BLOOMINGTON - Heads of several Central Illinois health and social service organizations were frustrated Monday as they began to determine how the governor's revised budget would affect their programs.

"It's unfortunate that it's come to this in the state of Illinois," Matt Jackson, president and chief executive officer of the Occupational Development Center, said of the ongoing state budget crisis and it's impact on health and social service programs.

Delayed Medicaid payments to hospitals and less-than-expected funding for programs for people with developmental disabilities and autism were among areas that would be affected if the revised budget is approved by the Legislature.

Gov. Rod Blagojevich's revised budget for the fiscal year that began July 1 cuts $463 million from the $59 billion budget approved by the General Assembly. Blagojevich made the cuts to pay for his program to expand health care coverage.

But Roger Hunt, chief executive officer of BroMenn Healthcare, Normal, said the governor's health care plan will cost more than the governor is projecting. If the plan is approved without sufficient funding, Hunt is concerned doctors, hospitals and other private payers will end up paying for the program.

"That would impact everyone," he said.

Blagojevich is proposing $118.8 million more this year to cover payments to hospitals who care for Medicaid patients, but that's $40 million less than the General Assembly proposed. Meanwhile, hospitals are projecting that their costs to serve Medicaid patients will increase by $248 million.

"That creates a gap that will affect every hospital," Hunt said. Hospitals will assume the financing but will need to pass those costs onto private payers, he said.

"What all this means to BroMenn, we haven't figured out yet," Hunt said.

OSF St. Joseph Medical Center in Bloomington was reviewing the proposed budget Monday to determine possible impact, spokeswoman Katy O'Grady-Pyne said.

Agencies that serve the developmentally disabled, such as Marc in McLean County, were budgeted to get a 2.5 percent increase, but that has been scaled back to 1.5 percent, said Rick Glass, Marc chief executive officer. Glass noted the increase would be the agency's first increase in three years.

"While the governor is approving salary increases for himself and other office holders, my staff gets a 1½ percent increase for the last three years," said Glass, who has trouble filling staff vacancies because of the funding problems.

The original budget included $10 million to create a statewide network of services for children with autism and their families. The revised budget reduced that to $5 million, said Norma Rossi of Easter Seals of Peoria and Bloomington.

Easter Seals had hoped to receive $550,000 but doesn't know what will be its allocation, Rossi said.

The Occupational Development Center, which provides employment and training for people with disabilities, hasn't received July payments for its work to maintain interstate rest areas, Jackson said.

"If the state doesn't get back (on schedule), this will become problematic for us," Jackson said.

Tom Barr, executive director of the McLean County Center for Human Services, said the state is switching from grant to fee-for-service funding of community mental health centers. That will mean $167,000 or 4 percent less to the Center for Human Services while its client base increased nearly 10 percent in the past year, he said.

McLean County Health Department is expecting delayed Medicaid payments for patients who received dental, immunization and other services, as well as lower-than-expected funding for pandemic flu and bioterrorism preparedness, director Bob Keller said.

But a 3 percent increase for maternal and child health programs and additional funds for health protection programs remain in the budget, Keller said.