 2025.
Illinois
Unincorporated Bensenville residents say ‘nightmare’ rat infestation threatens their health, safety
UNINCORP. BENSENVILLE, Ill. (WLS) — People living in a neighborhood in unincorporated Bensenville say a rat infestation is a threat to their health and safety.
Those in the White Pines neighborhood say they know the source of the problem, but they feel like elected officials are not doing enough to help them.
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Multiple homeowners say the issue goes back at least two years. They believe one particular property is ground zero and that there have been no significant measures to eliminate what they are calling a rat infestation.
“It’s just a nightmare right now,” said White Pines resident Jim Brill.
Brill says for two years, he and his neighbors have dealt with rats running around their property.
“It’s impacting every house that surrounds that house. The rats come out when we put our trash cans out. They literally swarm out of the yard, that house’s yard, go in our trash cans,” Brill said.
Another neighbor says his home security picked up the rodents after they tripped the camera’s motion sensors, sharing at least a dozen videos with ABC7 showing them scurrying around the side of his house.
And pictures show multiple rats on the windowsills on the home that neighbors believe is the root of the issue.
“We have to, you know, take huge measures to maintain our property, and we’ve done that, but when your neighbor isn’t doing that, and then creating housing for these vermin, right, that carry disease, and can, you know, be troublesome and problematic, it’s quite frustrating,” said White Pines resident Kristin Henri.
Henri says her parents have lived there for more than 50 years, never with a rat problem, until 2024. She says the rats are a hazard to their health and safety.
“We’ve had rats on our property, running through in broad daylight, so it’s unnerving. I can’t let my dog out. I worry about my neighbor’s child across the street, who’s a toddler,” Henri said.
Henri and Brill say living in an unincorporated part of Bensenville has complicated matters. At this point, they believe it is in the county’s hands, but still the problem persists.
“We contacted the county. They keep telling us they’re going to take care of the problem, and they don’t,” Brill said.
“We need somebody to help eliminate this. It’s not fair to us. We maintain our properties, and we want to live in a safe environment,” Henri said.
The DuPage County Building and Zoning Staff told ABC7 they been working on this problem since 2024.
They are working with the owner of a single property to clean the home’s interior.
Once that’s done, the county says, it will have an exterminator come in and set traps in the area.
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Illinois
Fireball sightings reported in at least 8 states including Illinois
Sightings of a fireball were reported across Illinois and at least eight other states on Monday night.
The American Meteor Society received nearly 200 reports of a fireball seen over Illinois, Indiana, Kentucky, New York, Ohio, and Wisconsin around 10 p.m.
Some of the reports out of Illinois came from Chicago, Aurora, Carpentersville, Warrenville, Addison, Waukegan, Oak Lawn, Shorewood Westchester, and Glen Ellyn. There were also reports from Indiana, including Valparaiso and Fort Wayne.
There was also a report out of Ontario, Canada.
Home camera footage, posted by the American Meteor Society, shows a flash across the sky in Michigan about an hour Northwest of Detroit.
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