igpa.uillinois.edu/budget-toolbox TOOLS TO ADDRESS SPENDING Tools to Address Spending Ameliorating Illinois’ Structural Deficit by Bending the Cost Curve Richard J. Winkel, Jr., Director, Office of Public Leadership University of Illinois Institute of Government and Public Affairs February 18, 2014 Illinois policymakers could be faced once again with painful budget choices that include not only whether state spending cuts will be targeted or general, but also whether those cuts will be immediate or gradual. This short article is about austerity policies recently enacted by Illinois policymakers and what additional actions they could take to ameliorate Illinois’ structural deficit by “bending the cost curve.” When facing budget deficits, policymakers often find that plans to cut current benefit programs create strong and immediate backlash from recipients and other interest groups. Those beneficiaries may have been counting on those state expenditure programs, and they may feel that the state is “changing the rules in the middle of the game.” Fairness may require giving them more time to adjust. Even without immediate cuts in spending, however, policymakers can help reduce future deficits if they can reduce the growth of spending. They might be able to “bend the curve” for the growth of state expenditures, so that outlays do not grow as fast as currently projected. However, the use of that metaphor by experts to analyze the pros and cons of decisions by policymakers has its critics.1 Notwithstanding the critics and caveats, and without resolving the controversy, the use of the metaphor is apparently here to stay. Therefore, the question considered here is whether Illinois can ameliorate the structural deficit by bending the cost curve. The short answer is yes; even without actually cutting state spending, Illinois policymakers can reduce the budget deficit by slower growth in future spending. Illinois policymakers are currently confronting the harsh reality that they have “two huge fiscal problems: a large and growing gap between sustainable revenues and projected spending levels; and a Safire, William. (September 11, 2009). On language: Bending the curve. New York Times. Available at http://www.nytimes. com/2009/09/13/magazine/13FOB-OnLanguage-t.html?_r=0 1 White, Joseph. (October 1, 2011). ‘Bending the cost curve’ and the politics of cost control. Journal of Health Services Research & Policy, 16(195). http://hsr.sagepub.com/content/16/4/195.full.pdf+html. White warned, “‘Bending the curve’ is a dangerous metaphor because it suggests policy has more control of the future than it can; because it directs attention to situations about which we know and can do less (the future) rather than when we know and can do more (the present); and because… it favors speculative ideas over measures with which there is more experience.” 1 largest-in-the-nation unfunded pension liability.”2 Illinois policymakers deserve much credit for taking the necessary and difficult first steps through a tax increase and pension reform. However, they still have many miles to go on the road to solving the structural budget gap and restoring fiscal sustainability.3 “Bending the curve” focuses on future or projected costs. Thus, Illinois policymakers might logically consider adopting austerity measures to change the future cost trend and avoid the fiscal imbalance. In fact, Illinois policymakers have already undertaken to bend the curve in the past three years. Effective January 1, 2011, Illinois policymakers enacted temporary increases in the personal and corporate income tax rates and capped the growth of General Funds spending. They increased the personal income tax rate from 3.0 percent to 5.0 percent and the corporate tax rate from 4.8 percent to 7.0 percent. General Funds spending was capped at 2 percent per year for 2012-2015. The income tax rate increases will phase-out beginning January 1, 2015. In an effort to save the Medicaid program, the Governor approved a legislative package on June 14, 2012 that increases the cigarette tax by $1.00 per pack to $1.98 and increases the number of tobacco products under the tax, which will raise about $675 million in new revenues for Medicaid. At the same time, they enacted cuts and efficiencies in the Medicaid program that will save an estimated $1.6 billion in fiscal year 2013. Finally, over the last three years, Illinois policymakers also adopted some reforms to the budget process that could result in future cost savings. For example, they (1) created the new Budgeting for Results Commission and spending reforms that require the Illinois to live within its means and focus on performance effective since July 1, 2010, (2) enacted a new requirement effective beginning January 1, 2014 that the Governor’s Office of Management and Budget shall publish to its Dye, Richard, Hudspeth, Nancy and Merriman, David. (January 2014). Illinois still has serious fiscal problems after December 2013 pension law changes. University of Illinois Institute of Government and Public Affairs. Available at http://igpa.uillinois.edu/system/ files/Pension-Reform-Will-Not-Fix-Deficit.pdf. This paper is quoted and summarized throughout this paper. 2 See generally, Dye, Richard, Merriman, David, Hudspeth, Nancy and Crosby, Andrew. (January 2013). And miles to go before it’s balanced: Illinois still faces tough budget choices. The Illinois Report 2013. University of Illinois Institute of Government and Public Affairs. Available at http://igpa.uillinois.edu/IR13/pdfs/ IR13_CH2c_Fiscal.pdf. This report is quoted and summarized throughout this paper. 3 2 website the budget of the State of Illinois for the coming fiscal year in its entirety in an accessible format, and (3) authorized an ongoing study that is due December 2014 on how to make the Illinois budget process the most transparent in the nation. In an October 2013 analysis of the state’s fiscal condition, the Fiscal Futures Project at the University of Illinois Institute of Government and Public Affairs (IGPA) observed that Illinois policymakers have made progress. They noted policies implementing cost reductions and increasing revenue; on the other hand, they also noted that the state has over $5 billion in unpaid obligations from prior years and historically rising Medicaid expenditures that continue to be a serious concern. Using the Fiscal Futures Model, the researchers demonstrated that the combination of increased income tax, large cuts in spending, and the effect of a gradually improving economy would decrease the deficit to an estimated $4.9 billion in FY2013, and that the deficit would still be $1.6 billion in FY2014. If the income tax increases are phased out after 2014, then the deficit would grow to $6 billion by FY2016. They concluded that while Illinois policymakers took important steps to deal with its fiscal challenges, more they would need to take more action. The Fiscal Futures project has shown that this is a chronic problem—not just a short-term crisis. It is a problem that compounds over time, putting us so far in the hole that we won’t be able to rely on economic growth—or singular policy changes—to dig ourselves out. In early December 2013, Illinois enacted a major pension cost reduction bill. While the new pension law, if upheld in the courts, would reduce the state’s unfunded pension liabilities in 25 or 30 years, it evidently does not come close to bending the cost curve sufficiently to balance the budget. Indeed, a January 2014 analysis of the pension law changes by the Fiscal Futures Project found that even if we combine the change in pension laws with higher tax rates, the structural deficit still grows. In early December 2013, Illinois enacted a major pension cost reduction bill.4 In particular, if it is upheld in the courts, the new pension law would not change any current state spending but instead reduce unfunded pension liability in 25 or 30 years, a prime example of bending the expected future cost curve. However, it evidently does not come close to bending the cost curve sufficiently to balance the budget. As the Public Act 98-0599, effective June 1, 2014. 4 Fiscal Future Project researchers explained, “Illinois has a chronic, structural fiscal problem so huge that it cannot be eliminated by increases in economic growth alone, increases in taxes alone, or—alas—aggressive pension changes alone.” Indeed, the researchers concluded, even if we combine the change in pension laws with higher tax rates, the structural deficit still grows. So, what more can Illinois do to bend the curve toward balance in the budget? The Fiscal Futures Project researchers recommended options that could reduce the growth of spending by dealing with the specific elements of its current fiscal imbalance. Illinois policymakers could attempt to bend the cost curve by making permanent adjustments to Medicaid benefits to slow the cost of the program and adopt policies to increase revenue that coincide with projected increases in the Medicaid program and the phase-in of the ACA. In addition, they could use the Budgeting for Results Commission to identify costly inefficiencies in state government programs for corrective legislative action. The Fiscal Futures Project researchers also suggested additional budget process reforms. Illinois could change the way it calculates and reports its revenue, expenses and liabilities, including “technical changes such as timely reporting, multi-year forecasting, consolidated budget reporting, and apolitical revenue estimates.” However, they recognized that, though easy and inexpensive to do, implementation of these changes would be difficult because “they have the greatest potential to alter the information used in fiscal decision making on an ongoing basis, and thus the greatest potential to fundamentally change budgeting.”5 Nonetheless, legislators might consider using the Budgeting for Results Commission to study and develop a comprehensive overhaul of the budget process. Policymakers and interested observers need accurate, easily understood, and consistent reports without political bias, and they need timely access to the reports and data. Making these changes in the budget process would open the process up to independent review and analysis. Such reform would not only make the process more open, consistent, and straightforward, it could even bend the cost curve: it would not change current spending but instead cut future costs by pleasing “credit-rating agencies enough to lower Illinois’ borrowing costs.” The take away is that Illinois policymakers can reduce future growth in spending. They could deal directly with elements of the current fiscal imbalance or further reform the budget process, or both. Such measures could ameliorate Illinois’ structural deficit by bending the cost curve. Doing so could reduce the necessity for immediate and therefore more painful across-theboard program cuts, while improving the quality of state services for people who need them. Further Reading National Association of State Budget Officers. (2013). State budgeting and lessons learned from the economic downturn. Available at http://www. nasbo.org/sites/default/files/State%20Budgeting%20 and%20Lessons%20Learned%20from%20the%20 Economic%20Downturn-final.pdf Poterba, James M. (May, 1993). State responses to fiscal crisis: The effects of budgetary institutions and politics, Working Paper No. 4375. National Bureau of Economic Research. Available at http://www.nber. org/papers/w4375 The Illinois Budget Policy Toolbox is a project by the University of Illinois Institute of Government and Public Affairs. IGPA is a public policy research organization striving to improve public policy and government performance by: producing and distributing cutting-edge research and analysis, engaging the public in dialogue and education, and providing practical assistance in decision making to government and policymakers. Learn more at igpa.uillinois.edu Thus the political nature of “bending the cost curve” suggested by Professor White’s article. See footnote 2, above. 5 3
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