Illinois taxpayers paid out $1.6 billion for healthcare programs for illegal immigrants since 2020, well above the spending projections estimated by Democrat Gov. JB Pritzker’s administration, per a new state audit released this week at the request of GOP legislators. 

The audit also found that, in many cases, state money was spent on people who were actually U.S. citizens or otherwise eligible for federal programs.

“This audit shows that the governor, that the program was rampant in overspending. It spent well in excess of 200% more than what was estimated in budgets and in appropriations,” state Senate Republican leader John Curran told Fox News Digital in an interview. 

“And it also showed that the governor was unable to manage this program,” he said. “Thousands of people were allowed to sign up for free healthcare for years on the state taxpayer dime that should not have been eligible under the parameters laid out for this program, and the governor failed to even seek federal reimbursement when eligible on certain services for years, leaving federal dollars on the table.”

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Illinois Auditor General Frank J. Mautino flagged more than 6,000 people listed as “undocumented” in the programs but who had Social Security numbers, and some of those individuals may actually be legal permanent residents who are eligible for Medicaid, meaning the state could get federal funding for them. The state reviewed 94 cases and found that 19 should have been classified as legal residents instead of noncitizens.

There were also nearly 700 people in the senior health program who were under 65. A review confirmed that many of the errors were due to incorrect birth dates, which were corrected later.

Nearly 400 enrollees appeared to have been in the country for more than five years and should have qualified for Medicaid, the audit also found. The state acknowledged that some of those people were enrolled incorrectly, which cost the state federal matching funds. The report recommended that the Illinois Department of Healthcare and Family Services seek federal reimbursement for the lost funds.

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The auditor’s report, which Curran dubbed “gross mismanagement” in a press conference, was released just one week after Pritzker suggested cutting funding for a program that offers Medicaid-like coverage to illegal immigrants under 65 or legal immigrants without a green card. The proposed reduction, expected to save $330 million, was a key part of Pritzker’s strategy to address a more than $3 billion budget shortfall.

“The governor was papering over this large spending with tax increases over the last several years, as well as COVID relief funds being spent on this rather than actually trying to rein in spending in the state of Illinois,” Curran said. “Now that federal dollars have tapered off, we have a large budget deficit in Illinois this year and the governor is now being forced to try to end the program for all working adults.”

“We cannot afford this,” Curran continued. “The state of Illinois, state taxpayers, should not be burdened with providing free healthcare, especially for [the] working-age population. People that should be out and working in paying taxes and getting healthcare in the marketplace, just like every other Illinois state taxpayer is doing, so we want to bring the program to an end.”

As of December, 41,505 individuals were enrolled in the two programs, part of the Health Benefits for Immigrant Adults program, which Pritzker has proposed cutting starting July 1.

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Despite Pritzker’s plan to cut funding for healthcare programs, he said during a Wednesday press conference that he supports some kind of universal health coverage: “The broader context is people need to get health care.” 

He added, “It’s some evidence, anyway, that there are an awful lot of people out there that need coverage who aren’t getting it or who will do anything to get it, and I think that’s a sad state of affairs in our society.”

Curran said “Pritzker, from day 1, is taking an adversarial approach to President Donald Trump and his administration, and that has really put Illinois and really the city of Chicago in focus.”

“What we would like to see is a more cooperative tone,” he said.

Hundreds of illegal immigrants in Chicago, which is deemed a sanctuary city, have been detained by U.S. Customs and Immigration Enforcement since Trump took office.

Both Pritzker and Chicago Mayor Brandon Johnson bucked Trump’s mass deportation move, vowing in January to protect residents regardless of their immigration status. 

Pritzker’s office did not respond to a request for comment by the publication deadline.