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1
HOUSE JOINT RESOLUTION
2 WHEREAS, In times of economic downturn, states look to
3 reduce spending to stay within the available resources; and
4 WHEREAS, The State of Illinois currently is at the lowest
5 federal Medicaid matching rate (50%); and
6 WHEREAS, Community service providers provide Medicaid
7 funded health care, mental health, substance abuse and
8 community based disability services; and
9 WHEREAS, Community service providers are often in the top
10 five largest employers in their counties; and
11 WHEREAS, Downturns in the economy often result in an
12 increased need for services provided by community disability,
13 mental health and substance abuse services and supports
14 providers; and
15 WHEREAS, The Medicaid program is the health care safety net
16 for low-income children, families, the elderly and the
17 disabled; and
18 WHEREAS, A significant portion of the services and supports
19 provided by community service providers receive federal

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1 reimbursement from the Medicaid program; and
2 WHEREAS, Increases in the Federal Medical Assistance
3 Percentage, also known as FMAP, decrease pressure on states to
4 cut spending and raise taxes; and
5 WHEREAS, Increases in FMAP reduce the need to cut Medicaid
6 eligibility, benefits and rates; and
7 WHEREAS, Increases in FMAP reduce the necessity of
8 community providers significantly funded by Medicaid to lay off
9 staff, reduce services and expand waiting lists when reductions
10 in funding are made, thereby providing ongoing economic
11 stimulus by the staff's continued employment and spending being
12 maintained rather than reduced; and
13 WHEREAS, Increased demand for community disability, mental
14 health, and substance abuse services requires community
15 providers to be fully staffed to safely respond to those
16 demands; and
17 WHEREAS, An FMAP increase would allow the State of Illinois
18 to increase General Revenue spending to maintain community
19 services and supports, and therefore leverage greater amounts
20 of total dollars; and

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1 WHEREAS, An FMAP increase would help the State of Illinois
2 meet its current commitments to the Medicaid program and also
3 be able to withstand future enrollment increases for current
4 eligibility groups that will occur with the recession; and
5 WHEREAS, It is critically important that the State of
6 Illinois respond to the pressure of its current fiscal crisis
7 in a responsible way to those who are currently aided by
8 Medicaid spending; therefore, be it
9 RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE
10 NINETY-SIXTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, THE
11 SENATE CONCURRING HEREIN, that we do hereby direct the Illinois
12 Department of Healthcare and Family Services to amend its State
13 Medicaid Plan to reflect that with the increased FMAP, current
14 efforts in serving the needs of beneficiaries will be
15 maintained and expanded in proportion to the FMAP generated by
16 these services; and be it further
17 RESOLVED, That neither the Governor, nor the Governor's
18 Office of Management and Budget, nor the Illinois Department of
19 Healthcare and Family Services will be permitted to allocate
20 increased FMAP funds for other non-Medicaid programs; and be it
21 further
22 RESOLVED, That suitable copies of this resolution be

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1 delivered to the Majority Leader and Minority Leader of the
2 United States Senate, the Speaker and Minority Leader of the
3 United States House of Representatives, and to each member of
4 the Illinois Congressional delegation.