State health care programs for noncitizens provided significant benefits for Illinois hospitals

The programs have been controversial since they were first proposed. Republicans have been especially critical, saying the programs serve as an incentive for immigrants to cross into the United States illegally and settle in Illinois to receive taxpayer-funded health benefits.

by Peter Hancock
Capitol News Illinois

SPRINGFIELD – Two state-run health care programs that extend Medicaid-like coverage to noncitizens may have provided significant financial benefits for Illinois hospitals.

That’s according to preliminary results of an ongoing study at the University of Chicago that suggests the programs corresponded, at least in part, to a 15% reduction in the amount of bad debt Illinois hospitals incurred each year since the programs have been in full effect.

“The number that we find is a 15% reduction,” Aresha Martinez-Cardoso, an assistant professor and researcher at U of C’s Embodying Racism Lab, where the study is being conducted, said in an interview. “We think that that might be a high estimate, given what we know about perhaps other things that are going on that we can't entirely rule out, but we do think that part of that reduction is associated with the policy.”

That translates to an average of $1.5 million per year, per hospital, according to the report, although the exact amount would vary greatly depending on a hospital’s size and the volume of patients it treats who are covered by the programs. “Our early findings show that this landmark policy isn’t just about access — it also serves as a strategic investment in our hospitals and the health of entire communities,” Martinez-Cardoso said.

Those findings come as Gov. JB Pritzker’s administration is preparing to shut down the larger of the two programs as part of his budget proposal for the upcoming fiscal year. The Health Benefits for Immigrant Adults, or HBIA, currently covers more than 31,000 eligible noncitizens aged 42-64, at a cost of about $21 million per month, according to the most recent data from the Department of Healthcare and Family Services.

The other program, Health Benefits for Immigrant Seniors, covers eligible noncitizens aged 65 and over. That program currently covers about 8,900 individuals at a cost of about $10 million per month. Pritzker has not proposed eliminating it.

The programs were launched in 2020 and 2021, during the COVID-19 pandemic, as a means of extending health coverage to individuals who did not qualify for other publicly funded health care programs solely due to their immigration status. Those include individuals who are in the United States without legal authorization as well as certain legal permanent residents who have not yet been in the country long enough to qualify for Medicaid.

With the state facing slow revenue growth and a projected budget deficit in the coming year, Pritzker surprised many of his supporters in February when he proposed closing the HBIA program.

Eliminating the program for middle-aged adults is projected to save the general revenue fund about $330 million, according to the governor’s office. Pritzker told reporters after his address in February he expects the federal government will stop reimbursing states for costs associated with programs providing services to noncitizens.

A week after the governor’s budget address, the Illinois Auditor General released a report that said enrollment in both programs and their eventual costs had far exceeded their original projection. The cost for the two programs, the report said, exceeded $1.6 billion over the course of four fiscal years.

Unlike Medicaid, which is jointly funded with state and federal funds, the health programs for noncitizens are funded almost entirely with state dollars.

The study looked at publicly available hospital financial reports to analyze changes in the amount of uncompensated care they provided from 2017 to 2023. It also looked at similar data from hospitals in Indiana and Wisconsin, neighboring states that do not provide health benefits for noncitizens.

“We tried to flip it a few different ways,” Martinez-Cardoso said in an interview. “There could be a lot of other things happening. But when we test a bunch of different models … we kind of see a consistent pattern that the policy timing is associated with bad debt.”

She said the results so far are only preliminary and that analysis of the data is continuing. But she said the analysis so far shows a strong link between the enactment of the programs and an overall reduction in uncollectable debt.

Capitol News Illinois is a nonprofit, nonpartisan news service that distributes state government coverage to hundreds of news outlets statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation.

Retaliatory action raises serious questions in world diplomacy

Operation Sindoor was not a move of aggression against the country of Pakistan, but a selective action against terrorism.

Viewpoint

by Ishanee Chaliha

India started Operation Sindoor on May 7, 2025, as a retaliatory action against the Pahalgam attack on April 22, 2025, that massacred 26 civilians. The attack was a massive blow to the Indian nation and the world in general.

Operation Sindoor was initiated as a retaliation with precision and hit nine targeted terrorist camps- four within Pakistan and five within Pakistan-occupied Kashmir. The operation was tactically commanded and guided by Wing Commander Vyomika Singh and Colonel Sofia Qureshi, and its successful accomplishment was greeted with overwhelming national admiration.

International responses to the operation were highly polarized. Israel expressed unambiguous support to India, labeling the operation as a rightful act of self-defence. Its Indian ambassador stated that “terrorists must know there is no hiding from their atrocious act against the innocents.”

On the contrary, countries like the United States, the United Kingdom, China, and Germany called for restraint and the resumption of diplomatic talks. U.S. President Donald Trump even went to the extent of condemning the operation as a “shame,” whereas the foreign secretary of the U.K. warned that "if this escalates further, nobody wins." Likewise, a Taliban statement from Afghanistan called for restraint and diplomatic talks on both sides.

These reactions have, however, raised some serious questions regarding the double standards of international diplomacy. Historical experiences indicate that terrorist attacks against Western countries frequently trigger massive military interventions under the pretext of an international war against terror.

However, when identical events take place in non-Western nations, particularly those in the Global South, response measures are most often termed as unwarranted or shameful. In addition, nations like China, which were accused of giving military aid to Pakistan, are now emerging as impartial intermediaries, contributing to the intricacies and perceived paradoxes of the international reaction.

Operation Sindoor was not a move of aggression against the country of Pakistan, but a selective action against terrorism. By limiting itself to targeting militant infrastructure and avoiding civilian casualties, the operation helps underline India's long-standing role as a country that never seeks war, yet has the will and ability to finish it once provoked. The international community's disparate responses to the operation lead one to pose the following critical question: Are such reactions based on genuine diplomatic concern or part of a larger trend of geopolitical hypocrisy?

Ishanee Chaliha a student studying political science at Christ University in Bangalore. In her free time she enjoys learning new languages and is currently working toward proficiency in Korean and German. She believes the key to a good life starts within yourself which is to find your individuality and cultivate on it and later contribute to the society through it.

Spartans shut out Unity, finish Illini Prairie season undefeated

SJO defeats Unity 10-0 on the road to clinch the Illini Prairie Conference title behind Pruemer’s shutout and Houchens’ 3-run homer.

TOLONO — St. Joseph-Ogden wrapped up a dominant Illini Prairie Conference season with an emphatic 10-0 shutout victory over rival Unity on Thursday, capping off a perfect run through league play.

SJO pitcher Asher Pruemer

Photo: Sentinel/Clark Brooks

Spartan pitcher winds up for a pitch against Westville on April 30. The junior hurler picked the win against Unity on Thursday.

The Spartans (27-2) controlled the game from the opening inning and never let up, scoring in four of six innings and leaning on a sharp pitching performance from Asher Pruemer to keep the Rockets (14-10) scoreless on their home field. The win clinched the conference title outright and extended SJO’s winning streak with just days remaining in the regular season.

Pruemer was in command throughout, scattering just two hits while striking out four in a six-inning complete game. The right-hander walked one and faced minimal traffic, thanks in part to clean defense and early run support.

SJO got on the board quickly in the first. After Will Haley drew a walk in his opening at-bat, he scored the game’s first run on Trevor Ames’ two-out single to center. That opened the floodgates — Logan Rosenthal, Ames, and Nolan Earley also came around in the inning to give the Spartans a 4-0 lead.

Unity’s Brady Parr struggled with command, allowing six hits, nine total runs — four earned — and issuing six walks in just 2 2/3 innings.

The Spartans added two more runs in the second behind Kodey McKinney’s sharp single down the right field line, extending the lead to 6-0. But the big blow came in the bottom of the third, when Bryson Houchens crushed a three-run homer to left, scoring Rosenthal and Pruemer to put SJO up 9-0.

McKinney, who went 3-for-3 with two RBIs, drove in the final run in the sixth, plating pinch runner Dalton York to end the game via run rule.

Photo: Sentinel/Clark Brooks

Spartans' Bryson Houchens loads for swing on Normal U-High pitch last month. He has hit home runs in last three outtings for SJO.

Houchens finished with three RBIs on the homer, and also scored twice. Rosenthal and Ames also crossed the plate twice apiece as the Spartans combined for nine hits and seven walks in the contest.

Unity’s lone offensive highlights came from Nolan Remole and Coleton Langendorf, who each recorded one hit, but the Rockets couldn’t generate sustained pressure against Pruemer.

St. Joseph-Ogden now turns its attention to a nonconference home matchup against Reed-Custer on Saturday as the Spartans continue to build momentum for the postseason.

USTA league race heats up, KTC and the Spin Doctors share first place

Singles wins and a strong #3 doubles finish give KTC the edge over B4B in a close USTA league match.

URBANA — KTC edged closer to the pinnacle of the USTA Men's 3.5 league standings, clinching a hard-fought 3-2 triumph against B4B at Atkins Tennis Center on Wednesday night. The victory lifts KTC into a tie for first place alongside the Spin Doctors, setting up key matchups in the coming weeks.

Yongjoo Jung set the tone for KTC in singles play, securing his third win of the season with a composed 6-3, 6-4 decision over Lorenzo Vergari at the #1 spot. Jung has shown versatility this year, competing across multiple league levels, including 4.0 and 6.5 Combo action.

Andy Hur followed with a commanding performance at #2 singles, rolling past Robbie Bauer 6-0, 6-3 to give KTC early control. The team sealed its victory at #3 doubles, where Lino Jo and Sung Min Moon turned in a dominant 6-2, 6-1 effort against Tim Ellis and Charles Nerone.

B4B answered back in a pair of tightly contested doubles matches. At #1 doubles, Nitin Bhosale and Joseph Reiter edged Andrew Diep and Kim Junghyun in a comeback, 6-7, 6-3, 1-0. Meanwhile, Steve Mertens and Christopher Stewart secured another point for B4B, rallying past Jaemin Yang and Yoochan Shin 6-2, 4-6, 1-0 in a gritty effort.

Looking ahead, KTC will take on the Smokin’ Aces, who are coming off a 5-0 loss to the Spin Doctors. B4B aims to bounce back against those same Spin Doctors and hand them their first defeat of the season.

Spin Doctors roll over Smokin' Aces in Week 1

The defending champs made an early-season statement with a 5-0 win over the only the team to hand them a loss in their last 10 matches.

CHAMPAIGN — The Spin Doctors opened their USTA Men’s 3.5 league title defense in dominant fashion Wednesday night, sweeping all five matches against the Smokin’ Aces at Atkins Tennis Center. The defending champs made an early-season statement with a 5-0 win that highlighted their depth and adaptability across both singles and doubles play.

At the top of the singles lineup, Gaston Suardiaz rolled past Pete Hoppin 6-1, 6-2, while Doyeon Kim backed him up with a 6-1, 6-3 win over Jay Rafi at No. 2. Both matches were controlled from the baseline, with the Spin Doctors dictating pace and placement early. The Aces, still adjusting to outdoor conditions, couldn’t match the consistency of their counterparts.

Doubles play offered a mix of momentum shifts and strategic battles. At No. 1, the Aces’ Patrick Hammie and Andy Wilke came out hot, taking the opening set 6-3 for the only set win for their team all night. But the Spin Doctors' Paul Cheung and Ben Lee settled in and stole the match in a deciding tiebreak, 3-6, 6-4, 1-0 (5). Meanwhile, John Delanois and Christopher Sisson powered past Ryan Lepp and Ryan Grosso 6-1, 6-3. Though Lepp and Grosso began to find their rhythm outdoors in the second set, pairing kept the Aces at arm’s length.

The night closed with Hans Dee and Geoffrey Lin claiming a 6-4, 6-2 win over Dan Maloney and Travis Davis. Aces captain Clark Brooks had hoped the pair’s speed would tilt the match, but the Spin Doctors' adjustments stifled their usual mix of angles and touch.

The Aces face KTC next Wednesday at 7 p.m., while the Spin Doctors take on B4B at 6 p.m. at Atkins Tennis Center.

Connecting the dots; The Mediterranean diet, exercise and bone loss

There are many factors when it comes to bone loss including age, body weight, diet and physical activity. The key to minimizing bone density loss is the inclusion of weight bearing exercises such as lifting weights.

Mediterranean Food

Photo: Robert Anasch/Unsplash

by Matt Sheehan
OSF Healthcare

ROCKFORD - There’s always plenty of discussion when it comes to the benefits of diets.

In one recent study in the JAMA Network Open, researchers found the lower-calorie Mediterranean diet combined with exercise, helped older women lose weight with beneficial effects on bone mass density.

The study was completed in hospitals and medical centers across Spain and included more than 900 women who ranged in age from 55 to 75. Half the group was instructed to eat a Mediterranean diet with no calorie restrictions and were not required to exercise. The other half was encouraged to walk for at least 45 minutes a day for six days a week and do strength exercises three days a week. This group saw significant improvement in stronger bones.

A lack of calcium and vitamin D are also major factors in bone density loss.

There are many factors when it comes to bone loss including age, body weight, diet and physical activity. Nicole O’Neill, a dietitian with OSF HealthCare, says the Mediterranean diet and exercise can prevent bone loss, if weight bearing exercise, such as lifting weights, is part of the program.

“This was not studied specifically for the Mediterranean diet and bone loss,” she explains. “It was something they found incidentally and then studied it closer. It's not that it's wrong, it's just that it's inconclusive.”

Nicole O’Neill, Dietitian

A lack of calcium and vitamin D are also major factors in bone density loss. “The Mediterranean diet overall limits the amount of dairy, so most people get the majority of their calcium and vitamin D from dairy products,” says O’Neill. “So, say you were doing three glasses of milk a day. If you switched to a Mediterranean diet and dropped down to one glass of milk, you could cause bone loss because you're getting less calcium and vitamin D if you're not careful.”

The typical American standard diet includes plenty of processed foods and lacks in fruits and vegetables.

Key Takeaways:

A study found the Mediterranean diet combined with exercise may have some positive effect on bone mass density in older women.
The key is the inclusion of weight bearing exercises such as lifting weights.
The Mediterranean diet is popular because it promotes fruits and vegetables and fewer processed foods.
Always consult with your provider before starting any diet.

The Mediterranean diet is popular because it features simple, plant-based cooking, with each meal featuring fruits and vegetables, whole grains, beans and seeds and an emphasis on extra-virgin olive oil. The diet is rich in nutrients that help bone health. Vitamin C from fruits and vegetables can help support bone cells and vitamin K found in spinach can help with bone formation.

“I really do like the Mediterranean diet,” O’Neill says. “There are a lot of pros. The cons are it’s a little fussy. You have to push and pull things around, and you have to be careful to fill in the gaps with foods that are appropriate. If you're not used to having that bigger load of fruits and vegetables and whole grains, that's a lot of fiber that maybe your guts are not used to. So, a slow, incremental approach might be the best way to start.”

Regarding any study, O’Neill says it’s important to read and do your research before coming to any conclusions. Don’t rely on information from the Internet, she adds. You’re likely to get misleading information. Instead, talk to your provider or a dietitian who can interpret the numbers found in the study.

“There are really a lot of moving parts,” O’Neill says. “When you start a new diet, we don't want a crash course. We want it to be sustainable. We want it to be long term, and we want it to be something that fits for you and that makes sense.”

Judge blocks Trump administration order cutting off access to pandemic relief money

by Peter Hancock
Capitol News Illinois

SPRINGFIELD — A federal judge in New York issued a preliminary order Tuesday blocking the Trump administration from cutting off states’ access to hundreds of millions of dollars in pandemic relief funds for public schools, including more than $77 million for Illinois.

Capitol News Illinois file photo

Illinois Attorney General Kwame Raoul is pictured in a file photo. He was part of a lawsuit securing a temporary injunction to stop the Trump administration from cutting off more than $77 million in education funds to the state.

U.S. District Judge Edgardo Ramos, of the Southern District of New York, issued a preliminary injunction blocking enforcement of an order that Education Secretary Linda McMahon issued on Friday, March 28. That order reversed earlier decisions to grant the states additional time to spend funds they had been allocated.

The effect of McMahon’s order was to immediately cut off access to funds that states said they had already committed to spend but not yet made the actual expenditures.

Illinois Attorney General Kwame Raoul joined a coalition of 17 states in suing the federal government to block McMahon’s order.

“The Trump administration’s shortsighted and illegal decision to attempt to rescind already-appropriated education funding would hurt vulnerable students the most and could wreak havoc on the budgets of school districts throughout Illinois and the nation,” Raoul said in a statement Tuesday.

The lawsuit over pandemic-related education money is one of more than a dozen multistate suits Raoul has joined, in combination with other Democratic state attorneys general, challenging actions Trump has taken since being sworn in for a second term Jan. 20.

In 2020 and 2021, Congress passed several relief and economic stimulus packages totaling trillions of dollars to help individuals, businesses and state and local governments deal with the financial consequences of the pandemic. For schools, that included costs associated with preparing for the safe return to in-person learning, addressing the learning loss students suffered during the extended period of school closures, and addressing some of the unique needs of homeless children that were exacerbated by the pandemic.

According to the complaint, Illinois was awarded just over $5 billion in “education stabilization” funds under the American Rescue Plan Act, or ARPA, which was enacted in March 2021. Of that, $77.2 million remained obligated but not yet spent as of the end of March 2025.

Those funds had been earmarked for such things as teacher mentoring, statewide instructional coaching, new principal mentoring, trauma response initiatives, the creation of social-emotional learning hubs and contracts for technology infrastructure upgrades, according to the complaint.

Under ARPA, those funds were intended to cover expenses incurred through Sept. 30, 2023. Subsequent legislation gave states an additional year, to Sept. 30, 2024, to “obligate” their funds. And under agency regulations, they had another 120 days beyond that to draw down the funds, although they were also given the option of requesting further extensions.

In January 2025, Illinois requested, and later received, permission to extend its deadline for drawing down the remainder of its funds to March 28, 2026. Other states involved in the lawsuit also received extensions.

But on Friday, March 28, 2025, the Department of Education issued a memo rescinding those extensions, effectively cutting off the states’ access to any unspent funds.

“Extending deadlines for COVID-related grants, which are in fact taxpayer funds, years after the COVID pandemic ended is not consistent with the Department’s priorities and thus not a worthwhile exercise of its discretion,” McMahon said in a memo to state education agency heads.

The injunction means the Department of Education cannot enforce the order, at least while the case is still being litigated or until the court issues a different order.

Despite opportunities, students are transferring from community colleges to public universities at a low rate

Only 28% of low-income students transfer, compared to 44% of higher-income students. And while Black and Latino students make up 44% of community college enrollment in Illinois, they make up just 31% of those who transfer to public universities.

by Peter Hancock
Capitol News Illinois

SPRINGFIELD — As the cost of higher education continues to rise, many students have turned to local community colleges as a way of holding down the cost of pursuing a degree.

Sometimes referred to as the “2-plus-2” model, the idea is to complete the freshman- and sophomore-level general education requirements at a local community college – where tuition rates may be half to one-third that of a four-year institution – then transfer to a university to finish out a degree.

By many measures, Illinois has been a leader in making the transfer process accessible for community college students. A 2020 report from the Illinois Board of Higher Education and Illinois Community College Board noted that Illinois led the nation in bachelor’s degree completion rates among community college transfer students, with nearly 54% completing their degree within six years.

Other Sentinel stories ~

“Hands Off” rallies across the nation were patriotism in action

Global Zionist citizenship, an updated anifesto

State Representative says Illinois needs to focus on its citizens

American holiday efficiency, a three-for-one on June 14

But a new report by a higher education advocacy group says that statistic offers an incomplete picture. While the completion rate may be high for those who succeed in making the transfer to a university, many more community college students never make the transfer, even though that’s their plan when they first enroll.

The report by the Partnership for College Completion says that while 79% of community college students start with the intention of transferring to a university, only 35% of them do.

The success rate is even lower for low-income students and students of color, the report states. Only 28% of low-income students transfer, compared to 44% of higher-income students. And while Black and Latino students make up 44% of community college enrollment in Illinois, they make up just 31% of those who transfer to public universities.

The report also says Illinois graduates who transferred from a community college take out, on average, 38% more debt than those who start at four-year schools. Transfer students also attempt an average of nine more credits during their college career than those who don’t transfer.

“We’re trying to put a bridge between different systems that were not designed to work with each other and aren't honestly designed to work primarily for students,” Mike Abrahamson, associate director of research and policy at PCC and a coauthor of the report, said in an interview. “We’re seeing breakdowns at every part of this pipeline.”

Abrahamson said the 2-plus-2 model works best for the small percentage of students who come into the system knowing what they want to major in and what university they want to transfer to. But for most others, he said, multiple barriers can stand in the way of a student making a seamless transition from community college to a four-year school.

Some universities have prerequisites for their upper-level courses that may not be aligned with the general education core curriculum that a student may have taken in community college.

One of the biggest obstacles, according to the report, is identifying the community college courses for which credits are eligible to be transferred between institutions, a process known as “articulation.”

Illinois has two programs intended to make it easier to transfer credits between schools. The Illinois Articulation Initiative, begun in 1993, sets out a “general education core curriculum” that more than 100 participating institutions have agreed to accept. And the Student Transfer Achievement Reform, or STAR Act, provides that students who graduate from a community college with an associate’s degree can, if they meet other qualifications, automatically be admitted to a public university and enroll as a junior.

But Abrahamson said the process is not as smooth and seamless as it would seem. For example, he said, some universities have prerequisites for their upper-level courses that may not be aligned with the general education core curriculum that a student may have taken in community college.

“We heard from students about, ‘Oh, I took this marketing class, and it didn't transfer for major credit, it transferred for elective credit. I had to take a marketing class, and it was the exact same course and I paid twice for it,’” Abrahamson said.

Another barrier, the report noted, is the direct cost of transferring from one school to another. That can include application fees as well as fees for obtaining copies of transcripts, costs that can multiply if the student applies to multiple four-year institutions.

“In our discussions with students, we found that those could be significant barriers for students,” Abrahamson said. “It's a $30 or $40 application fee, but you multiply that over a couple institutions, and it can be a real barrier for students to apply.”

Recommendations to lawmakers

The report offers several recommendations to make the transfer process easier, some of which are being considered in the General Assembly. Chief among those is to reform the way Illinois funds higher education.

Lawmakers are considering legislation this year to overhaul university funding, one that would distribute new funds using a needs-based formula similar to the Evidence-Based Funding model used in K-12 education. But the Partnership for College Completion report also calls for overhauling community college funding, “to reduce over-reliance on tuition and fee revenue.”

Another proposal under consideration this year is to implement a statewide direct admissions program in which graduating high school seniors and community college students who are eligible to transfer to a university would be automatically admitted to public universities where they are qualified.

The report calls for expanding that program further by coupling it with “guaranteed need-based financial aid.” “I think almost all of our universities want to serve more transfer students and want to serve their students as best they possibly can,” Abrahamson said. “A lot of this comes down to giving them the resources they need to do that.”

Gov. JB Pritzker has also pushed for a bill allowing community colleges to offer four-year bachelor’s degree programs in certain high-demand employment fields. But that measure has stalled thus far, with Democratic leaders recently expressing disagreement on the plan at a committee hearing to discuss the funding bill.

Taking on one of personal care's least-talked-about problems

(PRNewswire) Chicago -- There are products for sweaty armpits, sweaty feet and sweaty faces. But when sweat shows up somewhere a little less comfortable to talk about, the options get limited fast.

Chicago-based Cheek Sheets is looking to change that.
Cheek Sheets today announced the launch of its namesake absorbent sheets, an ultra-thin, dry and discreet personal-care product designed to help absorb sweat and manage unwanted moisture between the cheeks before it becomes uncomfortable, embarrassing or funky.

Get the full story...

State health care programs for noncitizens provided significant benefits for Illinois hospitals

Retaliatory action raises serious questions in world diplomacy

Spartans shut out Unity, finish Illini Prairie season undefeated

USTA league race heats up, KTC and the Spin Doctors share first place

Spin Doctors roll over Smokin' Aces in Week 1

Connecting the dots; The Mediterranean diet, exercise and bone loss

Judge blocks Trump administration order cutting off access to pandemic relief money

Despite opportunities, students are transferring from community colleges to public universities at a low rate

Recommendations to lawmakers

Taking on one of personal care's least-talked-about problems

More Sentinel Stories

On This Day

Photo Galleries

Varsity Snapshot

Top stories this year