FY23 IDHS Budget Presentation

IDHS: Illinois Department of Human Services

FY23 IDHS Budget Briefing Presentation (pdf)

Vision

  • All people in Illinois achieve their full potential.

Values

  • Human dignity
  • Equity
  • Community informed
  • Urgency
  • Transparency
  • Kindness

Divisions

  • Family and Community Services
  • Developmental Disabilities
  • Mental Health
  • Rehabilitation Services
  • Substance Use Prevention & Recovery
  • Early Childhood

IDHS Agency Goals

  • Maximize opportunities for all people to work
  • Ensure hungry people and families have access to nutritious food
  • Provide places for people to call home
  • Promote the health and well-being of individuals and communities
  • Help communities create safe neighborhoods and spaces

Meet Lannette

  • Lannette is an Author, born and raised on Chicago's south side. After experiencing some financial hardship, she became homeless.
  • With the help of the Emergency Assistance Program, Lannette moved into her own apartment. She also completed the six week Building Self Determination Employment and Training program and began writing her first novel, "Through Broken Pieces," which is projected to be released in the Spring of 2022.
  • The new money mindset she gained through the Employment & Training program motivated her to attend Harold Washington College in pursuit of an Associates Degree in Business Economics, while also working as an independent contractor at DoorDash.
  • Lannette shared she was impacted tremendously by the Employment and Training program, challenging the way she thinks and approaches life. "Now I can get back to the things I enjoy: reading, meditation and Chicago's famous deep dish pizza."

Meet Reggie

  • Reggie is a musician by trade. The pandemic had a direct impact on his income. Churches were closed, people were not having weddings, no one was hiring singers.
  • As a result, Reggie got behind on rent and other costs to support his kids. Through the Emergency Rental Program, Reggie was able to get completely caught up on his rent and get back on his feet.
  • Not only did Reggie get caught up on his back rent, he is now employed by Great True Vine, the faith-based organization, contracted by IDHS, to provide Emergency Rental Assistance.

Meet Jacob

  • As a young adult, Jacob moved to a 24-Hour Community Integrated Living Arrangement and attended a sheltered workshop making subminimum wages.
  • With support from his IDHS DDD funded community-based organization, he worked on the skills he would need to work and live in the community.
  • Jacob originally got a job working at Mariano's and quickly moved up. Later that same year, Jacob moved into his own apartment; being independent for the first time!
  • Today, Jacob still lives in his own apartment, he has a cat, works at Walgreens, and recently took a trip to Florida on his own!

COVID-19 Response

  • IDHS provided over 40,000 vaccinations to staff, residents, and to individuals through our community-based outreach efforts
  • To date, over $750M in federally-funded child care relief funds have been expended as Child Care Restoration Grants and Child Care Workforce Bonuses, paid out to over 11,000 providers. An additional $300M will be invested in ongoing stabilization grants in SFY23.
  • IDHS administered $1.8B in food support (SNAP benefits) to more than 1.4 million school-aged children and $2.5B in additional SNAP benefits to 1.8 million active SNAP households
  • $20M of Enhanced FMAP funds used for one-time bonus payments of $750 to just under 25,000 Home Services Program individual providers

COVID-19 Response

  • Almost $50M committed to provide sustainability payments to support the Behavioral Health community-based provider network
  • $60M of ARPA funds dedicated to expand Youth Employment programs between FY22-FY24
  • In addition to the rental assistance provided by IHDA, IDHS provided over $46M in rental and utility assistance to over 11,000 Illinois families
  • Over $50M of Enhanced FMAP funds used to increase I/DD group home and day services provider rates.
  • IDHS partnering with ISAC on student loan repayment programs to attract and maintain Behavioral Health professionals

FY22 Key Accomplishments

  • Created the Division of Early Childhood which houses the Early Intervention, Home Visiting, and Child Care Assistance Programs
  • Established the Office of Firearm Violence Prevention to lead future gun violence prevention efforts
  • Exceeded the FY25 reasonable pace requirement for individuals on the DD PUNS list
  • IDHS and IHDA implemented the Emergency Rental Assistance Program. IDHS helped over 11,000 households to date
  • Maintained the reduction in application backlogs for Medicaid, Long Term Care, and Home Services
  • Provided support for Afghan Refugees and other Humanitarian Parolees and unaccompanied minors

IDHS FY 23 Budget Highlights

Total proposed budget of $11.6 Billion

  • An increase of 7.3% over FY22 estimated spending (including supplemental)

Continued Commitment to Olmstead Consent Decrees

IDHS serves as the lead agency for three Olmstead-related Consent Decrees. The State of Illinois has made and will continue to have a strong commitment to achieving compliance

  • Ligas - the proposed budget supports investing $94.8M to support a 1/1/23 implementation of $1.00 an hour rate increase for direct support personnel and the CILA Rate calculator; fulfilling the proposed Guidehouse implementation plan for FY 23. The budget request also includes funds to support an additional 700 placements from PUNS in FY23 and annualization of the FY22 PUNS placements and provider rate increases.
  • Williams & Colbert - FY23 proposed budget continuing to provide ongoing resources for transitions

IDHS FY 23 Budget Highlights

Continued Investment to Support Front-Line Staff

  • Child Care Assistance Program funding supports increasing provider rates (includes Center rates) 3.5% effective July 1, 2022 and another 4.5% on December 1, 2022
  • $46.5M to support increasing wages for individual providers serving customers of the Home Services Program, $0.50 per hour increase on July 1, 2022 and $0.75 per hour increase on December 1, 2022
  • $6.1M annualizing the cost of the FY22 COLA effective January 1, 2022 for community-based grant programs identified as having impacts from minimum wage increase and proposing funds of $7.4M for the same community-based grant programs for a FY23 2% COLA effective January 1, 2023

IDHS FY 23 Budget Highlights

Response to Firearm Violence

The Reimagine Public Safety Act (RPSA) established a new Office of Firearm Violence Prevention (OFVP) within the Illinois Department of Human Services (IDHS) and directed the OFVP to take a public health approach to firearm violence prevention.

  • Governor Pritzker allocating $250.0M over a 3-year period to support
    • Youth Intervention Services
    • Youth Development Services
    • Violence Intervention Services
    • Trauma recovery services for adults, children, and youth
  • The $250.0M supporting firearm reduction efforts in 22 communities in Chicago and 17 Municipal areas in Greater Illinois

IDHS FY 23 Budget Comparison

Funding Source Proposed FY 23
$s in thousands		 FY 2022 Estimate Spending  - without Supplemental
$s in thousands		 Change from FY 22
$s in thousands		 Change from FY 22 (%)
GRF $5,253,179.20 $4,715,246.30 $537,932.90 11.4%
Other State $1,267,689.60 $1,174,997.00  $92,692.6 7.9%
Federal $5,099,295.10 $4,093,207.40 $1,006,087.70 24.6%
TOTAL $11,620,163.90 $10,296,650.70 $1,636,713.20 16.4%

* IDHS has FY22 Supplemental Request of $31.4M in GRF to support expending the enhanced FMAP and program liability. In non GRF funds, IDHS has supplemental request of $281.8M, the majority, $235.0M, related to ARPA funds for Reimagine Public Safety to begin implementation of the Act.

FY23 Goals and Objectives

GOAL: Building on positive momentum for the agency and its community partners to provide safe, efficient, and equitable services

  • Preserving the safety net during COVID-19 and COVID-19 recovery
  • Protecting health and safety of residents/patients/staff
  • Making progress, developing blueprints to address "grand challenges": poverty, hunger, violence, welcoming immigrants, and homelessness
  • Continuing to maintain significant reductions in inherited backlogs (HSP, Medicaid, SNAP) and improving application review times
  • Accelerating progress on Ligas, Williams, and Colbert consent decrees
  • Applying an equity lens to processes, programs, and people across IDHS

Division of Substance Use Prevention & Recovery (SUPR)

Key Strategies

  • Enhancing mobile approaches, telehealth, and outreach capacity to allow access to treatment and recovery support for residents in underserved populations.
  • Increasing Access to Medication Assisted Recovery by 15% in low access counties
  • Leveraging improved naloxone distribution method to ensure wider access, especially in communities of high need
  • Increasing housing subsidy voucher program by 10%
  • Expanding gambling disorder services to reach 10% more individuals across the state through prevention, intervention for those at risk, treatment for those with gambling disorder, and support for those in recovery.

Division of Substance Use Prevention & Recovery (SUPR)

FY 23 Budget Proposed Highlights

  • The SUPR budget includes additional appropriation authority to expend the Cannabis Tax revenues. Some of the efforts supported by these funds include an increased investment in Naloxone, workforce training, and collaboration with the Illinois State Police on a diversion project.
  • The FY23 budget includes authority to continue to expend the federal ARPA funds awarded by the Substance Abuse and Mental Health Services Administration. These funds are being used to;
    • Expand mobile medication assisted recovery
    • Expand services to address the social determinants of health (i.e., housing)
    • Expand harm reduction strategies

Budget by Year ($ Millions)

GRF Fed Other State
FY 20 $170.8M $58.6 $101.3 $10.9
FY 21 $182.2M $53.3 $104.7 $24.2
FY22 (Est) $390.6M $75.3 $250.3 $65
FY 23 (Req) $452.1M $80.1 $249.8 $122.2

Division of Developmental Disabilities (DDD)

Key Strategies

  • Investing in our community-based system to create supports that people with intellectual and developmental disabilities (I/DD) want and need
  • Continuing to reduce time waiting on the PUNS for individuals with I/DD
  • Supporting more individuals to find and maintain competitive integrated employment
  • Continuing progress on addressing the Ligas Consent Decree

Division of Developmental Disabilities (DDD)

FY 23 Proposed Budget Highlights

  • $94.8M to support mid-year implementation of a $1.00 an hour rate increase for DSPs and the CILA Rate Study calculator
  • $45.1M to fund the annualization of the FY 22 rate increases and liability changes
  • $69.6M to support 700 new PUNS placements, a 5.9% increase in the Home-Based program liability, a 2% mid-year grant COLA, and additional support for the DD service delivery system

Budget by Year ($ Millions)

GRF Fed Other State
FY 20 $1,772.9M $1609.2 $84.9 $78.8
FY 21 $1,847.0M $1677.5 $66.1 $103.4
FY 22 (Est) $2,150.9M $1909.3 $90 $151.6
FY 23 (Req) $2,378.7M $2137.1 $90 $151.6

Division of Rehabilitation Services (DRS)

Key Strategies

  • Investing in, building, and promoting independent living.
  • Fostering self-determination and control for individuals who wish to remain in their homes.
  • Building, reinforcing, and maximizing services provided through the Vocational Rehabilitation Program.

Division of Rehabilitation Services (DRS)

FY 23 Proposed Budget Highlights

  • The FY23 proposed funding for the Home Services Program includes an additional $97.0M to support provider rate adjustments, utilization costs, and 1,200 projected net new customers.
  • Funding supports increased investment in technology-related assistance in order to meet the needs of Illinoisans with disabilities in their educational, employment, and independent living goals.
  • Includes a $2.5M expansion of state match to support the Federal Vocational Rehabilitation program and related costs

Budget by Year ($ Millions)

GRF Fed Other State
FY 20 $963.7M $551 $177 $235.7
FY 21 $1,052.8M $627.3 $185.3 $240.2
FY 21 (Est w/ Sup) $1,303.7M $728.1 $302.9 $272.7
FY 22 (Req) $1,415.1M $839.7 $312.5 $262.9

Division of Family and Community Services (DFCS)

Key Strategies

  • Continuing to improve customer service and reduce application backlogs for Medicaid and SNAP with new call center, e-training for staff, and our new IVR phone system
  • Expanding our reach in disproportionately impacted communities by engaging trusted messengers to provide outreach and education
  • Expanding and revamping existing programs to fight poverty in Illinois, including seeking additional food support for school-based nutrition relief
  • Continuing the state's effort to make Illinois a more welcoming state

Division of Family and Community Services (DFCS)

FY 23 Proposed Budget Highlights

  • Budget reflects ARPA re-appropriations to support Youth Employment and Teen REACH programs
  • Budget also includes re-appropriation of ARPA funds for Welcoming Centers and Immigrant Integration Services
  • Proposed budget reflects the transfer of the Serve Illinois Program from IDPH to IDHS

 Budget by Year ($ Millions)

GRF Fed Other State
FY 20 $1.260.1M $648 $592.7 $19.4
FY 21 $1,495.1M $755.9 $688.7 $50.5
FY 22 (Est w/ sup) $2,024.6M $812.2 $1009.8 $202.6
FY 23 (Req) $2,032.8M $818.9 $994.8 $219.1

Division of Early Childhood (DEC)

Key Strategies

  • Strengthening, centralizing, and expanding the state's existing child care, home visiting, and early intervention programming and information technologies
  • Growing internal and external operational and administrative capacity to establish the sustainable infrastructure needed to streamline services
  • Creating and implementing overarching early childhood education and care goals and objectives focused on equitable and diverse service delivery
  • Developing and testing cohesive, consistent, and integrated approaches to improve early childhood education and care service delivery

Division of Early Childhood (DEC)

FY 23 Proposed Budget Highlights

  • Includes funding to support Child Care Assistance Program rate increases and anticipated caseload growth, also includes sufficient budget for federal ARPA stabilization programming
  • Budget continues support for FY22 Child Care policy changes
    • $1 co-pays for families at or below 100% FPL
    • 7% co-pay cap for families
    • Eligible for services until income exceeds 250% FPL
    • Attendance policy to 70% of eligible days a month
  • Budget reflects sufficient funding to support Early Intervention Program liability
  • Includes continued ARPA re-appropriations to support Healthy Families and Parents Too Soon programs

 Budget by Year ($ Millions)

GRF Fed Other State
FY 20 $1,031.1M $489.8 $370.7 $170.6
FY 21 $806.1M $419.2 $248.3 $138.6
FY 22 (Est w/ sup) $2,961.4M $425.8 $2335.6 $200
FY 23 (Req) $3,763.3M $537.3 $3026 $200

Division of Mental Health (DMH)

Key Strategies

  • Investing in the Behavioral Health Work Force
    • Behavioral Health Workforce Education Centers at SIU and UIC
    • CRSS Success program to prepare people with lived expertise to work in the behavioral health field
    • Student Loan Repayment for behavioral health care staff
  • Expanding and Strengthening the Crisis Care Continuum in preparation for 988
    • Crisis response anytime, anywhere, for anyone

Division of Mental Health (DMH)

FY 23 Proposed Budget Highlights

  • The budget proposed supports rollout of the statewide 9-8-8 suicide prevention number and mental health crisis system in FY23.
  • The budget includes sufficient authority from the Cannabis tax funds to support the student loan repayment programs for behavioral health staff and other behavioral health workforce initiatives.

Budget by Year ($ Millions)

GRF Fed Other State
FY 20 $520.0M $434.7 $28 $57.3
FY 21 $570.4M $473 $29.1 $68.3
FY 22 (Est) $753.0M $547.4 $99.3 $106.3
FY 23 (Req) $772.4M $571.8 $99.3 $101.3