1. FY2015 Budget LaMar Hasbrouck, MD, MPH, Director Joint Human Services Budget Briefing March 26, 2014

2. FY2015 IDPH Appropriation $603.8 Million

3. Budget Comparison: FY2015 vs. FY2014 (millions)* Requested FY2015 Enacted FY2014 Change from FY2014 $$% General Revenue (GRF) $135.7$132.5$3.22.4% Other State$153.7$133.5$20.315.2% Federal$314.4$292.0$22.37.6% Total$603.8$558.0$45.78.2% *numbers rounded

4. Top 10 GRF-funded Mandates Top 10 mandates account for 61% of GRF 200+ additional mandates (incl., medical cannabis, school based clinics, family planning, vision/hearing, prostate screening, etc.) Mandates account for 96.7% of GRF (very few non-mandated programs) RankProgram$$ 1HIV/AIDS (ADAP)$25M 2LHP grants$17M 3Long Term Care$14M 4IBCCP$14M 5Immunizations$4.6M 6 Healthcare Facilities $2.2M 7Vital records$1.8M 8EMS$1.6M 9 Hazardous Substances $1.5M 10Poison Control$1.3M TOTAL:$83M

5. “Other State” funds increased due to fee supported funds Collective bargaining costs (GRF increase) Serve Illinois (AmeriCorps program) $15M federal grant (GRF $500k) Nursing Home Surveyors increase mandated ADAP/IBCCP are flat funded; however, ACA savings will be tracked FY2015 Budget Request Highlights

6. ACA Migration Update: AIDS Drug Assistance Program (7,000 clients) Efforts to “Facilitate” 3 webinars 16 town hall meetings Mass mailings to all clients Launched web based application IDPH Program designated as Certified Application Counselor (CAC) to provide direct assistance Progress-to-Date 528 clients successfully migrated to Medicaid 1,122 clients successfully migrated to Marketplace 5,396 eligible remain in program Ongoing Needs: – Services not covered by Medicaid – Deductibles, premiums (e.g., CHIC) – ACA ineligible clients

7. ACA Migration Update: Breast Cervical Cancer Program (27,500 clients) Efforts to “Facilitate” 35 lead agency mailings, calls to all eligible clients All lead agencies have ACA Navigators to provide direct assistance Barriers identified – Co-pays – Assumption automatic enrollment – Medicaid enrollment delays Progress-to-Date 7,150 (26%) clients successfully migrated 14,025 eligible remain in program Priority waiting list 5,785 Ongoing Need: – Undocumented – Uninsured – ACA ineligible clients – Those that “opt out” of ACA

8. Programs Threatened by Potential Cuts in GRF Client services: HIV/ADAP, IBCCP Staffing: Nursing Home Surveyors, others – Labs – Environmental health – Infectious disease Local Health Department core funding Other key programs: – Vaccines – School Health Centers – Poison Control – Perinatal services

9. Thank you.