Illinois State Budget Updates

What’s new in FY22?

Senate Bill 2800, now Public Act 102-0017, appropriates $42.2 billion GRF and more than $100 billion in All Funds for the FY22 state operating budget. The legislature approved spending $2.5 billion of the $8.1 billion in American Recovery Plan Act (ARPA) funds allocated to the state, including $1.5 billion on various economic recovery and public health responses with some of this funding going to hospitals.


The FY22 operating budget includes $7.4 billion in spending for human services, $7.5 billion for Medicaid, and appropriates ARPA funds to many healthcare providers, provisions include: 

  • $180 M ARPA funds to HFS for Illinois hospitals, guidance on distribution is forthcoming.
    • $30 M earmarked for safety nets
    • $150 M earmarked for non-safety nets
  • Appropriation for inpatient psychiatric per diem rate increase to $630 for safety net hospitals that was authorized in HB 158, the healthcare pillar
  • $50 M appropriation for safety net perinatal services that was authorized in HB 158, the health care pillar
  • $150 M for second year funding of Hospital Transformation
  • $200 million in hospital transformation capital (re-appropriated)

The Budget Implementation Bill (BIMP), SB 2017/Public Act 102-0016, contains the statutory authority to implement the FY22 state budget.

  • The BIMP bill restores a 3.5% 2012 SMART Act rate reduction to hospitals and requires the Department of Healthcare and Family Services (HFS) to restore this hospital funding for dates of service on or after July 1, 2021.

Why does it matter?

  • The state budget is critical for programs that serve the most vulnerable in Illinois.
  • Illinois already has the lowest credit rating of any U.S. state.

What is the AMITA Health perspective?

  • AMITA Health and the communities we serve are directly impacted by the budget.
  • Illinois must be a good steward of taxpayer dollars to serve vulnerable populations.

Featured News

Featured news includes articles from multiple viewpoints and is designed to keep you abreast of the current debate around this issue. This information should not be construed as our point of view.

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