Despite the devastating delays thousands of families across Illinois are experiencing when trying to access the Early Intervention (EI) services they are legally entitled to receive, Governor JB Pritzker’s Fiscal Year 2026 budget proposal does not include any additional state funds for the EI program, which provides critical services to infants and toddlers who have or are at risk for significant developmental delays and disabilities. Instead, the administration is recommending a small rate increase for providers at a cost of $10 million supported by Medicaid funds. While we applaud IDHS and HFS for ensuring we are maximizing Medicaid funds, the funding increase is not nearly enough to address the historically high service delays and long waitlists that are directly tied to the workforce shortage.
The proposal to flat fund EI is concerning and a departure from the multi-year investments announced in 2023 as part of the administration’s Smart Start Illinois initiative, which included a “commitment to regular increases in SFY25-SFY27 on Early Intervention funding mechanisms” following efforts to study and improve EI infrastructure and funding methods. Since then, a cost model study commissioned by IDHS-DEC found that the state needs to raise current spending by an additional $168 million annually to adequately compensate the workforce and stabilize the program. IDHS also invested in cross-state research, which shows that Illinois EI provider reimbursement rates are significantly lower than other states, forcing professionals to leave the field for higher-paying jobs in hospitals, schools, and private practice. These findings underscore a massive funding gap in pay for the workforce and a need for immense investment.
Illinois’ EI program is at a breaking point and the crisis has recently received more media attention than ever before. For the past several months, EI families, providers, doctors and advocates have raised their voices to call for an additional $60 million in the FY26 budget through statewide rallies, 2,200+ petition signatures, and meetings with the Governor’s Office about this issue. It’s time for the state to show their voices have been heard. What will it take for our state to prioritize the needs and rights of infants and toddlers with delays or disabilities and their families? How much more harm will be done before we decide to take action?