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
Illinois Democrats face backlash after blaming Trump in Chicago cross-burning case | Fox News Video
‘Outnumbered’ reacts to Illinois Gov. JB Pritzker and Chicago Mayor Brandon Johnson blaming President Donald Trump for a cross-burning incident in Grant Park.
Illinois Democratic leaders Governor JB Pritzker and Chicago Mayor Brandon Johnson are slammed for weaponizing a Chicago cross burning incident by blaming former President Trump. Despite the suspect, Murlin Lue, admitting his motive was to protest Trump, not racism, Pritzker and Johnson doubled down. Critics, including Illinois GOP State Rep. Chris Miller, accuse them of playing politics and fostering division rather than seeking truth.
Illinois
Illinois Lt. Gov. candidates focus on affordability in pitch to Rockford voters
ROCKFORD, Ill. (WIFR) – November ballots will feature a repeat of top billing in the race for governor. Illinoisans can once again choose between Governor JB Pritzker or Darren Bailey to lead the Land of Lincoln.
But beside their spots, new names will appear for voters.
The Democratic and Republican candidates for governor picked new running mates for their rematch. With Lieutenant Governor Julianna Stratton running for U.S. Senate, Pritzker picked Christian Mitchell to join his ticket. On the Republican side, Aaron Del Mar joins Bailey, who previously ran with Stephanie Trussell in 2022.
Mitchell and Del Mar spoke Thursday with WIFR on what inspires them to run, their campaign priorities and ideas to improve the Rockford region.
Backgrounds
Starting with the Democratic ticket, Mitchell joins the race as a former state representative from Chicago as well as a deputy governor with the Pritzker administration.
“Before anything else, I’m Debbie’s son, and I’m James’s grandson,” Mitchell introduced. “They’re the ones who really instilled in me the value of hard work and made sure that I was going to have a very bright future.”
Mitchell sees the role of lieutenant governor as a partner to the state’s executive.
“I’m really lucky to be running with somebody who I respect, and who I think is the best governor in the nation… Governor JB Pritzker,” he said.. “My first thing is going to be supporting his agenda, which right now is all about lowering costs and raising wages.”
On the Republican side, Del Mar hails from suburban Chicago and considers his first priority to be raising his family.
“I wanted nothing to do with politics, did not want to be involved — wanted just to raise my kids and work my job,“ said Del Mar. He described his start in public service as something he ”kind of got pulled into.”
The Republican worked his way from a city council member in Palatine, at 29-years-old, to co-chair of the Illinois GOP. Although he says he “wanted nothing to do with being on” Bailey’s campaign, Del Mar sees strength in unity — offering a Chicago area perspective alongside Bailey’s southern Illinois roots.
“How about everybody in the state of Illinois, regardless of where you come from, has a seat at the table. If you’re from a southeast farming community, or you’re from the city of Chicago, where I grew up, everybody has a stake in the game.”
Priorities
Mitchell points to economic development as his focus for the gubernatorial campaign.
“I see vacancies on State Street in Chicago. I see vacancies on Main Street in Belleville and Alton and in Carbondale,” he recounted. “I want to make sure that we’ve got the kind of amenities and economic development, that kind of affordability, that allow us to make sure that folks want to stay in the towns that they’re born in if they want to.”
The Democratic candidate also eyes long-term planning for the state, including an “Illinois 2050 Plan.”
“How do we have the kind of educational undergirding that means that no matter where you’re from, you have a chance to have one of those jobs, whether it’s in new agriculture technology and new farming techniques or biotech, quantum.”
When asked how to achieve these priorities, Mitchell turned to investing in public education, retaining residents with better wages and improving health care.
“Making sure that we are able to protect our health care system, so that folks aren’t going broke when they get sick, that’s another big way that we can make an impact.”
Del Mar outlined a cost-of-living focus as central to his campaign.
“You wanna succeed, you do the basics really well, and the basics are affordability,” he contended.
The Republican repeatedly highlighted the state’s property taxes — reportedly the highest in the nation — as an issue to tackle. He suggested redirecting Illinois’s budget as one measure to ease the burden on homeowners.
“Number one is fully funding the state’s portion of local taxes, because that will offer people property tax relief.” Del Mar clarified this wouldn’t mean redirecting funds for public education.
“We’re looking at how we fund schools, how we make sure to empower teachers to have the best educational outcomes that we can have here in Illinois, regardless of what your zip code is, regardless of what your parents do for a living or how much money they make,” added Del Mar.
Reflecting on Rockford
Each candidate provided their vision for boosting the Rockford region.
For Mitchell, improvements continue with infrastructure funding, building on the state’s roughly $500 million investment in the area.
“The things that we have already worked on, through the capital plan that I helped lead as deputy governor, that the governor signed and is implementing, are already having benefits that the people of Rockford can see.”
The Democrat also pointed to the Chicago Rockford International Airport as an opportunity.
“Investing in that regional airport where we’ve already helped with a matching grant to get additional funds, that helps build out the economy,” said Mitchell. “There’s so much that’s happening there that it is really good for the economy and bringing more people back to Rockford.”
Del Mar shared his local priority as supporting unionization in the area.
“Union families deserve to be able to have a livable wage, and that’s something that’s important to Darren and I,” said Del Mar. He mentioned pensions were another item that a Republican executive wouldn’t touch for the public and private sector unions.
“I know that area up there has strong union backbone,” described Del Mar. “We want to make sure they know that they’re not going to have a bigger supporter in the governor’s mansion than Darren and I.”
Election Day
When asked for thoughts on their opponent, Mitchell criticized the Bailey campaign as a “repacking” of his 2022 run.
“The only record that they have to run on is extremism,” he exclaimed.
The Republican candidate also reflected on records, pointing to Pritzker’s years in office.
“Why are we underfunding education? Why are property taxes at all-time high? Why are businesses leaving?” asked Del Mar.
Voters can decide on who will lead Illinois November 3. Early voting starts September 24, with applications for voting by mail opening August 5.
Extended Interviews
Copyright 2026 WIFR. All rights reserved.
Illinois
Illinois man charged after Rochester sting catches phone scammer with $50K in cash
ROCHESTER, Minn. (FOX 9) – A man from Illinois is facing felony charges after police say he took part in a scheme that convinced a Rochester resident to hand over thousands of dollars in cash and nearly fell for a gold bar handoff.
Rochester phone scam
What we know:
According to a criminal complaint filed in Olmsted County District Court, police say the victim was contacted by phone and told he was under investigation for a crime. The caller convinced him to deliver $30,000 in cash to a man he met in person on June 17, 2026.
The victim was then pressured to arrange a second delivery — this time, 10 one-ounce gold bars — on June 23, 2026. Detectives worked with the victim to set up a controlled delivery using fake gold bars and a GPS tracker.
Charges state that the plan was for the victim to meet whoever arrived to pick up the package, while officers watched nearby. Surveillance officers saw a white SUV with Illinois plates circling the parking lot at 2711 Commerce Drive NW in Rochester.
The complaint states a man, later identified as Kiranbhai Kanubhai Vasava, got out, met the victim, gave the password and took the package. Officers followed the car as it left the scene. Detectives stop suspects and recover cash
Why you should care:
Police stopped the SUV near Eyota and searched it, finding $50,000 in cash, several cell phones, bank checks with Vasava’s name, and packaging materials similar to those used for the fake gold bars. The package with the GPS tracker and fake gold was missing, but officers later found the GPS device torn apart on the side of the highway.
The second man in the car, Hemendrasinh Pravinsinh Dabhi, told police he got a call from India about a package but claimed he knew nothing about it, saying, “he just drives.” Vasava also denied knowing what was happening.
Kiranbhai Vasava linked to Wisconsin case
The backstory:
The complaint states detectives linked Vasava to another similar case in Stevens Point, Wisconsin, where a bank customer was convinced to hand over $50,000 in cash to a driver in a white Honda SUV. Video from that incident showed Vasava receiving the package.
Police say this type of swindle involves convincing victims they are under investigation and must pay money or hand over valuables to clear their name. Detectives say the investigation involved coordination between local police and law enforcement in Wisconsin.
The Source: Criminal charges filed in Olmsted County Court.
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