Illinois and other states have been shut out of the Medicaid system due to an order from President Donald Trump to temporarily freeze federal funds while the government conducts a spending review. A memo issued by acting director of the Office of Management and Budget (OMB) Matthew Vaeth directed federal agencies to

"Let's be clear, January 20th was an inauguration, not a coronation. Congress is given the power to appropriate the funding. The executive branch cannot unilaterally disregard those appropriations," Raoul said.