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Illinois faces a $1.25B–$2B annual Medicaid funding loss starting 2028 due to federal tax cap cuts, risking care access.
Illinois’ Medicaid program faces a severe funding shortfall due to federal rules reducing state provider tax caps from 6% to 3.5% by 2032, starting in 2028.
As the only state with both hospital and managed care organization taxes above the new threshold, Illinois stands to lose $1.25 billion to $2 billion annually by 2033 from these taxes alone, with total funding losses potentially reaching $4.5 billion yearly by 2031.
The state’s $33.7 billion Medicaid budget relies heavily on these taxes and federal matching funds, which will decline as state contributions drop.
Without new revenue or program changes, the crisis could threaten access to care and provider stability.
Illinois se enfrenta a una pérdida anual de financiamiento de Medicaid de $ 1.25B $ 2B a partir de 2028 debido a los recortes del tope fiscal federal, lo que pone en riesgo el acceso a la atención.