HDA led advocacy against the “Save Medicaid Access and Resources Together” bill, demonstrating how the cuts to Medicaid would negatively impact beneficiaries, especially due to elimination of the Illinois Cares Rx program.
Following the 2008 economic collapse, Illinois’ budget deficit grew at an alarming rate, while the portion of expenditures going to health services expanded as Medicaid enrollments swelled. The “Save Medicaid Access and Resources Together” legislation, structured with the broad objective of trimming the cost of health care, sought to save $16.1 million by integrating care for most complex Medicaid beneficiaries (acute, primary, behavioral, and long-term services and supports), and imposing other restrictions on services and eligibility. In advocating against the SMART Act, HDA demonstrated how the cuts to Medicaid would negatively impact beneficiaries, especially due to elimination of the Illinois Cares Rx program. Despite opposition, the bill passed and was signed into law in 2012.
- Civic Federation: Impact of the State of Illinois’ Fiscal Crisis (2010)
- Crain’s: “Quinn to hire firm to clamp down on Medicaid abuse“
- Illinois Public Act 097-0689
- IDHS: Illinois SMART Act Client Notices
- Northwestern University Public Health Review: “The Urgent Need to Amend the Illinois State SMART Act – A Final Refuge for the Mentally Ill” (2013)
- American Academy of Pediatric Illinois Chapter: Save Medicaid Access and Resources Together (SMART) Act
- Presentation by Senate President John Cullerton
- Illinois Health Matters post “The Negative Impact of SMART Act Cuts” (by AgeOptions, 2013)
- HMPRG: Illinois Health Reform 2013