The Reduction of Infant Mortality in Illinois

The Family Case Management Program and Special Supplemental Nutrition Program for Women, Infants and Children (WIC)

Illinois' integrated maternal and child health program for the reduction of infant mortality is supported by a combination of state and federal resources. The SFY'07 and SFY'08 budgets by program component are presented in Table 1.

Table 1
Budget for Integrated Infant Mortality Reduction Strategy by Program Component and Fiscal Year

Program SFY'07 SFY'08
WIC (all sources) $264,000.0 $283,300.0
FCM $43,411.0 $44,579.1
TIPCM $5,075.0 $5,047.0
CHSI $1,775.0 $1,775.0
HBHC $350.5 $574.1
Total $314,611.5 $335,275.2

The WIC budget includes funds for both program operations at the state and local levels (referred to as Nutrition Services and Administration, or NSA) and the purchase of food. The food funds include an award from the USDA and rebates on the purchase of infant formula from Meade-Johnson. Rebates add an average of $75 million to the program's food budget each year. Grant awards to local agencies are based on estimated caseload.

The FCM program is supported by several funding sources: General Revenue Fund, Title V -Maternal and Child Health Services Block Grant, and Title XX -Social Services Block Grant. Local health departments also add their own funds for the operation of the program. Federal matching funds supplement the state and federal appropriations. The Department has worked closely with the IDHFS since 1990 to obtain federal matching funds through the Medicaid program for FCM expenditures. Further, as units of local government, local health departments may receive federal match for the local funds they expend in support of the FCM program. This has increased the total amount of funds available for the FCM program by about $4 million per year without an increase in the Department's appropriation for the FCM program. Finally, the Department budgets and reconciles FCM expenditures using per-family-per-month "rates" that were set on the basis of program expenditures and caseload in 1990. The rates were increased for the first time in Fiscal Year 2007, and are now $27.04 per month (or $324.48 per year) for a family with a pregnant woman or an infant and $12.88 (or $154.56 per year) for a family with a child over one year of age. (In Cook and St. Clair counties, the rate for families with an older child is $17.24 per month, or $207 per year.)

Targeted Intensive Prenatal Case Management began in Fiscal Year 2001 with an appropriation of $2.5 million. The Department also claims federal matching funds through the Medicaid program for these expenditures. The CHSI is supported by federal discretionary grants. HBHC is funded in part by DHS and private foundations.