Illinois is pushing ahead with implementing the nation's new health care law with support from its Democratic governor.
Gov. Pat Quinn on Wednesday started reviewing a plan to roll out the law from a council he appointed. The plan proposes new reins on health insurance companies and an online marketplace where people could shop for insurance.
Quinn calls the health care law "a vital part of economic recovery'' rather than a distraction from the urgent need for jobs. The governor's remarks came in written testimony to a congressional committee Tuesday.
Republican governors, in contrast, are worried about added costs to state budgets.
The law was enacted last March and has been lucrative for Illinois, bringing in nearly $290 million to state agencies, non-profits, nursing schools and hospitals.
Urbana's Carle Foundation Hospital will add a new educational component to its surgery department over the next few months.
Carle is accepting about a half-dozen surgical residents - the program is being set up in cooperation with the University of Illinois' College of Medicine, but it's attracting new surgeons from across the country.
Dr. John Aucar is the director of the residency program. He says it will mean more work for Carle's medical staff, but the end result will be a benefit for everyone. "It also carries a responsibility to spend time and effort teaching and preparing the residents for independent practice in the future. Like always, teaching is an activity that takes some time and attention," said Aucar. "The benefit is that the residents can also help you get your work done and take care of patients."
Aucar says Carle will also follow a higher set of standards for clinical care quality under its new educational role.
Carle already offers residencies in its Family Medicine, Internal Medicine, and oral/facial surgery departments. Aucar says as many as 12 surgical residents could be in the general surgery program in the next three years.
Teams of American health care workers are still heading to Haiti, more than a year after an earthquake left much of the heart of that country in ruins.
Amanda Frye is leading a team called "Field of Dreams for Haiti" - it's a team of 17 nurses, doctors and other volunteer health professionals from Carle Foundation Hospital. They're raising funds to help them buy supplies and complete their trip, which begins next month.
Frye hopes her group will be able to perform hundreds of surgeries during their one-week stay -- she says it will be packed with work but well worth the effort. "We love what we do up here, but it's a nice break to go down there and to be able to treat people who are grateful and need us and know that we're just practicing simple medicine -- no politics, just good people who have a lot of love to share," Frye told WILL's Celeste Quinn on Monday's Afternoon Magazine.
Frye says her group is headed to the only critical-care hospital currently operating in Haiti, though there are a number of small regional clinics.
Oral/maxillofacial surgeon Cole Anderson says more than a year after the earthquake that ravaged Haiti's largest city, the country is still struggling to provide basic emergency care. He says it's hard for an American to imagine the need: "For someone who's uninsured and doesn't have health care (in the United States), there's urgent and emergent health care available in the emergency room and people won't be turned away. Down in Haiti, that's not true. There just aren't people to provide the care."
Among the fundraising projects is an effort by area hair salons to donate a portion of their proceeds this weekend to the trip, but people can also make a donation online through the Carle Development Foundation's website: http://www.carle.org. They've also set up a Facebook page for people to follow their activities while they're in Haiti.
The U.S. Department of Agriculture is reporting that reserves of corn have hit their lowest level in over 15 years.
The high demand for corn could put upward pressure on food prices in 2011.
Demand for corn in the ethanol industry is up 50 million bushels after record-high production in December and January, according to the USDA.
That has left the United States with the lowest surplus of corn since 1996.
Scott Gerlt, a crop analyst with the University of Missouri, said high corn prices could increase the cost on everything from ethanol to food and feed.
"The corn market is definitely a changing market," Gerlt said. "With ethanol policy we have a lot more demand and so we are going to have a lot more pressure on prices. Because even though we have a lot of supply there's just so much demand a lot of that supply is getting used up and we're just not left with much at the end of the day."
Corn prices have already doubled in the last six months, rising from $3.50 a bushel to more than $7 a bushel.
State Farm Insurance Cos. will stop providing supplemental medical coverage for its Medicare-eligible retirees next year in a cost-cutting move.
The Bloomington-based company says it will instead help them find supplemental Medicare coverage and provide them with $200 a month to help. It wasn't immediately clear how many of the company's 28,700 retirees the move will affect.
State Farm also will make changes in the availability of retirement health care for current and future employees. People hired after this year, for instance, will have to pay for all of their own retirement medical insurance.
State Farm spokesman Phil Supple told The Pantagraph newspaper in Bloomington that growing medical claims have driven up the company's health care costs.
Many companies have announced similar changes in recent years.
Further tests from two environmental experts confirm that contaminants remain in the soil near the site of a former manufactured gas plant in Champaign.
Residents of the 5th and Hill neighborhood say evidence uncovered Monday from an old pipeline at Boneyard Creek proves that Ameren has failed to properly address the remnants of the site. The residents say if the city repealed its Groundwater Restriction Ordinance, it would force Illinois' EPA to require the utility company to do the necessary groundwater extraction. Environmental investigator Bob Bowcock said when he told the agency about the pipeline, the EPA chose to ignore it.
"They had conducted an environmental investigation," he said. "They said there was no evidence of a pipeline, they denied its existence, and basically said they wanted nothing further to do with environmentally investigating it. We call on the Illinois EPA to do the right thing, to conduct a proper environmental investigation, and get their butts out there and do the job right, and do it now."
Members of Champaign County Health Care Consumers say the groundwater ordinance offers no protections for human health or the environment, and only protects corporations by exempting them from the costs of cleaning up the pollution for which they're responsible. Bowcock said vapors from chemicals like benzene are exposing residents to levels that can cause blood-borne cancers.
5th and Hill neighborhood resident Magnolia Cook said she was hopeful as Ameren started its cleanup on the former plant site, but her opinion changed quickly.
"I was outraged and heartbroken when I learned that Ameren is planning to leave the toxic groundwater in place in this neighborhood - a site surrounded by a day care, woman's shelter, and people's homes," Cook said. "This is not a toxic site miles away from anything surrounded by cornfields. This is a site with toxic chemicals in the soil and groundwater in a residential neighborhood."
If the city of Champaign doesn't repeal the groundwater ordinance, Bowcock said lawsuits against Ameren are likely. He said the utility did the bare minimum of cleanup by only removing soil on its own property. Ameren spokesman Leigh Morris said the gas plant site is in line with Illinois EPA standards, and does not pose a threat to human health or safety. Morris also said there is no evidence of a pipeline coming into the old gas plant site, and that the utility's remediation of the gas plant site will be completed next year.
The Champaign City Council will discuss the groundwater ordinance in Tuesday's study session, which begins at 7 p.m.
The parent organization of Provena hospitals in Urbana and Danville is exploring a merger with another Catholic hospital system.
In a joint release, Mokena-based Provena Health and Chicago-based Resurrection Health Care say they have signed a non-binding Letter of Intent to look into combing their organizations.
In the release, Provena Health President and CEO Guy Wiebking said that a merger would "leverage the benefits" of their health care services under the federal health care reform law. Resurrection President and CEO Sandra Bruce said their common heritage as Catholic healthcare organizations could be a foundation for improved care in the communities they serve.
Provena Health and Resurrection Health Care operate six hospitals each, and dozens of other facilities, including clinics, nursing homes and home health agencies. Most are in Illinois. Their joint release states that combined, the two organizations would have a medical staff of nearly 5-thousand physicians and over 22,000 other employees.
Civil unions for gay and lesbian couples are now the law of the land in Illinois.
About a thousand people crowded into the Chicago Cultural Center on Monday afternoon to watch Illinois Gov. Pat Quinn sign the historic law. The state's General Assembly approved the legislation 61-52 in the House and 32-24 in the Senate.
"We believe in civil rights and we believe in civil unions," Quinn said before signing the bill.
"Illinois is taking an historic step forward in embracing fairness and extending basic dignity to all couples in our state," John Knight, director of the Lesbian, Gay, Bisexual, Transgender Project of the ACLU of Illinois, said in a written statement issued hours before the bill-signing.
The law, which takes effect June 1, gives gay and lesbian couples official recognition from the state and many of the rights that accompany traditional marriage, including the power to decide medical treatment for an ailing partner and the right to inherit a partner's property.
Five states already allow civil unions or their equivalent, according to the Human Rights Campaign. Five other states and Washington, D.C., let gay couples marry outright, as do some countries, including Canada, South Africa and the Netherlands.
Illinois law will continue to limit marriage to one man and one woman, and civil unions still are not recognized by the federal government.
Opponents argue the law could increase the cost of doing business in Illinois, while Quinn has said it will make the state more hospitable to businesses and convention planners.
The legislation, sent to Quinn in December, passed 61-52 in the Illinois House and 32-24 in the Senate.
Some hope civil unions are a step toward full marriage for gay and lesbian couples, although sponsors of the civil union bill have said they don't plan to push for legalizing same-sex marriages, which have limited support in the Legislature.
Curt McKay served from 1998-2008 as the first full-time director of the University of Illinois' Lesbian, Gay, Bisexual, and Transgender (LGBT) Resource Center. McKay said the legislation is a huge victory, but he added that there is still more that can be done to provide equal opportunities for LGBT groups.
"A number of the opponents of civil unions in Illinois use as their reason for being opposed that the next thing we'll ask for is same sex marriage," McKay said. "I think providing for LGBT people full inclusion under the laws of the state of Illinois in terms of being equal in every way a straight person is accepted is the final goal."
Some conservative groups said the new law is a stepping stone toward legalized same-sex marriage.
"Marriage was not created by man or governments," David E. Smith, executive director of the Illinois Family Institute, said Monday. "It is an institution created by God. Governments merely recognize its nature and importance
Cardinal Francis George and other Catholic leaders also vigorously fought passage of the law. The measure doesn't require churches to recognize civil unions or perform any kind of ceremony, but critics fear it will lead to other requirements, such as including same-sex couples in adoption programs run by religious groups or granting benefits to employees' partners.
(With additional reporting from the Associated Press)
Gov. Pat Quinn signed major reforms to Medicaid into Illinois law on Tuesday, calling it a "landmark achievement" as he was flanked by a bipartisan group of state lawmakers who said the changes aim to reduce costs, pay bills sooner and target fraud.
But some health care advocates said they're concerned because the reforms to the program that provides medical care to the poor include requiring half of all patients on Medicaid be on managed care by 2015.
"It is a landmark achievement, I think, for health care in Illinois," Quinn said.
Quinn said the Medicaid reform efforts are one part of his plan to "stabilize our budget," as Illinois works to plug a deficit that is projected to hit $15 billion in the coming year.
The governor s office estimates the changes will save between $624 million to $774 million over five years. The program's annual budget is $7.6 billion, about one-third of the state's general revenue fund budget. In Illinois, Medicaid is administered by the Department of Healthcare and Family Services and includes about 2.8 million people.
Another cost-saving measure would limit income for future enrollees into Illinois' health care program for children, All Kids, to 300 percent of the federal poverty level.
The law emphasizes HMO-style "managed care" and reduces the use of costly institutions for people with physical and mental disabilities. It would require the state to pay Medicaid bills sooner, reducing late-payment penalties. It also would take steps to ensure ineligible people don't sign up for medical care.
Barbara Dunn, executive director of the Community Health Improvement Center in Decatur, said she has doubts and concerns about plans to require 50 percent of patients to be on managed care by 2015. The center also has offices in Champaign and Mattoon and half of the 19,000 patients it serves are on Medicaid.
"It can work for them but I don't see it as a slam dunk," Dunn said. "I think it's going to be very difficult to do."
Gina Guillemette with the Heartland Alliance in Chicago said she is particularly interested to see how the move to managed care affects populations that the group serves, including the homeless and mentally ill.
"How they proceed is really critical," Guillemette said. "I think that attention to what people's needs are and what best practices are in integrated and coordinated care are really going to be important."
Sen. Heather Steans, D-Chicago, said the bill improves the way government delivers services.
"This is providing better health care outcomes at a reduced cost," Steans said. "We are providing the opportunity to move people out of institutions into home and community-based care settings."
Republicans, like state Sen. Dale Righter of Mattoon, said there was cynicism about any success before work started on the legislation. But the changes are necessary, he said.
"This program was on a collision course," Righter said. "It had an unsustainable rate of growth where liabilities were far outstripping the revenues available to pay for it."
Other changes would help ensure that only eligible people enroll in Medicaid. Clients would have to provide additional evidence that they meet income requirements, live in Illinois and, for continuing clients, that they're still eligible.
Jim Duffett, executive director of the Campaign for Better Health Care based in Champaign, said moving patients to Medicaid managed care is a concern.
"We just want to make sure as this process moves forward that there are extra strong consumer protections for people on Medicaid and for the provider community to also be protected," Duffett said.
HFS director Julie Hamos said the state now has a road map to efficient and effective Medicaid.
"This will not be easy," she said. "We are talking about transforming the system.
University of Illinois trustees have adopted a policy designed to limit tuition increases even as they raise the cost of housing at the school's three campuses.
The tuition policy approved Thursday links tuition increases to inflation and other factors.
Students are guaranteed by state law to pay the tuition rate they paid in their freshman year throughout their undergraduate years. But the rate increases for most incoming classes.
This year, tuition increased 9.5 percent and led to complaints from some students and parents. The cost of tuition and housing for a typical undergraduate year at the Urbana-Champaign campus is more than $20,000.
Governor Pat Quinn said he likes 'the basic framework and concept' for the next year's tuition that was outlined Thursday by University of Illinois Chief Financial Officer Walter Knorr.
"I think that has a lot of merit to try and keep tuition pretty much even with inflation and adjusted dollars," Quinn said. "I think carrying that out is a good mission."
Quinn said the state is also putting about $404 million into grants for MAP, or the Monetary Awards program., but he said the demand is at least 50-percent higher that. Quinn added that one of his goals for the next four years is to secure more scholarship money for students who attend Illinois' public universities and community colleges.
Trustees on Thursday also raised the cost of a double dorm room in Urbana-Champaign 4 percent to $9,452 a year. Costs in Springfield and Chicago increased less sharply.