SlideShare a Scribd company logo
1 of 14
Download to read offline
CENTER FOR TAX AND BUDGET ACCOUNTABILITY
                     70 E. Lake Street  Suite 1700  Chicago, Illinois 60601  direct: 312.332.1049  Email: rmartire@ctbaonline.org




                      “The State’s Fiscal Crisis:
                   Changing our Collective Response”
                       g g                    p
                                                                     For:
                                                        Monday, June 14, 2010; 1:10 pm
                                                    Health & Medicine Policy Research Group
                                                    UIC Student Center West, Chicago Rooms
                                                                  Chicago, IL




                                                                    Presented by:
                                                                    Ralph Martire
                                                                  Executive Director




                                                                    1
                                                                                                     © 2010, Center for Tax and Budget Accountability




                              Illinois FY2011 Operating and Total Budget
                                  Remaining under HB859, SA 1, 2 and 3
                    Spending

                    Carry Forward of Unpaid Bills                                                        $6.0 B
                    Repayment of Debt/Prior Fund Transfers                                               $4.61 B
                    General Fund Approps                                                                 $26.32 B
                    Required Pension Payment                                                             $ 3.52 B
                        Total Revenue Needed                                                             $40.45 B

                    Revenue

                    Recurring
                    Estimated 2011 Own Source Gen Fund Revenue                                           $21.412 B
                    Estimated 2011 Federal Transfers                                                     $5.295 B
THE REAL PROBLEM




                    Total Recurring Revenue                                                              $26.707 B

                         FY 2011 Operating Deficit                                                       (-$13.743 B)

                    Operating Deficit as % of Total GRF Approps                                          52.2%

                    One-Time, Nonrecurring Revenue/Debt
                    Securitization of Tobacco Litigation Proceeds                                        $1.2 B
                    Tax Amnesty Program                                                                  $.250 B
                    Raiding Special Funds                                                                $1.0 B
                    Carry Forward of Federal ARRA Transfers                                              $0.0 B
                    Total One-Time Nonrecurring Revenue                                                  $2.45 B

                    One-Time Revenue as % of Total GRF                                                   9.3%

                         Minimum Remaining Deficit                                                       (-$11.293 B)

                    As Percentage of Total GRF Approps                                                   42.9%




                                                                    2
                                                                                                     © 2010, Center for Tax and Budget Accountability




                                                                                                                                                        1
The Context:

                                                                      BIG ‘N RICH
                                                       • In 2008, Illinois ranked
                                                         fifth nationally with a
                                                         Gross State Product in
                                                         excess of $633 billion
ILLINOIS’ ECONOMY



                                                         (BEA).

                                                       • That would be the 27th
          RGE




                                                         largest economy of any
                                                         nation in the world-
     IS LAR
          E




                                                         greater than Egypt, Saudi
                                                                       E      S
                                                         Arabia, Colombia, Belgium,
                                                         Sweden, Greece, Ireland,
                                                         Portugal, Norway and
                                                         Nigeria, to name a few.


                                                              3
                                                                                      © 2010, Center for Tax and Budget Accountability




                                           Illinois GDP
                                           Growth Lags
                                     But, IL Gross State Product Grew Less than U.S. or Midwest
                                                          States, 1990-2007
       THE ILLINOI ECONOMY




                                         71.7%
                             80.0%
                             70.0%
                             60.0%                                 49.4%                          48.1%

                             50.0%
                             40.0%
                 IS




                             30.0%
                             20.0%
                             10.0%
                             0.0%
                                              US           Midwest States           Illinois


                                     Source: Bureau of Economic Analysis, US Dept. of Commerce


                                                              4
                                                                                      © 2010, Center for Tax and Budget Accountability




                                                                                                                                         2
For over two decades now:
                     Loss of high paying/good benefit jobs

                     All job growth in Illinois came in the
                      service sector.
 LOW-END SERVICE
   JOBS GROW




                     For the most part, service sector jobs
                                   part
        G




                      that pay less than manufacturing

                     On average, most of these service jobs
 LOW-




                      pay 29% less than the manufacturing
                      jobs they replace

                                         5
                                                    © 2010, Center for Tax and Budget Accountability




                       Employer-provided
                    health insurance
                    benefits have been
                    steadily declining in
                    Illinois since 1980.
               ED




                     By 2008, over 43% of
    OYER-PROVIDE




                    the workforce didn’t
                    have employer provided
                    insurance
    BENEFITS




                     Hispanics especially
                    hard hit–over 57% do
    OYER-




                    not have employer-
                    provided insurance
    B
EMPLO




                     B 2009 30% of the
                       By 2009,
                    Illinois population is
                    either on Medicaid or
                    uninsured



                                         6
                                                    © 2010, Center for Tax and Budget Accountability




                                                                                                       3
Why the Economic and ongoing Deficit
                         Problems—Not Wasteful Spending
                 ATE?
                        Category    FY 2000         FY2000         FY2010       Difference     FY2000 -            Difference
                                     Actual        Adjusted        Enacted       FY2000 -      FY2010               FY2000 -
IS ILLINO PROFLIGA

                                                  to
                                                  t FY2010                       FY2010         ECI &               FY2010
                                                   for CPI &                      CPI &       Population             ECI &
                                                  Population                    Population                         Population
                        General    $21.294 B                       $29.551
                        Fund

                        -Pension   (- $1.230 B)                    (- $3.587)
        OIS




                        General    $20.064 B      $26.608          $ 25.964     (-$644 M)       $ 28.085 B          (- $ 2.089 B)
                        Fund/
                        Current
                        Services




                                                               7
                                                                                       © 2010, Center for Tax and Budget Accountability




                         Over $9 out of $10 of G.F.
                         are spent on:
                        • Education
                          (k-12,
                          (k-12 plus Higher Ed)                                                           35%

                        • Healthcare                                                                      30%

                        • Human Services                                                                  21%

                        • Public Safety                                                                     5%
                                                                                                            91%

                                                               8
                                                                                       © 2010, Center for Tax and Budget Accountability




                                                                                                                                          4
THE REAL IMPACT: $4.4 BILLION LOST
Amount by Which Illinois General Fund State Spending on Human
 Service Programs Falls Short of Keeping Pace with Inflationary
     Costs and Population Growth From FY2002 to FY2010

                                    $0
                                             FY03              FY04              FY05            FY06           FY07               FY08              FY09             FY2010

                                                                                                                                                    ($168)
                                 ($100)



                                            ($393)                              ($384)                                                                                 ($377)
                                 ($200)                       ($413)
                                                                                                                ($454)            ($434)
                                                                                                 ($457)


                                 ($300)                                                                                                             ($270)


                    (millions)
                                 ($400)      ($33)
                                                               ($68)            ($105)


                                 ($500)   By failing to account for annual inflationary costs,
                                          Illinois cut human service funding in real terms by    ($145)                                                                ($310)
                                          a cummulative $3.1 B from FY2003 to FY2010. By                        ($186)            ($235)
                                          failing to account for population growth, Illnois
                                 ($600)   further shorted human service funding by
                                          approximately $1.4 B from FY2003 to FY2010. In
                                          total, state funding of human services over this
                                          period was approximately $4.4 B less than what
                                 ($700)   was needed to maintain FY2002 service levels,
                                          adjusting for inflation and population growth.



                                 ($800)

                    Note: Commission on Government Forecasting and Accountabiity, Budget Summaries for FY2002 to FY2010. Final General Revenue appropriations for the Illinois
                    Departments of Aging, Children & Family Services, and Human Services. Appropriations shortfalls necessary to maintain real value of FY2002 appropriation based on
                    Mid-West CPI (MWCPI). MWCPI for FY2010 is assumed to be 0%, in all likelihood understateng the shortfall. Population growth estimate from Illinois Department of
                    Commerce and Economic Opportunity.
                    Key: Red Bar - MWCPI Shortfall; Blue Bar - Population Adjustment Shortfall




                                                                                      9
                                                                                                                                  © 2010, Center for Tax and Budget Accountability




              AS FOR HEALTHCARE, WELL…….


                                                Medicaid Spending by Funding Source
                                                      (Federal, State and Local)

              $16

                                                                                                                                                                    $13.9B
              $14
                                                                                                                                       $12.5B
                                                                                                                                       $12 5B
              $12                                                                                           $11.4B
                                                        $10.5B                         $11B
                                                                                                                                                                       $6.6
              $10                $9.6B
                                                                                                                                           $6.0
 (billions)




                                                                                                              $5.5
              $8                                                                        $5.5
                                                           $5.5
                                  $4.5

              $6                                                                                                                                                       $2.9
                                                                                                                                           $2.3
                                                                                                              $2.1
                                  $1.5                     $1.7                         $2.4
              $4


              $2                                                                                              $3.8                         $4.2                        $4.4
                                  $3.6                     $3.3                         $3.1

              $0
                             FY2003                      FY2004                      FY2005                 FY2006                      FY2007                       FY2008
                                                              State General Funds           Other State and Local Contribution        Federal Funds

  Data Source: National Association of State Budget Officers, Annual State Expenditure Reports.




 P.S. After inflation and population, own
 source revenue spending increased by just
 $42 M to $154 M over this five-year period.
                                                                                     10
                                                                                                                                  © 2010, Center for Tax and Budget Accountability




                                                                                                                                                                                        5
• Why the Economic Problems?
                              – NOT TAX BURDEN

                           • Illinois’ total state AND local tax burden,
ILLINO IS LOW TAX
                X

                             as a percentage of personal income ranks
                             only 46th in the nation (through 2007).
     OVERALL



                           • This is the lowest comprehensive tax
                             burden in the Midwest.
     OIS
     O




                           • Illi i also ranks only 45th i state
                             Illinois l     k    l       in
                             spending as a percentage of GDP among
                             the states (BEA data).


                                              11
                                                          © 2010, Center for Tax and Budget Accountability




                             Education now matters more
                             than ever to economic
                             prosperity:
                    TION
EXHIBIT “A” IS EDUCAT




                           Generally: unemployment rates
                            are highest for those with the
                            least education.
        “




                            The Change is Wages!

                                              12
                                                          © 2010, Center for Tax and Budget Accountability




                                                                                                             6
Wages for Minorities
                                lag Whites
                           Real wages for Whites increased modestly
                           between 1980 and 2007, but :
                FERENCES


                           The White-Hispanic wage gap is larger in amount,
                           but increased by a smaller percentage, growing
                           from $3.82 in 1980 to $5.34 in 2007, an increase of
                           39.7% over 1980
                           Real wages for African-Americans declined. The
                           hourly wage gap between Whites and African-
                                                                African
        WAGE DIFF




                           Americans grew from $1.52 in 1980 to $3.44 in
                           2007, an increase of 126.3% over 1980




                                                     13
                                                                   © 2010, Center for Tax and Budget Accountability




                                   Percentage of African-American Students in
                                         High and Low Poverty Schools
          RS
RACE MATTER




                           60.0%         55.04%
                           50.0%

                           40.0%

                           30.0%

                           20.0%                               Highest Poverty districts
                                                               Low est Poverty Districts
                           10.0%
                                                  1.28%
R




                            0.0%




                                                     14
                                                                   © 2010, Center for Tax and Budget Accountability




                                                                                                                      7
A SNAPSHOT OF WHAT IS

                 ANCE    Illinois State & Local Revenue
                          • In 2007 (the most recent national
                            comparison available), state and local
PROPERTY TAX RELIA

                            revenue came from the following
                            sources:

                          PROPERTY TAX                                  37.18%
                          SALES TAX                                     16.6%
                          EXCISE and Utilities TAXES                    17.2%
                          INDIVIDUAL INCOME TAX                         17.1%
                          OTHER                                          6.7%
                          CORPORATE INCOME TAX                           5.3%

                          SOURCE: Federal Tax Administrators Data




                                                    15
                                                                    © 2010, Center for Tax and Budget Accountability




                           WHY – EDUCATION
                  ANCE




                         • Illinois ranks 49th out of 50 states in
                           the portion of education funding
 PROPERTY TAX RELIA




                           covered by state – versus local –
                           revenuejust 28% of the cost.

                         • Illinois is the most reliant state on
                           property taxes to fund schools in the
                           nation.



                                  (National Education Association Data)




                                                    16
                                                                    © 2010, Center for Tax and Budget Accountability




                                                                                                                       8
Illinois Property Tax Revenue Growth vs. State
                                                   Median Income Growth
                 UGH”
                            60.0%
                                           53.71%
                                                                      Property Tax Revenue Grow th
                            50.0%
      URDEN IS TOU

                                                                      State Median Income Grow th
                            40.0%

                            30.0%
                                                                         23.21%
                            20.0%

                            10.0%                    4.92%

                             0.0%
“THE BU




                            -10.0%                                                   -5.33%
                                               1990-2007                       2000-2007




                                                           17
                                                                           © 2010, Center for Tax and Budget Accountability




                                         The Priorities Under
                                         HB859, SA 1, 2 and 3


                        1      Education                                    $9.35 B
                                                                            $                  35%
                               (K-12 $7.15B, 27%)
                               (Higher Ed $2.18 B, 8%)
PRIORITIES




                        2      Health Care (DPH & HFS)                      $7.068 B           27%



                        3      Human Services (DHS, Aging & DCFS)           $3.436 B           13%



                        4      Public Safety                                $1.147 B           4%
PR




                        5      Governor’s Discretionary Allocations         $3.466 B           13%




                                                           18
                                                                           © 2010, Center for Tax and Budget Accountability




                                                                                                                              9
Consider the Story
                                      for Education
                              Category     FY2000      FY2000 Adj       FY2011            DIFF           FY2000 Adj                 DIFF
                                           Actual       to FY2011       Enacted                           to FY2011
                                                         CPI and                                           ECI and
                                                       Population                                        Population

                              K-12 Ed      $5.542 B     $6.347 B        $7.150 B*       $803 M            $7.253 B             (- $103 M)
                                                                        $6.550 B        $203 M                                 (-$703 M)


                              Higher Ed    $2.379 B     $2.819 B        $2.180 B       (- $639 M)         $3.322 B             (-$1.042 B)
                                                                                                                                  -32%


                              Human        $4.599 B     $6.025 B        $3.436 B      (- $2.589 B)        $ 6.885 B            (-$ 3.449B)
                              Services                                                                                            -50.1%




                              *Note, K-12 funding will be subject to a $600 M ‘hold back” in
                              FY2011, that will result in a cut if the state does not pass new
                              revenue. This increases the K-12 funding cut in FY2011 from
                              1.4% to 10%.


                                                                   19
                                                                                              © 2010, Center for Tax and Budget Accountability




                                    OPENING ARGUMENT:
        OOK BAD IN 20 . . .




                                                                Illinois' State FY2010
                                                                  Budget Breakdown
                    010.




                                            APPROPRIATIONS                                          $26.08 B*
                                            ONE-TIME, NONRECURRING REVENUES
                                                Debt Proceeds from issuance of five-                  $3.466 B
                                                year Pension Notes
                                                Federal Stimulus                                      $1.966 B
                                                Fund Sweeps                                            $ .352 B
                                                 Debt Restructuring                                    $ .475 B
                                            TOTAL NONRECURRING REVENUE                              $6.259 B**
                                            * Note: The FY2010 budget figure does NOT include at least
                                            $
                                            $4.0 B in past due, unpaid bills carried forward from FY2009. The
                                                      p       , p
THINGS LO




                                            Appropriation figure also does not include the $3.466 B in Pension
                                            Note proceeds used to fund state pensions though pension
                                            payments have historically been included in General Fund
                                            appropriations.
                                            **Note: That means over 21% of the $29.55 B FY2010 budget
                                            ($26.08 B plus $3.466 B in Pension Fund payments) is covered
                                            with one-time, nonrecurring revenues not available in FY2011.



                                                                   20
                                                                                              © 2010, Center for Tax and Budget Accountability




                                                                                                                                                 10
Illinois FY2011 Operating and Total Budget
                                       Remaining under HB859, SA 1, 2 and 3
                           Spending

                           Carry Forward of Unpaid Bills                            $6.0 B
                           Repayment of Debt/Prior Fund Transfers                   $4.61 B
                           General Fund Approps                                     $26.32 B
                           Required Pension Payment                                 $ 3.52 B
                               Total Revenue Needed                                 $40.45 B

                           Revenue

                           Recurring
                           Estimated 2011 Own Source Gen Fund Revenue               $21.412 B
                           Estimated 2011 Federal Transfers                         $5.295 B
THE REAL PROBLEM



                           Total Recurring Revenue                                  $26.707 B

                               FY 2011 Operating Deficit                            (-$13.743 B)

                           Operating Deficit as % of Total GRF Approps              52.2%

                           One-Time, Nonrecurring Revenue/Debt
                           Securitization of Tobacco Litigation Proceeds            $1.2 B
                           Tax Amnesty Program                                      $.250 B
                           Raiding Special Funds                                    $1.0 B
                           Carry Forward of Federal ARRA Transfers                  $0.0 B
                           Total One-Time Nonrecurring Revenue                      $2.45 B

                           One-Time Revenue as % of Total GRF                       9.3%

                               Minimum Remaining Deficit                            (-$11.293 B)

                           As Percentage of Total GRF Approps                       42.9%




                                                                21
                                                                                © 2010, Center for Tax and Budget Accountability




                          WHAT SHOULD BE:
ELEMENTS OF A SOUND AND




                                                            
   FAIR FISCAL SYSTEM
                    M




                          FAIR                                             PROGRESSIVE
                                                                             OG SS V
                   D




                          RESPONSIVE                                      TO MODERN ECONOMY

                          STABLE                                          DURING POOR
                                                                           ECONOMIES

                          EFFICIENT                                       DOESN T
                                                                           DOESN’T DISTORT
       TS
        F




                                                                           PRIVATE MARKETS


                          BUT ISN’T
                                                                22
                                                                                © 2010, Center for Tax and Budget Accountability




                                                                                                                                   11
WHICH CREATES:
                                                         The Illinois Structural Deficit
                                        (How Revenue Growth Will Not Keep Pace With The Cost of Current Services)
                     $49 Billion
                                                    Revenue

                                                    Expenditures
               CIT
                     $44 Billion
     TURAL DEFICI


                     $39 Billion


                     $34 Billion


                     $29 Billion
STRUCT




                     $24 Billion



                     *Adjusts solely for historic rates of inflation and
                     population growth, and assumes normal economic
                     growth.                                          23
                                                                                             © 2010, Center for Tax and Budget Accountability




                                               Fair? Responsive?
                                       Income Growth in the United States 1979-1999
                                                   (Real 1999 Dollars)
                                                *Source U.S. Census Data
              TY
INCOM INEQUALIT



                      Percent Change
                                   e




                                        100%                                                   93.4%


                                        80%


                                        60%
                                                                                          50.20%
                                                                                  33.20
                                        40%                                       %
    ME




                                        20%
                                                                            5%
                                        0%

                                       -20%             -6%

                                                                           Next    Top Top Top
                                                     Bottom 60%            20%     20% 15% 1%




                                                                   24
                                                                                             © 2010, Center for Tax and Budget Accountability




                                                                                                                                                12
Illinois Tax Burden 2007

                                                         Income       Lowest         Second         Middle         Fourth                        Top 20%
                                                          Group        20%            20%            20%            20%          Next 15%        Next 4%          TOP 1%
MORE REGRESSIVE
              E

                                                         Income Less than           $18,000 –      $36,000 –      $58,000 –      $95,000 –      $196,000 –       $500,000
                                                          Range $18,000             $36,000        $58,000        $95,000        $196,000       $500,000          or more

                                      Average Income in Group         $10,100       $26,600         $47,000        $74,700       $128,900        $300,700       $2,084,700
                            Sales & Excise Taxes                        6.9%            5.5%           4.4%          3.6%             2.7%           1.7%            0.8%
                            General Sales—Individuals                    3.5%            3.0%           2.5%           2.2%           1.7%            1.1%             0.5%
                            Other Sales & Excise—Ind.                    1.7%            1.0%           0.7%           0.6%           0.4%            0.2%             0.1%
                            Sales & Excise on Business                   1.7%            1.4%           1.1%           0.9%           0.6%            0.4%             0.2%
                            Property Taxes                              4.8%            3.6%           3.7%          3.7%             3.9%           3.1%            1.5%
                            Property Taxes on Families                   4.7%            3.4%           3.6%           3.5%           3.7%            2.7%             0.6%
                            Other Property Taxes                         0.1%            0.2%           0.2%           0.2%           0.3%            0.3%             0.8%
                            Income Taxes                                1.2%            1.9%           2.3%          2.4%             2.4%           2.4%            2.6%
   E




                            Personal Income Tax
                                            Ta                           1.2%
                                                                         1 2%            1.9%
                                                                                         1 9%           2.2%
                                                                                                        2 2%           2.3%
                                                                                                                       2 3%           2.3%
                                                                                                                                      2 3%            2.3%
                                                                                                                                                      2 3%             2.2%
                                                                                                                                                                       2 2%
                            Corporate Income Tax                         0.0%            0.0%           0.0%           0.0%           0.1%            0.1%             0.4%
                                    TOTAL TAXES                       13.0%           11.0%          10.4%           9.7%             9.0%           7.2%            4.9%
                                 Federal Deduction Offset               –0.0%          –0.1%          –0.3%          –0.5%            –0.8%          –0.7%           –0.8%
                               TOTAL AFTER OFFSET                     13.0%           10.9%          10.1%           9.2%             8.2%           6.5%            4.1%
                           Note: Table shows 2007 tax law updated to reflect permanent changes in law enacted through October 2009.




                                                                                       25
                                                                                                                           © 2010, Center for Tax and Budget Accountability




                                                        INCOME TAX
                                                         INCREASE
                                                     3%                                                                        5%
             SB750/HB174
                       4




                                  3%                                                       2%                                  =                  5%

                                                           2/3                                   =                 67%

                                      *Note, corporate rate goes up from 4.8% to 8%,
                                      but―overall corporate tax burden goes down!




                                                                                       26
                                                                                                                           © 2010, Center for Tax and Budget Accountability




                                                                                                                                                                              13
Revenues of Goods and Services as a Percent of
                                        Gross State Product: Illinois
            SE                        (SIC: 1965 - 1996, NAICS: 2007)

                         70%
SALES TAX BAS

                         60%
                                                                        60%
                                                            59%
                         50%                   53%
                                                                                       Services as a
                         40%           41%                                             percent of GSP
                               36%                                                     Goods as a
                         30%
                                                                                       percent of GSP
                         20%     32%     26%
                                                 20%              18%
SA




                         10%                                              13%


                         0%
                               1965    1975    1985         1996        2007
                                               Year




                                                       27
                                                                                © 2010, Center for Tax and Budget Accountability




                          For More Information:
                 ation




                               Center for Tax and Budget Accountability
                                      www.ctbaonline.org
   Further Informa




                                        Ralph M. Martire
                                         Executive Director
                                         (312) 332-1049
                                         rmartire@ctbaonline.org

                                        Ron Baiman, Ph.D.
                                         Director of Budget and Policy Analysis
                                         (312) 332-1480
                                         rbaiman@ctbaonline.org
   F




                                        Yerik Kaslow
                                          Research Associate
                                          (312) 332-2151
                                          ykaslow@ctbaonline.org




                                                       28
                                                                                © 2010, Center for Tax and Budget Accountability




                                                                                                                                   14

More Related Content

What's hot

Fy 2013 Proposed Budget Presentation
Fy 2013 Proposed Budget PresentationFy 2013 Proposed Budget Presentation
Fy 2013 Proposed Budget Presentationdarrekferrell
 
BBTsq4 2008 Fourth Quarte 2008 Shareholders_Report
BBTsq4 2008 Fourth Quarte 2008 Shareholders_ReportBBTsq4 2008 Fourth Quarte 2008 Shareholders_Report
BBTsq4 2008 Fourth Quarte 2008 Shareholders_Reportfinance25
 
BancAnalysts Association of Boston Conference
BancAnalysts Association of Boston Conference BancAnalysts Association of Boston Conference
BancAnalysts Association of Boston Conference finance2
 
2012 Budget Day Presentation
2012 Budget Day Presentation2012 Budget Day Presentation
2012 Budget Day PresentationEmpowerLA
 
Cdbg Report Card
Cdbg Report CardCdbg Report Card
Cdbg Report CardRMorse
 
President forum 4 12 10 final mbr
President forum 4 12 10 final mbrPresident forum 4 12 10 final mbr
President forum 4 12 10 final mbrfiunews
 
State Budget Outlook Wasbo Feb 17 2009
State Budget Outlook Wasbo Feb 17 2009State Budget Outlook Wasbo Feb 17 2009
State Budget Outlook Wasbo Feb 17 2009WSU Cougars
 
Joint Meeting of the Fairfax County Board of Supervisors and the Fairfax Coun...
Joint Meeting of the Fairfax County Board of Supervisors and the Fairfax Coun...Joint Meeting of the Fairfax County Board of Supervisors and the Fairfax Coun...
Joint Meeting of the Fairfax County Board of Supervisors and the Fairfax Coun...Fairfax County
 
45 Day Budget Revisions
45 Day Budget Revisions45 Day Budget Revisions
45 Day Budget Revisionsdvodicka
 
Making sense of the city budget
Making sense of the city budgetMaking sense of the city budget
Making sense of the city budgetPost-Bulletin Co.
 
2011 Cook County Pension Fund Actuary Report
2011 Cook County Pension Fund Actuary Report2011 Cook County Pension Fund Actuary Report
2011 Cook County Pension Fund Actuary Reportcookcountyblog
 
Impacts of Federal Spending Changes on DC Commercial Real Estate
Impacts of Federal Spending Changes on DC Commercial Real EstateImpacts of Federal Spending Changes on DC Commercial Real Estate
Impacts of Federal Spending Changes on DC Commercial Real Estatekottmeier
 

What's hot (13)

Fy 2013 Proposed Budget Presentation
Fy 2013 Proposed Budget PresentationFy 2013 Proposed Budget Presentation
Fy 2013 Proposed Budget Presentation
 
BBTsq4 2008 Fourth Quarte 2008 Shareholders_Report
BBTsq4 2008 Fourth Quarte 2008 Shareholders_ReportBBTsq4 2008 Fourth Quarte 2008 Shareholders_Report
BBTsq4 2008 Fourth Quarte 2008 Shareholders_Report
 
BancAnalysts Association of Boston Conference
BancAnalysts Association of Boston Conference BancAnalysts Association of Boston Conference
BancAnalysts Association of Boston Conference
 
2012 Budget Day Presentation
2012 Budget Day Presentation2012 Budget Day Presentation
2012 Budget Day Presentation
 
Cdbg Report Card
Cdbg Report CardCdbg Report Card
Cdbg Report Card
 
President forum 4 12 10 final mbr
President forum 4 12 10 final mbrPresident forum 4 12 10 final mbr
President forum 4 12 10 final mbr
 
Ase bcse webinar-kadison_09.08.10
Ase bcse webinar-kadison_09.08.10Ase bcse webinar-kadison_09.08.10
Ase bcse webinar-kadison_09.08.10
 
State Budget Outlook Wasbo Feb 17 2009
State Budget Outlook Wasbo Feb 17 2009State Budget Outlook Wasbo Feb 17 2009
State Budget Outlook Wasbo Feb 17 2009
 
Joint Meeting of the Fairfax County Board of Supervisors and the Fairfax Coun...
Joint Meeting of the Fairfax County Board of Supervisors and the Fairfax Coun...Joint Meeting of the Fairfax County Board of Supervisors and the Fairfax Coun...
Joint Meeting of the Fairfax County Board of Supervisors and the Fairfax Coun...
 
45 Day Budget Revisions
45 Day Budget Revisions45 Day Budget Revisions
45 Day Budget Revisions
 
Making sense of the city budget
Making sense of the city budgetMaking sense of the city budget
Making sense of the city budget
 
2011 Cook County Pension Fund Actuary Report
2011 Cook County Pension Fund Actuary Report2011 Cook County Pension Fund Actuary Report
2011 Cook County Pension Fund Actuary Report
 
Impacts of Federal Spending Changes on DC Commercial Real Estate
Impacts of Federal Spending Changes on DC Commercial Real EstateImpacts of Federal Spending Changes on DC Commercial Real Estate
Impacts of Federal Spending Changes on DC Commercial Real Estate
 

Similar to Health and medicine forum - martire

Q1 2009 Earning Report of WESCO International, Inc.
Q1 2009 Earning Report of WESCO International, Inc.Q1 2009 Earning Report of WESCO International, Inc.
Q1 2009 Earning Report of WESCO International, Inc.earningreport earningreport
 
JPMorgan Chase First Quarter 2008 Financial Results Conference Call
JPMorgan Chase First Quarter 2008 Financial Results Conference Call JPMorgan Chase First Quarter 2008 Financial Results Conference Call
JPMorgan Chase First Quarter 2008 Financial Results Conference Call finance2
 
The Case for Going Big
The Case for Going Big The Case for Going Big
The Case for Going Big CRFB.org
 
SLM EarningsPresentationJuly242008Final
SLM  EarningsPresentationJuly242008FinalSLM  EarningsPresentationJuly242008Final
SLM EarningsPresentationJuly242008Finalfinance42
 
County Budget Forecast FY 2014 and FY 2015
County Budget Forecast FY 2014 and FY 2015County Budget Forecast FY 2014 and FY 2015
County Budget Forecast FY 2014 and FY 2015Fairfax County
 
WA State 2009-11 Budget OFM
WA State 2009-11 Budget OFMWA State 2009-11 Budget OFM
WA State 2009-11 Budget OFMLori Brown
 
S.Y. Bancorp Inc. KBW 13th Annual Community Bank Investor Conference Presenta...
S.Y. Bancorp Inc. KBW 13th Annual Community Bank Investor Conference Presenta...S.Y. Bancorp Inc. KBW 13th Annual Community Bank Investor Conference Presenta...
S.Y. Bancorp Inc. KBW 13th Annual Community Bank Investor Conference Presenta...Company Spotlight
 
Bonterra Energy Corporate Presentation
Bonterra Energy Corporate PresentationBonterra Energy Corporate Presentation
Bonterra Energy Corporate PresentationCompany Spotlight
 
Averting A Fiscal Crisis: Why America needs comprehensive fiscal reform now
Averting A Fiscal Crisis: Why America needs comprehensive fiscal reform nowAverting A Fiscal Crisis: Why America needs comprehensive fiscal reform now
Averting A Fiscal Crisis: Why America needs comprehensive fiscal reform nowFix the Debt Campaign
 
Increasing our IT-BPO Market Share in Europe
Increasing our IT-BPO Market Share in EuropeIncreasing our IT-BPO Market Share in Europe
Increasing our IT-BPO Market Share in EuropeAlejandro Melchor III
 
2Q12 AxoGen Inc. Fact Sheet
2Q12 AxoGen Inc. Fact Sheet2Q12 AxoGen Inc. Fact Sheet
2Q12 AxoGen Inc. Fact SheetCOCKRELL GROUP
 
Q3 2009 Earning Report of Bank of America Corporation
Q3 2009 Earning Report of Bank of America CorporationQ3 2009 Earning Report of Bank of America Corporation
Q3 2009 Earning Report of Bank of America Corporationearningreport earningreport
 
SPX Corporation 4th Quarter and Full Year 2008 Results
SPX Corporation 4th Quarter and Full Year 2008 Results SPX Corporation 4th Quarter and Full Year 2008 Results
SPX Corporation 4th Quarter and Full Year 2008 Results finance40
 
center- point energy annual reports 2004
center- point energy annual reports 2004center- point energy annual reports 2004
center- point energy annual reports 2004finance41
 
Time to Face the Music: TARP Update and the Fiscal Cliff
Time to Face the Music: TARP Update and the Fiscal CliffTime to Face the Music: TARP Update and the Fiscal Cliff
Time to Face the Music: TARP Update and the Fiscal CliffInside Analysis
 
Comprehensive Spending Review - Big Picture
Comprehensive Spending Review - Big PictureComprehensive Spending Review - Big Picture
Comprehensive Spending Review - Big PicturePaul Askew
 

Similar to Health and medicine forum - martire (20)

Macquarie
MacquarieMacquarie
Macquarie
 
Q1 2009 Earning Report of WESCO International, Inc.
Q1 2009 Earning Report of WESCO International, Inc.Q1 2009 Earning Report of WESCO International, Inc.
Q1 2009 Earning Report of WESCO International, Inc.
 
JPMorgan Chase First Quarter 2008 Financial Results Conference Call
JPMorgan Chase First Quarter 2008 Financial Results Conference Call JPMorgan Chase First Quarter 2008 Financial Results Conference Call
JPMorgan Chase First Quarter 2008 Financial Results Conference Call
 
The Case for Going Big
The Case for Going Big The Case for Going Big
The Case for Going Big
 
SLM EarningsPresentationJuly242008Final
SLM  EarningsPresentationJuly242008FinalSLM  EarningsPresentationJuly242008Final
SLM EarningsPresentationJuly242008Final
 
County Budget Forecast FY 2014 and FY 2015
County Budget Forecast FY 2014 and FY 2015County Budget Forecast FY 2014 and FY 2015
County Budget Forecast FY 2014 and FY 2015
 
WA State 2009-11 Budget OFM
WA State 2009-11 Budget OFMWA State 2009-11 Budget OFM
WA State 2009-11 Budget OFM
 
S.Y. Bancorp Inc. KBW 13th Annual Community Bank Investor Conference Presenta...
S.Y. Bancorp Inc. KBW 13th Annual Community Bank Investor Conference Presenta...S.Y. Bancorp Inc. KBW 13th Annual Community Bank Investor Conference Presenta...
S.Y. Bancorp Inc. KBW 13th Annual Community Bank Investor Conference Presenta...
 
Bonterra Energy Corporate Presentation
Bonterra Energy Corporate PresentationBonterra Energy Corporate Presentation
Bonterra Energy Corporate Presentation
 
Averting A Fiscal Crisis: Why America needs comprehensive fiscal reform now
Averting A Fiscal Crisis: Why America needs comprehensive fiscal reform nowAverting A Fiscal Crisis: Why America needs comprehensive fiscal reform now
Averting A Fiscal Crisis: Why America needs comprehensive fiscal reform now
 
Increasing our IT-BPO Market Share in Europe
Increasing our IT-BPO Market Share in EuropeIncreasing our IT-BPO Market Share in Europe
Increasing our IT-BPO Market Share in Europe
 
1 Q09 Investor Presentation
1 Q09 Investor Presentation1 Q09 Investor Presentation
1 Q09 Investor Presentation
 
2Q12 AxoGen Inc. Fact Sheet
2Q12 AxoGen Inc. Fact Sheet2Q12 AxoGen Inc. Fact Sheet
2Q12 AxoGen Inc. Fact Sheet
 
Q1 2009 Earning Report of Huntington Bancshares
Q1 2009 Earning Report of Huntington BancsharesQ1 2009 Earning Report of Huntington Bancshares
Q1 2009 Earning Report of Huntington Bancshares
 
Q3 2009 Earning Report of JPMorgan Chase & Co.
Q3 2009 Earning Report of JPMorgan Chase & Co.Q3 2009 Earning Report of JPMorgan Chase & Co.
Q3 2009 Earning Report of JPMorgan Chase & Co.
 
Q3 2009 Earning Report of Bank of America Corporation
Q3 2009 Earning Report of Bank of America CorporationQ3 2009 Earning Report of Bank of America Corporation
Q3 2009 Earning Report of Bank of America Corporation
 
SPX Corporation 4th Quarter and Full Year 2008 Results
SPX Corporation 4th Quarter and Full Year 2008 Results SPX Corporation 4th Quarter and Full Year 2008 Results
SPX Corporation 4th Quarter and Full Year 2008 Results
 
center- point energy annual reports 2004
center- point energy annual reports 2004center- point energy annual reports 2004
center- point energy annual reports 2004
 
Time to Face the Music: TARP Update and the Fiscal Cliff
Time to Face the Music: TARP Update and the Fiscal CliffTime to Face the Music: TARP Update and the Fiscal Cliff
Time to Face the Music: TARP Update and the Fiscal Cliff
 
Comprehensive Spending Review - Big Picture
Comprehensive Spending Review - Big PictureComprehensive Spending Review - Big Picture
Comprehensive Spending Review - Big Picture
 

More from Health & Medicine Policy Research Group

The Palmetto Project: Putting Innovative Ideas to Work in South Carolina-Stev...
The Palmetto Project: Putting Innovative Ideas to Work in South Carolina-Stev...The Palmetto Project: Putting Innovative Ideas to Work in South Carolina-Stev...
The Palmetto Project: Putting Innovative Ideas to Work in South Carolina-Stev...Health & Medicine Policy Research Group
 
Strengthening the Regional Health Care Safety Net-Introduction & Background.
Strengthening the Regional Health Care Safety Net-Introduction & Background.Strengthening the Regional Health Care Safety Net-Introduction & Background.
Strengthening the Regional Health Care Safety Net-Introduction & Background.Health & Medicine Policy Research Group
 

More from Health & Medicine Policy Research Group (20)

Social security—keeping the promise to all generations
Social security—keeping the promise to all generationsSocial security—keeping the promise to all generations
Social security—keeping the promise to all generations
 
NAPH presentation chicago
NAPH presentation chicagoNAPH presentation chicago
NAPH presentation chicago
 
Health reform and workforce issues murray
Health reform and workforce issues murrayHealth reform and workforce issues murray
Health reform and workforce issues murray
 
Health care reform and the safety net rakove
Health care reform and the safety net  rakoveHealth care reform and the safety net  rakove
Health care reform and the safety net rakove
 
Cchhs hc reform presentation 7 9 10
Cchhs hc reform presentation 7 9 10Cchhs hc reform presentation 7 9 10
Cchhs hc reform presentation 7 9 10
 
Hmprg state budget impact on human services kaplan
Hmprg state budget impact on human services kaplanHmprg state budget impact on human services kaplan
Hmprg state budget impact on human services kaplan
 
Health and medicine forum martire
Health and medicine forum  martireHealth and medicine forum  martire
Health and medicine forum martire
 
Addressing Illinois' community health crisis, june 2010 - anselmo
Addressing Illinois' community health crisis,  june 2010  - anselmoAddressing Illinois' community health crisis,  june 2010  - anselmo
Addressing Illinois' community health crisis, june 2010 - anselmo
 
Impact of Illinois state cuts - substance abuse
Impact of Illinois state cuts - substance abuseImpact of Illinois state cuts - substance abuse
Impact of Illinois state cuts - substance abuse
 
111909 Cdph Presentation Full
111909 Cdph Presentation Full111909 Cdph Presentation Full
111909 Cdph Presentation Full
 
Workplace Design And Accommodating Workers With Disabilities
Workplace Design And Accommodating Workers With DisabilitiesWorkplace Design And Accommodating Workers With Disabilities
Workplace Design And Accommodating Workers With Disabilities
 
Keynote Jane Lipscomb
Keynote  Jane LipscombKeynote  Jane Lipscomb
Keynote Jane Lipscomb
 
Civic Engagement Of Older Adults
Civic Engagement Of Older AdultsCivic Engagement Of Older Adults
Civic Engagement Of Older Adults
 
The Palmetto Project: Putting Innovative Ideas to Work in South Carolina-Stev...
The Palmetto Project: Putting Innovative Ideas to Work in South Carolina-Stev...The Palmetto Project: Putting Innovative Ideas to Work in South Carolina-Stev...
The Palmetto Project: Putting Innovative Ideas to Work in South Carolina-Stev...
 
Strengthening the Regional Health Care Safety Net-Introduction & Background.
Strengthening the Regional Health Care Safety Net-Introduction & Background.Strengthening the Regional Health Care Safety Net-Introduction & Background.
Strengthening the Regional Health Care Safety Net-Introduction & Background.
 
Growing Healthcare Costs and the Federal Debt
Growing Healthcare Costs and the Federal DebtGrowing Healthcare Costs and the Federal Debt
Growing Healthcare Costs and the Federal Debt
 
“Access DuPage: Dick Endress”
“Access DuPage: Dick Endress”“Access DuPage: Dick Endress”
“Access DuPage: Dick Endress”
 
“Primary Care Coalition, Montgomery County: Steve Galen”
“Primary Care Coalition, Montgomery County: Steve Galen”“Primary Care Coalition, Montgomery County: Steve Galen”
“Primary Care Coalition, Montgomery County: Steve Galen”
 
HMPRG Safety Net Initiative History- Lon Berkeley.
HMPRG Safety Net Initiative History- Lon Berkeley.HMPRG Safety Net Initiative History- Lon Berkeley.
HMPRG Safety Net Initiative History- Lon Berkeley.
 
“Building Collaborative Health Networks: Pat Terrell”
“Building Collaborative Health Networks: Pat Terrell”“Building Collaborative Health Networks: Pat Terrell”
“Building Collaborative Health Networks: Pat Terrell”
 

Recently uploaded

Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...anilsa9823
 
Russian Faridabad Call Girls(Badarpur) : ☎ 8168257667, @4999
Russian Faridabad Call Girls(Badarpur) : ☎ 8168257667, @4999Russian Faridabad Call Girls(Badarpur) : ☎ 8168257667, @4999
Russian Faridabad Call Girls(Badarpur) : ☎ 8168257667, @4999Tina Ji
 
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝soniya singh
 
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
7.pdf This presentation captures many uses and the significance of the number...
7.pdf This presentation captures many uses and the significance of the number...7.pdf This presentation captures many uses and the significance of the number...
7.pdf This presentation captures many uses and the significance of the number...Paul Menig
 
A DAY IN THE LIFE OF A SALESMAN / WOMAN
A DAY IN THE LIFE OF A  SALESMAN / WOMANA DAY IN THE LIFE OF A  SALESMAN / WOMAN
A DAY IN THE LIFE OF A SALESMAN / WOMANIlamathiKannappan
 
RE Capital's Visionary Leadership under Newman Leech
RE Capital's Visionary Leadership under Newman LeechRE Capital's Visionary Leadership under Newman Leech
RE Capital's Visionary Leadership under Newman LeechNewman George Leech
 
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service PuneVIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service PuneCall girls in Ahmedabad High profile
 
GD Birla and his contribution in management
GD Birla and his contribution in managementGD Birla and his contribution in management
GD Birla and his contribution in managementchhavia330
 
Tech Startup Growth Hacking 101 - Basics on Growth Marketing
Tech Startup Growth Hacking 101  - Basics on Growth MarketingTech Startup Growth Hacking 101  - Basics on Growth Marketing
Tech Startup Growth Hacking 101 - Basics on Growth MarketingShawn Pang
 
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
The CMO Survey - Highlights and Insights Report - Spring 2024
The CMO Survey - Highlights and Insights Report - Spring 2024The CMO Survey - Highlights and Insights Report - Spring 2024
The CMO Survey - Highlights and Insights Report - Spring 2024christinemoorman
 
BEST Call Girls In Old Faridabad ✨ 9773824855 ✨ Escorts Service In Delhi Ncr,
BEST Call Girls In Old Faridabad ✨ 9773824855 ✨ Escorts Service In Delhi Ncr,BEST Call Girls In Old Faridabad ✨ 9773824855 ✨ Escorts Service In Delhi Ncr,
BEST Call Girls In Old Faridabad ✨ 9773824855 ✨ Escorts Service In Delhi Ncr,noida100girls
 
Monte Carlo simulation : Simulation using MCSM
Monte Carlo simulation : Simulation using MCSMMonte Carlo simulation : Simulation using MCSM
Monte Carlo simulation : Simulation using MCSMRavindra Nath Shukla
 
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...lizamodels9
 
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...lizamodels9
 
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfIntro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfpollardmorgan
 
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfGrateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfPaul Menig
 
Eni 2024 1Q Results - 24.04.24 business.
Eni 2024 1Q Results - 24.04.24 business.Eni 2024 1Q Results - 24.04.24 business.
Eni 2024 1Q Results - 24.04.24 business.Eni
 
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts ServiceVip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Serviceankitnayak356677
 

Recently uploaded (20)

Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
 
Russian Faridabad Call Girls(Badarpur) : ☎ 8168257667, @4999
Russian Faridabad Call Girls(Badarpur) : ☎ 8168257667, @4999Russian Faridabad Call Girls(Badarpur) : ☎ 8168257667, @4999
Russian Faridabad Call Girls(Badarpur) : ☎ 8168257667, @4999
 
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
 
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
 
7.pdf This presentation captures many uses and the significance of the number...
7.pdf This presentation captures many uses and the significance of the number...7.pdf This presentation captures many uses and the significance of the number...
7.pdf This presentation captures many uses and the significance of the number...
 
A DAY IN THE LIFE OF A SALESMAN / WOMAN
A DAY IN THE LIFE OF A  SALESMAN / WOMANA DAY IN THE LIFE OF A  SALESMAN / WOMAN
A DAY IN THE LIFE OF A SALESMAN / WOMAN
 
RE Capital's Visionary Leadership under Newman Leech
RE Capital's Visionary Leadership under Newman LeechRE Capital's Visionary Leadership under Newman Leech
RE Capital's Visionary Leadership under Newman Leech
 
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service PuneVIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
 
GD Birla and his contribution in management
GD Birla and his contribution in managementGD Birla and his contribution in management
GD Birla and his contribution in management
 
Tech Startup Growth Hacking 101 - Basics on Growth Marketing
Tech Startup Growth Hacking 101  - Basics on Growth MarketingTech Startup Growth Hacking 101  - Basics on Growth Marketing
Tech Startup Growth Hacking 101 - Basics on Growth Marketing
 
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
 
The CMO Survey - Highlights and Insights Report - Spring 2024
The CMO Survey - Highlights and Insights Report - Spring 2024The CMO Survey - Highlights and Insights Report - Spring 2024
The CMO Survey - Highlights and Insights Report - Spring 2024
 
BEST Call Girls In Old Faridabad ✨ 9773824855 ✨ Escorts Service In Delhi Ncr,
BEST Call Girls In Old Faridabad ✨ 9773824855 ✨ Escorts Service In Delhi Ncr,BEST Call Girls In Old Faridabad ✨ 9773824855 ✨ Escorts Service In Delhi Ncr,
BEST Call Girls In Old Faridabad ✨ 9773824855 ✨ Escorts Service In Delhi Ncr,
 
Monte Carlo simulation : Simulation using MCSM
Monte Carlo simulation : Simulation using MCSMMonte Carlo simulation : Simulation using MCSM
Monte Carlo simulation : Simulation using MCSM
 
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
 
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
 
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfIntro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
 
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfGrateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdf
 
Eni 2024 1Q Results - 24.04.24 business.
Eni 2024 1Q Results - 24.04.24 business.Eni 2024 1Q Results - 24.04.24 business.
Eni 2024 1Q Results - 24.04.24 business.
 
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts ServiceVip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
 

Health and medicine forum - martire

  • 1. CENTER FOR TAX AND BUDGET ACCOUNTABILITY 70 E. Lake Street  Suite 1700  Chicago, Illinois 60601  direct: 312.332.1049  Email: rmartire@ctbaonline.org “The State’s Fiscal Crisis: Changing our Collective Response” g g p For: Monday, June 14, 2010; 1:10 pm Health & Medicine Policy Research Group UIC Student Center West, Chicago Rooms Chicago, IL Presented by: Ralph Martire Executive Director 1 © 2010, Center for Tax and Budget Accountability Illinois FY2011 Operating and Total Budget Remaining under HB859, SA 1, 2 and 3 Spending Carry Forward of Unpaid Bills $6.0 B Repayment of Debt/Prior Fund Transfers $4.61 B General Fund Approps $26.32 B Required Pension Payment $ 3.52 B Total Revenue Needed $40.45 B Revenue Recurring Estimated 2011 Own Source Gen Fund Revenue $21.412 B Estimated 2011 Federal Transfers $5.295 B THE REAL PROBLEM Total Recurring Revenue $26.707 B FY 2011 Operating Deficit (-$13.743 B) Operating Deficit as % of Total GRF Approps 52.2% One-Time, Nonrecurring Revenue/Debt Securitization of Tobacco Litigation Proceeds $1.2 B Tax Amnesty Program $.250 B Raiding Special Funds $1.0 B Carry Forward of Federal ARRA Transfers $0.0 B Total One-Time Nonrecurring Revenue $2.45 B One-Time Revenue as % of Total GRF 9.3% Minimum Remaining Deficit (-$11.293 B) As Percentage of Total GRF Approps 42.9% 2 © 2010, Center for Tax and Budget Accountability 1
  • 2. The Context: BIG ‘N RICH • In 2008, Illinois ranked fifth nationally with a Gross State Product in excess of $633 billion ILLINOIS’ ECONOMY (BEA). • That would be the 27th RGE largest economy of any nation in the world- IS LAR E greater than Egypt, Saudi E S Arabia, Colombia, Belgium, Sweden, Greece, Ireland, Portugal, Norway and Nigeria, to name a few. 3 © 2010, Center for Tax and Budget Accountability Illinois GDP Growth Lags But, IL Gross State Product Grew Less than U.S. or Midwest States, 1990-2007 THE ILLINOI ECONOMY 71.7% 80.0% 70.0% 60.0% 49.4% 48.1% 50.0% 40.0% IS 30.0% 20.0% 10.0% 0.0% US Midwest States Illinois Source: Bureau of Economic Analysis, US Dept. of Commerce 4 © 2010, Center for Tax and Budget Accountability 2
  • 3. For over two decades now:  Loss of high paying/good benefit jobs  All job growth in Illinois came in the service sector. LOW-END SERVICE JOBS GROW  For the most part, service sector jobs part G that pay less than manufacturing  On average, most of these service jobs LOW- pay 29% less than the manufacturing jobs they replace 5 © 2010, Center for Tax and Budget Accountability  Employer-provided health insurance benefits have been steadily declining in Illinois since 1980. ED  By 2008, over 43% of OYER-PROVIDE the workforce didn’t have employer provided insurance BENEFITS  Hispanics especially hard hit–over 57% do OYER- not have employer- provided insurance B EMPLO  B 2009 30% of the By 2009, Illinois population is either on Medicaid or uninsured 6 © 2010, Center for Tax and Budget Accountability 3
  • 4. Why the Economic and ongoing Deficit Problems—Not Wasteful Spending ATE? Category FY 2000 FY2000 FY2010 Difference FY2000 - Difference Actual Adjusted Enacted FY2000 - FY2010 FY2000 - IS ILLINO PROFLIGA to t FY2010 FY2010 ECI & FY2010 for CPI & CPI & Population ECI & Population Population Population General $21.294 B $29.551 Fund -Pension (- $1.230 B) (- $3.587) OIS General $20.064 B $26.608 $ 25.964 (-$644 M) $ 28.085 B (- $ 2.089 B) Fund/ Current Services 7 © 2010, Center for Tax and Budget Accountability Over $9 out of $10 of G.F. are spent on: • Education (k-12, (k-12 plus Higher Ed) 35% • Healthcare 30% • Human Services 21% • Public Safety 5% 91% 8 © 2010, Center for Tax and Budget Accountability 4
  • 5. THE REAL IMPACT: $4.4 BILLION LOST Amount by Which Illinois General Fund State Spending on Human Service Programs Falls Short of Keeping Pace with Inflationary Costs and Population Growth From FY2002 to FY2010 $0 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY2010 ($168) ($100) ($393) ($384) ($377) ($200) ($413) ($454) ($434) ($457) ($300) ($270) (millions) ($400) ($33) ($68) ($105) ($500) By failing to account for annual inflationary costs, Illinois cut human service funding in real terms by ($145) ($310) a cummulative $3.1 B from FY2003 to FY2010. By ($186) ($235) failing to account for population growth, Illnois ($600) further shorted human service funding by approximately $1.4 B from FY2003 to FY2010. In total, state funding of human services over this period was approximately $4.4 B less than what ($700) was needed to maintain FY2002 service levels, adjusting for inflation and population growth. ($800) Note: Commission on Government Forecasting and Accountabiity, Budget Summaries for FY2002 to FY2010. Final General Revenue appropriations for the Illinois Departments of Aging, Children & Family Services, and Human Services. Appropriations shortfalls necessary to maintain real value of FY2002 appropriation based on Mid-West CPI (MWCPI). MWCPI for FY2010 is assumed to be 0%, in all likelihood understateng the shortfall. Population growth estimate from Illinois Department of Commerce and Economic Opportunity. Key: Red Bar - MWCPI Shortfall; Blue Bar - Population Adjustment Shortfall 9 © 2010, Center for Tax and Budget Accountability AS FOR HEALTHCARE, WELL……. Medicaid Spending by Funding Source (Federal, State and Local) $16 $13.9B $14 $12.5B $12 5B $12 $11.4B $10.5B $11B $6.6 $10 $9.6B $6.0 (billions) $5.5 $8 $5.5 $5.5 $4.5 $6 $2.9 $2.3 $2.1 $1.5 $1.7 $2.4 $4 $2 $3.8 $4.2 $4.4 $3.6 $3.3 $3.1 $0 FY2003 FY2004 FY2005 FY2006 FY2007 FY2008 State General Funds Other State and Local Contribution Federal Funds Data Source: National Association of State Budget Officers, Annual State Expenditure Reports. P.S. After inflation and population, own source revenue spending increased by just $42 M to $154 M over this five-year period. 10 © 2010, Center for Tax and Budget Accountability 5
  • 6. • Why the Economic Problems? – NOT TAX BURDEN • Illinois’ total state AND local tax burden, ILLINO IS LOW TAX X as a percentage of personal income ranks only 46th in the nation (through 2007). OVERALL • This is the lowest comprehensive tax burden in the Midwest. OIS O • Illi i also ranks only 45th i state Illinois l k l in spending as a percentage of GDP among the states (BEA data). 11 © 2010, Center for Tax and Budget Accountability Education now matters more than ever to economic prosperity: TION EXHIBIT “A” IS EDUCAT Generally: unemployment rates are highest for those with the least education. “  The Change is Wages! 12 © 2010, Center for Tax and Budget Accountability 6
  • 7. Wages for Minorities lag Whites Real wages for Whites increased modestly between 1980 and 2007, but : FERENCES The White-Hispanic wage gap is larger in amount, but increased by a smaller percentage, growing from $3.82 in 1980 to $5.34 in 2007, an increase of 39.7% over 1980 Real wages for African-Americans declined. The hourly wage gap between Whites and African- African WAGE DIFF Americans grew from $1.52 in 1980 to $3.44 in 2007, an increase of 126.3% over 1980 13 © 2010, Center for Tax and Budget Accountability Percentage of African-American Students in High and Low Poverty Schools RS RACE MATTER 60.0% 55.04% 50.0% 40.0% 30.0% 20.0% Highest Poverty districts Low est Poverty Districts 10.0% 1.28% R 0.0% 14 © 2010, Center for Tax and Budget Accountability 7
  • 8. A SNAPSHOT OF WHAT IS ANCE Illinois State & Local Revenue • In 2007 (the most recent national comparison available), state and local PROPERTY TAX RELIA revenue came from the following sources: PROPERTY TAX 37.18% SALES TAX 16.6% EXCISE and Utilities TAXES 17.2% INDIVIDUAL INCOME TAX 17.1% OTHER 6.7% CORPORATE INCOME TAX 5.3% SOURCE: Federal Tax Administrators Data 15 © 2010, Center for Tax and Budget Accountability WHY – EDUCATION ANCE • Illinois ranks 49th out of 50 states in the portion of education funding PROPERTY TAX RELIA covered by state – versus local – revenuejust 28% of the cost. • Illinois is the most reliant state on property taxes to fund schools in the nation. (National Education Association Data) 16 © 2010, Center for Tax and Budget Accountability 8
  • 9. Illinois Property Tax Revenue Growth vs. State Median Income Growth UGH” 60.0% 53.71% Property Tax Revenue Grow th 50.0% URDEN IS TOU State Median Income Grow th 40.0% 30.0% 23.21% 20.0% 10.0% 4.92% 0.0% “THE BU -10.0% -5.33% 1990-2007 2000-2007 17 © 2010, Center for Tax and Budget Accountability The Priorities Under HB859, SA 1, 2 and 3 1 Education $9.35 B $ 35% (K-12 $7.15B, 27%) (Higher Ed $2.18 B, 8%) PRIORITIES 2 Health Care (DPH & HFS) $7.068 B 27% 3 Human Services (DHS, Aging & DCFS) $3.436 B 13% 4 Public Safety $1.147 B 4% PR 5 Governor’s Discretionary Allocations $3.466 B 13% 18 © 2010, Center for Tax and Budget Accountability 9
  • 10. Consider the Story for Education Category FY2000 FY2000 Adj FY2011 DIFF FY2000 Adj DIFF Actual to FY2011 Enacted to FY2011 CPI and ECI and Population Population K-12 Ed $5.542 B $6.347 B $7.150 B* $803 M $7.253 B (- $103 M) $6.550 B $203 M (-$703 M) Higher Ed $2.379 B $2.819 B $2.180 B (- $639 M) $3.322 B (-$1.042 B) -32% Human $4.599 B $6.025 B $3.436 B (- $2.589 B) $ 6.885 B (-$ 3.449B) Services -50.1% *Note, K-12 funding will be subject to a $600 M ‘hold back” in FY2011, that will result in a cut if the state does not pass new revenue. This increases the K-12 funding cut in FY2011 from 1.4% to 10%. 19 © 2010, Center for Tax and Budget Accountability OPENING ARGUMENT: OOK BAD IN 20 . . . Illinois' State FY2010 Budget Breakdown 010. APPROPRIATIONS $26.08 B* ONE-TIME, NONRECURRING REVENUES Debt Proceeds from issuance of five- $3.466 B year Pension Notes Federal Stimulus $1.966 B Fund Sweeps $ .352 B Debt Restructuring $ .475 B TOTAL NONRECURRING REVENUE $6.259 B** * Note: The FY2010 budget figure does NOT include at least $ $4.0 B in past due, unpaid bills carried forward from FY2009. The p , p THINGS LO Appropriation figure also does not include the $3.466 B in Pension Note proceeds used to fund state pensions though pension payments have historically been included in General Fund appropriations. **Note: That means over 21% of the $29.55 B FY2010 budget ($26.08 B plus $3.466 B in Pension Fund payments) is covered with one-time, nonrecurring revenues not available in FY2011. 20 © 2010, Center for Tax and Budget Accountability 10
  • 11. Illinois FY2011 Operating and Total Budget Remaining under HB859, SA 1, 2 and 3 Spending Carry Forward of Unpaid Bills $6.0 B Repayment of Debt/Prior Fund Transfers $4.61 B General Fund Approps $26.32 B Required Pension Payment $ 3.52 B Total Revenue Needed $40.45 B Revenue Recurring Estimated 2011 Own Source Gen Fund Revenue $21.412 B Estimated 2011 Federal Transfers $5.295 B THE REAL PROBLEM Total Recurring Revenue $26.707 B FY 2011 Operating Deficit (-$13.743 B) Operating Deficit as % of Total GRF Approps 52.2% One-Time, Nonrecurring Revenue/Debt Securitization of Tobacco Litigation Proceeds $1.2 B Tax Amnesty Program $.250 B Raiding Special Funds $1.0 B Carry Forward of Federal ARRA Transfers $0.0 B Total One-Time Nonrecurring Revenue $2.45 B One-Time Revenue as % of Total GRF 9.3% Minimum Remaining Deficit (-$11.293 B) As Percentage of Total GRF Approps 42.9% 21 © 2010, Center for Tax and Budget Accountability WHAT SHOULD BE: ELEMENTS OF A SOUND AND  FAIR FISCAL SYSTEM M FAIR PROGRESSIVE OG SS V D RESPONSIVE  TO MODERN ECONOMY STABLE  DURING POOR ECONOMIES EFFICIENT  DOESN T DOESN’T DISTORT TS F PRIVATE MARKETS BUT ISN’T 22 © 2010, Center for Tax and Budget Accountability 11
  • 12. WHICH CREATES: The Illinois Structural Deficit (How Revenue Growth Will Not Keep Pace With The Cost of Current Services) $49 Billion Revenue Expenditures CIT $44 Billion TURAL DEFICI $39 Billion $34 Billion $29 Billion STRUCT $24 Billion *Adjusts solely for historic rates of inflation and population growth, and assumes normal economic growth. 23 © 2010, Center for Tax and Budget Accountability Fair? Responsive? Income Growth in the United States 1979-1999 (Real 1999 Dollars) *Source U.S. Census Data TY INCOM INEQUALIT Percent Change e 100% 93.4% 80% 60% 50.20% 33.20 40% % ME 20% 5% 0% -20% -6% Next Top Top Top Bottom 60% 20% 20% 15% 1% 24 © 2010, Center for Tax and Budget Accountability 12
  • 13. Illinois Tax Burden 2007 Income Lowest Second Middle Fourth Top 20% Group 20% 20% 20% 20% Next 15% Next 4% TOP 1% MORE REGRESSIVE E Income Less than $18,000 – $36,000 – $58,000 – $95,000 – $196,000 – $500,000 Range $18,000 $36,000 $58,000 $95,000 $196,000 $500,000 or more Average Income in Group $10,100 $26,600 $47,000 $74,700 $128,900 $300,700 $2,084,700 Sales & Excise Taxes 6.9% 5.5% 4.4% 3.6% 2.7% 1.7% 0.8% General Sales—Individuals 3.5% 3.0% 2.5% 2.2% 1.7% 1.1% 0.5% Other Sales & Excise—Ind. 1.7% 1.0% 0.7% 0.6% 0.4% 0.2% 0.1% Sales & Excise on Business 1.7% 1.4% 1.1% 0.9% 0.6% 0.4% 0.2% Property Taxes 4.8% 3.6% 3.7% 3.7% 3.9% 3.1% 1.5% Property Taxes on Families 4.7% 3.4% 3.6% 3.5% 3.7% 2.7% 0.6% Other Property Taxes 0.1% 0.2% 0.2% 0.2% 0.3% 0.3% 0.8% Income Taxes 1.2% 1.9% 2.3% 2.4% 2.4% 2.4% 2.6% E Personal Income Tax Ta 1.2% 1 2% 1.9% 1 9% 2.2% 2 2% 2.3% 2 3% 2.3% 2 3% 2.3% 2 3% 2.2% 2 2% Corporate Income Tax 0.0% 0.0% 0.0% 0.0% 0.1% 0.1% 0.4% TOTAL TAXES 13.0% 11.0% 10.4% 9.7% 9.0% 7.2% 4.9% Federal Deduction Offset –0.0% –0.1% –0.3% –0.5% –0.8% –0.7% –0.8% TOTAL AFTER OFFSET 13.0% 10.9% 10.1% 9.2% 8.2% 6.5% 4.1% Note: Table shows 2007 tax law updated to reflect permanent changes in law enacted through October 2009. 25 © 2010, Center for Tax and Budget Accountability INCOME TAX INCREASE 3%  5% SB750/HB174 4 3%  2% = 5% 2/3 = 67% *Note, corporate rate goes up from 4.8% to 8%, but―overall corporate tax burden goes down! 26 © 2010, Center for Tax and Budget Accountability 13
  • 14. Revenues of Goods and Services as a Percent of Gross State Product: Illinois SE (SIC: 1965 - 1996, NAICS: 2007) 70% SALES TAX BAS 60% 60% 59% 50% 53% Services as a 40% 41% percent of GSP 36% Goods as a 30% percent of GSP 20% 32% 26% 20% 18% SA 10% 13% 0% 1965 1975 1985 1996 2007 Year 27 © 2010, Center for Tax and Budget Accountability For More Information: ation Center for Tax and Budget Accountability www.ctbaonline.org Further Informa Ralph M. Martire Executive Director (312) 332-1049 rmartire@ctbaonline.org Ron Baiman, Ph.D. Director of Budget and Policy Analysis (312) 332-1480 rbaiman@ctbaonline.org F Yerik Kaslow Research Associate (312) 332-2151 ykaslow@ctbaonline.org 28 © 2010, Center for Tax and Budget Accountability 14