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Governor Pat Quinn ILLINOIS MOVING FORWARD Governor Pat Quinn ILLINOIS MOVING FORWARD 1 MOVING FORWARD Stabilizing Our Budget Building & Growing Our Economy

ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

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Page 1: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

1

MOVING FORWARD Stabilizing Our Budget

Building & Growing Our Economy

Page 2: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

2

TABLE OF CONTENTS

3 What We Have Achieved Working Together

4 Equation for Moving Forward

5 The Governor’s Priorities

6 Jobs & Economic Growth

10 Invest in Education

11 Stabilize & Strengthen Pension Systems

16 Restructure Medicaid System

18 Rebalance Institutional & Community Care

21 Agency Reductions & Efficiencies

24 The Introduced Budget

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

Page 3: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

WHAT WE HAVE ACHIEVED WORKING TOGETHER

www.budget.illinois.gov

3

Capital & Illinois Jobs Now!

Education reform

Pensions

Medicaid

Workers’ compensation reform

Tax fairness

Unemployment insurance reform

Ethics reform

McCormick Place Reform

Environmental permit streamlining

Page 4: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

4

+

=

Pension

& Medicaid

Stabilization

Jobs

& Economic

Growth

Reductions + +

Moving

Forward

Page 5: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

5

GOVERNOR’S PRIORITIES

• Jobs & economic growth

• Invest in education

• Stabilize & strengthen pension

systems

• Restructure Medicaid system

• Rebalance institutional

living/community care

• Agency reductions & efficiencies

Page 6: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

6

JOBS & ECONOMIC GROWTH

What we are doing

• Illinois added nearly 53,000 jobs last year

• Illinois has added nearly 100,000 jobs since

our recovery began in January 2010

• Growth achieved through

• Investments in infrastructure

• Passing important legislation, such as workers’

compensation reform, to make state an even better

place to do business

• Encouraging growth in an internationally

competitive and productive economy

Page 7: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

7

JOBS & ECONOMIC GROWTH

What we are doing

• Capital & Illinois Jobs Now!

• Improved 5,948 miles of highway and 842

bridges

• Built and renovated more than 400 schools

• Exports & manufacturing

• Exports jumped almost 30% last year,

nearly double national average

• Resurgence of auto & heavy equipment

manufacturing

Page 8: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

8

JOBS & ECONOMIC GROWTH

2012 Illinois Jobs Agenda

• Targeted tax cuts to promote growth

• Hiring veterans tax credit

• Child tax credit

• Abolish natural gas tax

• Investment in education to prepare students

for the jobs of tomorrow

• Affordable housing to help families and

stabilize communities

• Clean water initiative to keep water safe,

while creating thousands of jobs now

Page 9: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

9

JOBS & ECONOMIC GROWTH

Continue commitment to capital

• Finish Illinois Jobs Now!

• 21st Century Schools

• Clean water

• Maintenance of state & higher

education facilities

Moving

Forward

Page 10: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Quinn has maintained K-12

& higher education funding

FY12 - $8.86 billion

FY13 - $8.95 billion

• Early childhood funding +$20 million

over FY12

• Monetary Award Program (MAP) funding

+$50 million over FY12

www.budget.illinois.gov

10

INVEST IN EDUCATION

Numbers reflect General Funds

Page 11: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

11

STABILIZE & STRENGTHEN PENSION SYSTEMS

How did we get here?

• Historically, state didn't pay enough to fully

fund the system

• Increased retiree benefits without sufficient

revenues

• Great Recession market decline

• Some employers not directly responsible for

the cost of paying for retirement benefits

THE PROBLEM: PENSION SYSTEM

DRAMATICALLY UNDERFUNDED, SQUEEZING

THE REST OF THE BUDGET

Page 12: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

12

STABILIZE & STRENGTHEN PENSION SYSTEMS

Working group

Stabilize funding

Balance contributions

Examine benefits

Moving

Forward

Page 13: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

13

STABILIZE & STRENGTHEN PENSION SYSTEMS

$1,710

$2,371

$3,466 $3,680

$4,135

$5,249

$-

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

FY2008 FY2009 FY2010 FY2011 FY2012 FY2013

General Funds Statutory Pension Contributions Growth $ in millions

FY13 introduced budget assumes $160 million contribution through Unclaimed Property

Fund, which would reduce contribution from General Funds to $5,089 million

Page 14: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

14

STABILIZE & STRENGTHEN PENSION SYSTEMS

Pensions 6%

Other General Funds

Appropriations 94%

FY08

Pensions 15%

Other General Funds

Appropriations 85%

FY13

Pension Cost as % of Total General Funds Revenues

Page 15: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

15

STABILIZE & STRENGTHEN PENSION SYSTEMS

General Funds Allocation to Pension Funds

Teachers Retirement System $2,703

51%

State University Retirement System

$1,403 27%

State Employees, Judges & General

Assembly Retirement Systems $1,144

22%

FY13

Page 16: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

16

RESTRUCTURE MEDICAID SYSTEM

How did we get here?

• Deferral of Medicaid bills to future years

• Federal stimulus expired

• Fee-for-service system

• Enrollment growth due to recession

THE PROBLEM: LIABILITY MUST BE CUT

BY $2.7 BILLION TO AVOID INCREASING

BILL BACKLOG

Page 17: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

17

RESTRUCTURE MEDICAID SYSTEM

• Liability reductions

• Modernized eligibility standards

• Utilization controls

• Rate reduction & reform

• Accelerate integrated managed

care

• Coordination of long-term care

programs

• Protect against fraud & abuse

Moving

Forward

Page 18: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

18

REBALANCE INSTITUTIONAL & COMMUNITY CARE

Appropriations for:

• Institutional long-term care

• Community-based care

• Transitions

Coordinated

long-term

care

FY13 budget

presentation

Long-term care reform ensures sustainable programs

offering quality care at less cost to the state

Page 19: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

19

REBALANCE INSTITUTIONAL & COMMUNITY CARE

• Governor Quinn is committed to

increasing community care options and

improving the quality of life for people

who require continuous care

• The approach will allow for the safe

and smart transition of care for some

of our most vulnerable citizens to

community care settings

Page 20: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

20

REBALANCE INSTITUTIONAL & COMMUNITY CARE

• FY13 budget includes funding to ensure

smooth transitions & coordinated care

• Continue movement of services from costly

institutions to supportive community settings

• Compliance with consent decrees

• FY13 Human Services facility closures

• Jacksonville, Tinley Park, Singer (Rockford) &

Murray (Centralia)

Page 21: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

21

AGENCY REDUCTIONS & EFFICIENCIES

DOC closures

• Tamms, Dwight

• Adult Transition Centers—

Peoria, Crossroads Chicago,

Westside Chicago, Decatur,

Aurora, Carbondale

DHS consolidations

• 24 local offices across the

state

FY13 Juvenile Justice closures

• Joliet, Murphysboro

Agriculture consolidation

• Centralia lab

DCFS consolidations

• Chicago Division, Chicago

Emerald, Skokie

ISP consolidations

• Carbondale forensic lab

• 16 telecommunications

centers

CMS consolidations

• 4 state garages

Most agencies were tasked with reducing

their budgets approximately 9%

Page 22: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

22

AGENCY REDUCTIONS & EFFICIENCIES

CMS Property Management Lease

Reductions Since January 2009

Annualized lease

savings $43,591,362

Square feet

reduction 1,929,843

% of leased square

feet eliminated 21.4%

Through January 2012

Page 23: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

54,539

52,314

51,561

45,000

47,000

49,000

51,000

53,000

55,000

57,000

January FY09 December FY12 (Current) FY13 Target

www.budget.illinois.gov

23

AGENCY REDUCTIONS & EFFICIENCIES

Approximately $200 million

savings achieved through

headcount reduction more than

2,200 since January 2009.

On-Board Agency Headcount

Including education

Page 24: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Budgeting for Results

• Budgeting based on existing revenues

• Fund policy priorities that are most important

to moving Illinois forward

• Three-year projection

• Budgeting for Results commission

• Increase transparency & accountability

www.budget.illinois.gov

24

THE INTRODUCED BUDGET

Page 25: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

25

THE INTRODUCED BUDGET

FY13 Total General Funds Resources $33,940,000,000

FY13 Total General Funds Expenditures $33,777,000,000

Balance for Debt Reduction $163,000,000

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Expenditures include

appropriations and transfers out

Page 26: ILLINOIS MOVING FORWARD Governor Pat Quinn Fiscal Year ... 18 REBALANCE INSTITUTIONAL & COMMUNITY CARE Appropriations for: •Institutional long-term care •Community-based care •Transitions

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

Governor Pat Quinn Fiscal Year 2013 Budget ILLINOIS MOVING FORWARD

www.budget.illinois.gov

26

THE INTRODUCED BUDGET

$25,729

$25,252

$24,828

$20,000

$21,000

$22,000

$23,000

$24,000

$25,000

$26,000

$27,000

FY2008 FY2012 FY2013

General Funds Agency Appropriations History $ in millions