Virtually every part of state government would be forced to cut spending under a budget outline approved Thursday by the Illinois House, where even supporters called it a "painful, painful" decision.
The spending plan calls for slashing billions of dollars from the Medicaid health program. Officials acknowledge they don't know how they'll reach that target, but it's likely to involve eliminating services such as dental care or prescription drug coverage for adults.
Other government programs, from schools to prisons to agriculture, would be hit with cuts of about 5 percent. State leaders say government must cut spending dramatically or risk a virtual collapse of key services.