Cook County Budget Hearings End with Review of the Capital Budget and Review of Chief Judge's Budget

Cook County Board of Commissioners Finance Committee
Last Day of Departmental Budget Hearings
Public Hearing, Review of The Capital Budget and the Chief Judge’s Budget
November 4, 2019

Public Hearing on 2020 Executive Budget:  There were about 20 speakers over a 2-hour period.  The main subjects were

• Concerns about the plan for transitioning patients receiving mental health services from outside entities to those services being provided by Cook County Health (“CCH”) directly.  Commissioner Deere pledged to set up a meeting between these speakers and CCH personnel so the transition plans could be discussed.
• Concerns about the elimination of funding for Access to Care, which provides health services at discounted rates to patients primarily in suburban Cook County.  The representative for Access to Care stated that about half of the patients seen are not eligible for CCH’s County Care program for those on Medicaid.  As a result, if these patients went to CCH, rather than Access to Care, this would add to the already large and growing amount of charity care provided by CCH.  Commissioner Sean Morrison said he has long supported helping to fund Access to Care because that funding is much less than the costs CCH would incur to provide the services.  Commissioners Sims and Suffredin appeared supportive of again funding Access to Care, but warned that this would likely be the last time.
• Support by several entities and individuals for CCH and the services it provides and the partnerships it has.

The Civic Federation has done an analysis of the proposed budget and overall supports it as a reasonable one-year plan.  https://www.civicfed.org/CookCountyFY2020.  However, there are concerns for the future; specifically:

• The growth in uncompensated care at CCH, even as the Civic Federation supports the independent board and says it has had a transformative effect on CCH.
• The plan to build a new Provident Hospital with inpatient care.  The Civic Federation says there has been little public discussion of this major decision.
• The need for more transparency by making the capital plans available, such as for the jail, and Phase I of the court utilization study.
• The need for statutory authorization for the supplemental pension payments the County has been making, which the Civic Federation fully supports.

Review of Capital Budget: 

• Several Commissioners, possibly prompted by the Civic Federation’s comments, asked questions about the justification for $50 million for building the new Provident Hospital.  The CCH Chief Financial Officer stated that the costs of operating the current facility are very high and the analysis showed that it was more efficient to build a new facility that could provide needed specialized and outpatient care than to try to rehab the current building.  
• There is some funding to start the process of redesigning the Board and Commissioner spaces, including making them much more accessible.  Commissioner Anaya pointed out that a prior study on accessibility had been done and suggested that be looked at as a starting point.  
• Commissioner Suffredin asked what happens to the County’s share of the State Motor Fuel Tax fund should DuPage reach 1 million residents.  In that case, the two counties would split the fund, thereby significantly decreasing the amount the County currently receives.  The Commissioner suggested that there may be a need to seek new legislation in Springfield to revise the formula for disbursing money from the fund.
• During the discussion of the Capital Equipment portion, Tom Lynch, the County’s Chief Information Officer, stated that currently there are good relationships between the Bureau of Technology and  the IT functions under the other elected officials, a much needed improvement as compared to the past.  

Review of the Budget for the Chief Judge: 
Chief Judge Timothy Evans answered questions for the different areas under his supervision, including the Adult Probation Department (which encompasses pre-trial services such as electronic monitoring, as well as supervising some sentenced offenders), the Judiciary, the Public Guardian, Forensic Services, Social Services, Juvenile Probation, and the Juvenile Temporary Detention Center (for those awaiting trial).  The Chief Judge pointed to his web site, www.cookcountycourt.org where performance metrics and other data may be found.

• The Chief Judge cited the large drop in the Cook County jail population as a result of the bail reform measures he has instituted.  He also pointed out that the Administrative Office of the Illinois Courts is now providing an additional $24 million to reimburse Cook County for the costs of the court system.  This money is going into the County’s General Fund and is not earmarked for the Chief Judge’s budget.  He is seeking more money than is currently proposed in the budget so that another 100 law clerks could be hired.  There are currently 92 clerks for over 400 judges.
• In a letter dated Oct. 3, the Sheriff proposed that the Chief Judge’s Probation Department take over the electronic monitoring that the Sheriff is now doing and merge it into the electronic monitoring the Adult Probation Department is doing.  The Sheriff has offered to transfer positions and money from his budget to accomplish this.  The Chief Judge says that there are a number of issues that must be dealt with first, including obtaining approval from the Illinois Supreme Court.  When pressed by Commissioners, he said that it likely would take longer than 6 months to determine whether merging the electronic monitoring programs was feasible and then to effectuate such a merger.
• Leonard Dixon, the head of the Juvenile Temporary Detention Center, said that the N.E. Casey Foundation has recently assessed the Center for the 3rd time and says that it is in the best shape the Foundation has ever seen.  The average population is down to about 200, but these are the young people that need the most services.  There are over 200 community programs that come into the Center.

​Observed by Priscilla Mims