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 Similar to Senate Bill 570, the proposed legislation concerning
the Child Care Assistance Program, HB 2482 would have unintended
consequences that would negatively impact the state’s long-term
ability to serve individuals in need.
“These bills may be well-intentioned, but they are ultimately
harmful to the programs they are trying to help,” Rauner spokesman
Lance Trover said. “The governor understands and shares the
frustration of members who want to fund these programs, but the
appropriate way to do so is in the context of a truly balanced
budget. As drafted, both pieces of legislation would create serious
problems that jeopardize the future of the Child Care Assistance
Program as well as services for the elderly.”
House Bill 2482 would lock into statute that an individual who
qualifies for assistance is entitled to institutional care.
Additionally, the approach contemplated by this legislation puts the
state’s compliance with Medicaid waiver regulations and ability to
maximize federal match funds at serious risk.
As noted in the governor’s veto message House Bill 2482 “takes a
step in the wrong direction… For too long, Illinois has
over-prescribed institutional care to lower-need individuals when
less expensive and more appropriate care options are available. In
order to provide the best particular care for each individual, to
ensure that our support services remain affordable, and to maximize
the number of individuals served, we must rebalance the services
being provided with greater precision. Prescribing institutional
care for individuals who do not need it is wrong for the individual
and wrong for taxpayers. Moreover, over-prescribing institutional
care is inconsistent with the direction being taken across the
country.”
Copy of letter issued to the house:
Bill No.: HB 2482
An Act Concerning Public Aid
Action: Amendatory Veto
Note: Veto Message Below
Veto Message
To the Honorable Members of
The Illinois Senate,
99th General Assembly:
Today I return House Bill 2482 with specific recommendations for
change.
The State of Illinois provides important support services to elderly
and disabled individuals through the Community Care Program, the
Home Services Program, and State-funded nursing care. At a time when
the State is struggling to afford its past promises, we have an
obligation to make the economic and government reforms needed to
continue providing these services to the neediest among us.
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Unfortunately, while
well-intentioned, House Bill 2482 takes a step in the wrong direction. The bill
would lock into statute that an individual with a particular threshold score on
the Determination of Need (DON) assessment tool would be eligible for both
institutional and home and community-based long term care services. Instead, an
individual with the threshold score should be entitled to institutional or home
and community-based care. Retaining flexibility to determine whether an
individual is eligible for institutional or home and community-based care – as
opposed to both – will ensure that the State is compliant with Medicaid waiver
regulations and protocols and maximize federal matching funds.
For too long, Illinois has
over-prescribed institutional care to lower-need individuals when less expensive
and more appropriate care options are available. In order to provide the best
particular care for each individual, to ensure that our support services remain
affordable, and to maximize the number of individuals served, we must rebalance
the services being provided with greater precision. Prescribing institutional
care for individuals who do not need it is wrong for the individual and wrong
for taxpayers. Moreover, over-prescribing institutional care is inconsistent
with the direction being taken across the country.
Therefore, pursuant to Article IV, Section 9(e) of the Illinois Constitution of
1970, I hereby return House Bill 2482, entitled “AN ACT concerning public aid”,
with the following specific recommendations for change:
On page 10, line 17, by replacing “institutional and” with “institutional
or”;
and
On page 21, line 5, by replacing “institutional and” with “institutional
or”;
and
On page 50, line 21, by replacing “institutional and” with “institutional
or”;
and
On page 55, line 17, by replacing “institutional and” with “institutional
or”.
With these changes, House Bill 2482 will have my approval. I respectfully
request your concurrence.
[Office of the Governor Bruce Rauner]
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