ILLINOIS’ $629M HEALTHCARE FOR UNDOCUMENTED ADULTS OUTPACED ROADS, FOSTER CARE; PRITZKER ROLLS BACK IN FY26

Illinois allocated $629M in FY2025 for state-funded healthcare covering undocumented adults, exceeding combined outlays for roads, meals for seniors, foster care expansion, and the arts. Enrollment and costs outpaced projections after eligibility expansions (2020–2024), covering roughly 30,000 people and totaling $1.6B from 2021–2024. Facing shortfalls, Gov. J.B. Pritzker ended the adult program for FY2026, keeping only 65+ eligible; the shift aligns with a broader multi-state pattern of expansion followed by rollback under fiscal pressure.