Audit Uncovers Billions Spent On Healthcare For Illegals In Illinois, Costs Far Exceed Projections

Illinois has spent over $1.6 billion on healthcare for illegal immigrants — far surpassing initial cost estimates — according to a recent state audit. The report exposes major financial miscalculations by Gov. J.B. Pritzker’s administration, as well as widespread issues with improper enrollments.
The audit, conducted at the request of the Legislative Audit Commission, reviewed the costs of programs providing state-funded healthcare to noncitizens. Projections for the program covering seniors over 65 estimated costs at $224 million over three years, yet actual expenditures climbed to $412.3 million. Other programs saw even larger discrepancies, with costs exceeding projections by up to 282%.
Enrollment numbers also skyrocketed beyond expectations. The state anticipated 6,700 seniors would join the program, but participation reached 15,831 in 2023. For the 42-to-54 age group, projected enrollment was 18,800, yet 36,912 were enrolled. Similarly, the program for adults aged 55 to 64 expected 8,000 enrollees but ended up covering 17,024.
The audit further revealed improper enrollments, with more than 6,000 noncitizens possessing Social Security numbers. Additionally, 668 enrollees in the senior program were younger than 65, making them ineligible for the benefits they received.
Republican lawmakers are demanding immediate action. House Republican leader Tony McCombie has urged for a shutdown of the programs to prevent further taxpayer losses. Senate Republican leader John Curran slammed the state’s failure to ensure funds were allocated properly, calling for stricter oversight.
Illinois Democrats previously cut back on some of their healthcare expansion plans after budget concerns arose, but the state continues to direct billions toward these programs. With costs spiraling and oversight failures exposed, lawmakers are now debating how to rein in spending and prevent further mismanagement.