Illinois Wants to End Oversight of Developmental Disability Institutions

<!DOCTYPE html> <html lang="en" class="no-js"> <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" />  <meta name="parsely-title" content="Illinois Wants to End Oversight of Developmental Disability Institutions" /> <meta name="parsely-link" content="https://www.propublica.org/article/illinois-crisis-institution-placement" /> <meta name="parsely-type" content="post" /> <meta name="parsely-image-url" content="https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-211_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fp-x=0.5&fp-y=0.5&h=630&imgixProfile=propublicaAssetsV5&q=90&w=1200&s=8708babdc30a609a2b9462fa179ccc04" /> <meta name="parsely-pub-date" content="2024-02-08T08:00:00-05:00" /> <meta name="parsely-section" content="Local Reporting Network" /> <meta name="parsely-author" content="Molly Parker" /> <meta name="parsely-author" content="Beth Hundsdorfer" /> <meta name="parsely-tags" content="lang:en,storytype:enterprise,series:Culture of Cruelty,location:Illinois,topic:Health Care,topic:Mental Health" />  <meta name="socialpost1" content="The state of Illinois is asking a judge to end 13 years of federal oversight of institutions for those with developmental disabilities, saying that while the system isn’t perfect, it is “much more than legally adequate.”" /> <meta name="socialpost2" content="Kaleigh Rogers was in crisis when she checked into a state-run institution in Illinois during a mental health breakdown. Two years later, she’s still there. It’s why, advocates say, the government shouldn’t end federal oversight of the institutions." />  <script>(function(H){H.className=H.className.replace(/\bno-js\b/,'enhanced')})(document.documentElement)</script> <script>(function(win,undefined){win.PP=win.PP||{};win.PP.utils=win.PP.utils||{};var PP=win.PP;// loadJS: load a JS file asynchronously. 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She Went to an Illinois Facility. Two Years Later, She Still Isn’t Able to Leave.', 'authorName': 'Molly Parker,Beth Hundsdorfer', 'seriesName': 'Culture of Cruelty', 'contentRegion': 'Local Reporting Network', 'contentLanguage': 'en', 'craftId' : '2281629', 'articleVersion' : 'V5', 'contentLocation' : 'Illinois', 'storyType': 'enterprise', 'impact': "false" }); </script>  <link href="https://assets.propublica.org" rel="preconnect"> <link href="https://assets.propublica.org" rel="dns-prefetch"> <link href="https://img.assets-c3.propublica.org" rel="dns-prefetch"> <link href="https://img.assets-d.propublica.org" rel="dns-prefetch">  <link rel="stylesheet" href="https://assets.propublica.org/static/prod/v5/css/main.becd5983.css">  <link rel="icon" href="https://assets.propublica.org/static/prod/v5/images/favicon.ico"> <link rel="icon" href="https://assets.propublica.org/static/prod/v5/images/icon.min.svg" type="image/svg+xml"> <link rel="apple-touch-icon" href="https://assets.propublica.org/static/prod/v5/images/apple-touch-icon-180x180.png">  <link rel="me" href="https://newsie.social/@ProPublica" /> <meta name="fediverse:creator" content="@propublica@newsie.social" /> <title>Illinois Wants to End Oversight of Developmental Disability Institutions — ProPublica</title><meta name="description" content="The state of Illinois is asking for the end of court oversight of its system of care for people with developmental disabilities. 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https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-211_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=13fc3a7a8e226f7b1edafd5bb49e4204 1600w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-211_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1334&q=75&w=2000&s=2c4e0766c3da802d7aa23c6640cb6cb7 2000w" fetchpriority="high" /> <figcaption class="attribution"> <span class="attribution__caption">Kaleigh Rogers, 26, in her bedroom at Kiley Developmental Center in Waukegan, Illinois. Rogers checked into the center after a mental health breakdown. Now stabilized, she has been unable to find a better placement.</span> <span class="attribution__credit"> <span class="a11y">Credit: </span> Taylor Glascock, special to ProPublica </span> </figcaption> </figure> <div class="opener__topic-title-dek-wrapper "> <span class="opener__topics "> <a class="opener__topics-link " href="https://www.propublica.org/topics/health-care">Health Care</a> </span> <h1 class="opener__hed " > In Crisis, She Went to an Illinois Facility. Two Years Later, She Still Isn’t Able to Leave. </h1> <h2 class="opener__dek " > The state of Illinois is asking for the end of court oversight of its system of care for people with developmental disabilities. But some advocates say it’s too soon. </h2> </div>  </div> <div class="article-meta-1 article-meta-1--left " data-pp-location="article meta"> <span class="article-meta-1__byline" data-pp-location="article byine"> by <a class="name" href="https://capitolnewsillinois.com/about-us/molly-parker">Molly Parker</a> and <a class="name" href="https://capitolnewsillinois.com/about-us/beth-hundsdorfer">Beth Hundsdorfer</a>, <a href="https://capitolnewsillinois.com/">Capitol News Illinois</a> </span> <time class="article-meta-1__pubdate"> <time class="timestamp" datetime="2024-02-08EST08:00">Feb. 8, 2024, 8 a.m. EST</time> </time> <div class="article-meta-1__section-actions " data-pp-location="article story-tools"> <script type="application/json" class="svelte-config"> {"componentName":"ShareTools","props":{"pageTitle":"Illinois Wants to End Oversight of Developmental Disability Institutions","pageUrl":"https://www.propublica.org/article/illinois-crisis-institution-placement"},"contextArray":[]} </script> <div class="share-tools" data-pp-click data-pp-location="share tools"> <button class="button shape--pill svelte-1qpwxqa" data-pp-skip="false" role="button" aria-haspopup="dialog" aria-expanded="false" data-state="closed" id="pL3MfWafzI" data-melt-popover-trigger="" data-popover-trigger="" style="--button-bg-color: var(--color-neutral-10); 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color: var(--color-neutral-70)" href="#" data-pp-action="republish open">Republish</a> </div> <span class="article-meta-1__partnership"> Co-published with <a href="https://capitolnewsillinois.com/">Capitol News Illinois</a> </span> </div> <div class="article-body" data-pp-location="article body" > <div class="promo-series size03 out03 wrap left wide-sm | hide-print"> <div class=" promo-series__header stretched-link-contain promo-series__header--has-borders " > <a href="https://www.propublica.org/series/culture-of-cruelty" class="stretched-link"> <img class="promo-series__art" alt="" width="400" height="267" loading="lazy" js-autosizes src="https://img.assets-c3.propublica.org/images/series/Choate-Landing-Page-2x3.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=23007da04bfebea82bb2b1dcbf8aff1f" srcset="https://img.assets-c3.propublica.org/images/series/Choate-Landing-Page-2x3.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=ecfcd6da210d41b91bb5f948ae61f6d3 400w, https://img.assets-c3.propublica.org/images/series/Choate-Landing-Page-2x3.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=23007da04bfebea82bb2b1dcbf8aff1f 800w, https://img.assets-c3.propublica.org/images/series/Choate-Landing-Page-2x3.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=572a6017bfb2b39a9b9192d3aaace18a 1200w, https://img.assets-c3.propublica.org/images/series/Choate-Landing-Page-2x3.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=867&q=75&w=1300&s=cf08a98274c889168a955b227d900214 1300w, https://img.assets-c3.propublica.org/images/series/Choate-Landing-Page-2x3.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=966&q=75&w=1450&s=61bff6a2ff11e54527df73c7d0e24629 1450w, https://img.assets-c3.propublica.org/images/series/Choate-Landing-Page-2x3.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1066&q=75&w=1600&s=461c1e74f55208ceb5ce6a843caa8bd2 1600w, https://img.assets-c3.propublica.org/images/series/Choate-Landing-Page-2x3.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1333&q=75&w=2000&s=3ec7593cf231fcce21908abd5148bce8 2000w" /> </a> <h3 class="promo-series__name"> <span class="a11y">Series: </span> <span class="promo-series__title">Culture of Cruelty:</span> <span class="promo-series__tagline">Inside Illinois’ Mental Health System</span> </h3> </div> <a href="https://www.propublica.org/series/culture-of-cruelty" class="promo-series__more-link"> More in this series <div class="icon" style="transform: translateY(10%)"> <svg role="img" xmlns="http://www.w3.org/2000/svg" fill="none" height="16" viewBox="0 0 16 16" width="16"> <title>Caret</title> <path clip-rule="evenodd" d="m9.5858 8.00008-5.29289-5.2929 1.41421-1.41421 6.70708 6.70711-6.70708 6.70712-1.41421-1.4142z" fill="currentColor" fill-rule="evenodd"/> </svg> </div> </a> </div> <div class="article-body__top-notes" data-pp-location="top-note"> <div class="article-body__note article-body__note--co-publish"> <p>This article was produced for ProPublica’s Local Reporting Network in partnership with <a href="https://capitolnewsillinois.com">Capitol News Illinois</a>. <a href="https://www.propublica.org/newsletters/dispatches">Sign up for Dispatches</a> to get stories like this one as soon as they are published.</p> </div> </div> <p data-pp-blocktype="copy" data-pp-id="1.0">Kaleigh Rogers was in crisis when she checked into a state-run institution on Illinois’ northern border two years ago. Rogers, who has cerebral palsy, had a mental health breakdown during the pandemic and was acting aggressively toward herself and others.</p> <p data-pp-blocktype="copy" data-pp-id="2.0">Before COVID-19, she had been living in a small group home; she had been taking college classes online and enjoyed going out with friends, volunteering and going to church. But when her aggression escalated, she needed more medical help than her community setting could provide.</p> <p data-pp-blocktype="copy" data-pp-id="3.0">With few viable options for intervention, she moved into Kiley Developmental Center in Waukegan, a much larger facility. There, she says she has fewer freedoms and almost nothing to do, and was placed in a unit with six other residents, all of whom are unable to speak. Although the stay was meant to be short term, she’s been there for two years.</p> <p data-pp-blocktype="copy" data-pp-id="4.0">The predicament facing Rogers and others like her is proof, advocates say, that the state is failing to live up to the promise it made in a 13-year-old federal consent decree to serve people in the community.</p> <p data-pp-blocktype="copy" data-pp-id="5.0">Rogers, 26, said she has lost so much at Kiley: her privacy, her autonomy and her purpose. During dark times, she cries on the phone to her mom, who has reduced the frequency of her visits because it is so upsetting for Rogers when her mom has to leave.</p> <aside class="bb-ad full | hide-print"> <div class="htlad-inline-2"></div> </aside> <p data-pp-blocktype="copy" data-pp-id="7.0">The 220-bed developmental center about an hour north of Chicago is one of seven in the state that have been plagued by allegations of abuse and other staff misconduct. The facilities have been the subject of a <a href="https://www.propublica.org/series/culture-of-cruelty">monthslong</a><a href="https://www.propublica.org/series/culture-of-cruelty"> investigation</a> by Capitol News Illinois and ProPublica about the state’s failures to correct poor conditions for people with intellectual and developmental disabilities. The news organizations uncovered instances of staff who had beaten, choked, thrown, dragged and humiliated residents inside the state-run facilities.</p> <p data-pp-blocktype="copy" data-pp-id="9.0">Advocates hoped the state would become less reliant on large institutions like these when they filed a lawsuit in 2005, alleging that Illinois’ failure to adequately fund community living options ended up segregating people with intellectual and developmental disabilities from society by forcing them to live in institutions. The suit claimed Illinois was in direct violation of a 1999 U.S. Supreme Court decision in another case, which found that states had to serve people in the most integrated setting of their choosing.</p> <p data-pp-blocktype="copy" data-pp-id="11.0">Negotiations resulted in a consent decree, a court-supervised improvement plan. The state agreed to find and fund community placements and services for individuals covered by the consent decree, thousands of adults with intellectual and developmental disabilities across Illinois who have put their names on waiting lists to receive them.</p> <p data-pp-blocktype="copy" data-pp-id="12.0">Now, the state has asked a judge to consider ending the consent decree, citing significant increases in the number of people receiving community-based services. In <a href="https://www.documentcloud.org/documents/24412442-memorandum-in-support-of-motion-to-vacate">a court filing in December</a>, Illinois argued that while its system is “not and never will be perfect,” it is “much more than legally adequate.”</p> <p data-pp-blocktype="copy" data-pp-id="13.0">But advocates say the consent decree should not be considered fulfilled as long as people with disabilities continue to live without the services and choices that the state promised.</p> <p data-pp-blocktype="copy" data-pp-id="14.0">Across the country, states have significantly downsized or closed their large-scale institutions for people with developmental and intellectual disabilities in favor of smaller, more integrated and more homelike settings.</p> <aside class="bb-ad full | hide-print"> <div class="htlad-inline-2"></div> </aside> <p data-pp-blocktype="copy" data-pp-id="16.0">But in Illinois, a national outlier, such efforts have foundered. Efforts to close state-operated developmental centers have been met with strong opposition from labor unions, the communities where the centers are located, local politicians and some parents.</p> <p data-pp-blocktype="copy" data-pp-id="17.0">U.S. District Judge Sharon Johnson Coleman in Chicago is scheduled in late summer to decide whether the state has made enough progress in building up community supports to end the court’s oversight.</p> <p data-pp-blocktype="copy" data-pp-id="18.0">For some individuals like Rogers, who are in crisis or have higher medical or behavioral challenges, the state itself acknowledges that it has struggled to serve them in community settings. Rogers said she’d like to send this message on behalf of those in state-operated developmental centers: “Please, please get us out once and for all.”</p> <h3>“Living Inside a Box”</h3> </p> <p data-pp-blocktype="copy" data-pp-id="20.0">Without a robust system of community-based resources and living arrangements to intervene during a crisis, state-operated developmental centers become a last resort for people with disabilities. But under the consent decree agreement, the state, Equip for Equality argues, is expected to offer sufficient alternative crisis supports to keep people who want them out of these institutions.</p> <p data-pp-blocktype="copy" data-pp-id="21.0">In a written response to questions, Rachel Otwell, a spokesperson for the Illinois Department of Human Services, said the state has sought to expand the menu of services it offers people experiencing a crisis, in an effort to keep them from going into institutions. But Andrea Rizor, a lawyer with Equip for Equality, said, “They just don’t have enough to meet the demand.”</p> <figure data-pp-id="22" data-pp-blocktype="image" class="bb-image size12 center wide-sm wrap "> <img class="" alt="" width="3000" height="2001" loading="lazy" js-autosizes src="https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-079_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=534&q=75&w=800&s=ca71580343910c71f70fdf1aa86de047" srcset="https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-079_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=185c3572c9cd1914ed424dac1f453681 400w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-079_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=534&q=75&w=800&s=ca71580343910c71f70fdf1aa86de047 800w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-079_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=b6027a807145fb1c3d108dbf161c7752 1200w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-079_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=867&q=75&w=1300&s=d2cb655babd06b71f8abda2170b56022 1300w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-079_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=967&q=75&w=1450&s=6c6ce8c767050b664f5941ff7a77ff47 1450w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-079_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=d92a7c54db9d8485da0731ab9aff6a76 1600w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-079_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1334&q=75&w=2000&s=684bcddbb5c253f5dbc523e86b08dba4 2000w" /> <figcaption class="attribution"> <span class="attribution__caption">Rebekah Zienty, an active treatment administrator, helps Rogers play a piano, one of the few activities she enjoys, at Kiley Developmental Center.</span> <span class="attribution__credit"> <span class="a11y">Credit: </span> Taylor Glascock, special to ProPublica </span> </figcaption> </figure> <p data-pp-blocktype="copy" data-pp-id="23.0">For example, the state offers stabilization homes where people can live for 90 days while they receive more intensive support from staff serving the homes, including medication reviews and behavioral interventions. But there are only 32 placements available — only four of them for women — and the beds are always full, Rizor said.</p> <p data-pp-blocktype="copy" data-pp-id="24.0">Too many people, she said, enter a state-run institution for short-term treatment and end up stuck there for years for various reasons, including shortcomings with the state’s discharge planning and concerns from providers who may assume those residents to be disruptive or difficult to serve without adequate resources.</p> <p data-pp-blocktype="copy" data-pp-id="25.0">That’s what happened to Rogers. Interruptions to her routine and isolation during the pandemic sent her anxiety and aggressive behaviors into overdrive. The staff at her community group home in Machesney Park, unsure of what to do when she acted out, had called the police on several occasions.</p> <p data-pp-blocktype="copy" data-pp-id="26.0">Doctors also tried to intervene, but the cocktail of medications she was prescribed turned her into a “zombie,” Rogers said. Stacey Rogers, her mom and legal guardian, said she didn’t know where else to turn for help. Kiley, she said, “was pretty much the last resort for us,” but she never intended for her daughter to be there for this long. She’s helped her daughter apply to dozens of group homes over the past year. A few put her on waitlists; most have turned her down.</p> <p data-pp-blocktype="copy" data-pp-id="27.0">“Right now, all she’s doing is living inside a box,” Stacey Rogers said.</p> <figure data-pp-id="28" data-pp-blocktype="image" class="bb-image size10 center wide-sm wrap "> <img class="" alt="" width="3000" height="2001" loading="lazy" js-autosizes src="https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-258_1_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=534&q=75&w=800&s=40e4fe7043379e46eb5440ff6f599c93" srcset="https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-258_1_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=8e29c7f88b645638d42ab72e251783d0 400w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-258_1_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=534&q=75&w=800&s=40e4fe7043379e46eb5440ff6f599c93 800w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-258_1_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=3a43d14fefe3f2323dd4527e24eb1fe4 1200w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-258_1_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=867&q=75&w=1300&s=901bc4218103fb63eae0d5764fbb40d2 1300w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-258_1_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=967&q=75&w=1450&s=f7ede0527fcff5c567f6b3baf0862726 1450w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-258_1_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=27060157ad2feffb516e57168e4336d4 1600w, https://img.assets-d.propublica.org/v5/images/20240202-Glascock-Choate-258_1_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1334&q=75&w=2000&s=ab9d2479c941dc6dd17e3e9ad09c76f7 2000w" /> <figcaption class="attribution"> <span class="attribution__caption">A housing unit at Kiley Developmental Center</span> <span class="attribution__credit"> <span class="a11y">Credit: </span> Taylor Glascock, special to ProPublica </span> </figcaption> </figure> <p data-pp-blocktype="copy" data-pp-id="29.0">Although Rogers gave the news organizations permission to ask about her situation, IDHS declined to comment, citing privacy restrictions. In general, the IDHS spokesperson said that timelines for leaving institutions are “specific to each individual” and their unique preferences, such as where they want to live and speciality services they may require in a group home.</p> <aside class="bb-ad full | hide-print"> <div class="htlad-inline-2"></div> </aside> <p data-pp-blocktype="copy" data-pp-id="31.0">Equip for Equality points to people like Rogers to argue that the consent decree has not been sufficiently fulfilled. She’s one of several hundred in that predicament, the organization said.</p> <p data-pp-blocktype="copy" data-pp-id="31.1">“If the state doesn’t have capacity to serve folks in the community, then the time is not right to terminate this consent decree, which requires community capacity,” Rizor said.</p> <p data-pp-blocktype="copy" data-pp-id="32.0">Equip for Equality has said that ongoing safety issues in these facilities make it even more important that people covered by the consent decree not be placed in state-run institutions. In an October court brief, citing the news organizations’ reporting, Equip for Equality said that individuals with disabilities who were transferred from community to institutional care in crisis have “died, been raped, and been physically and mentally abused.”</p> <p data-pp-blocktype="copy" data-pp-id="33.0">Over the summer, an independent court monitor assigned to provide expert opinions in the consent decree, in a memo to the court, asked a judge to bar the state from admitting those individuals into its institutions.</p> <p data-pp-blocktype="copy" data-pp-id="34.0">In its December court filing, the state acknowledged that there are some safety concerns inside its state-run centers, “which the state is diligently working on,” as well as conditions inside privately operated facilities and group homes “that need to be addressed.” But it also argued that conditions inside its facilities are outside the scope of the consent decree. The lawsuit and consent decree specifically aimed to help people who wanted to move out of large private institutions, but plaintiffs’ attorneys argue that the consent decree prohibits the state from using state-run institutions as backup crisis centers.</p> <p data-pp-blocktype="copy" data-pp-id="35.0">In arguing to end the consent decree, the state pointed to significant increases in the number of people served since it went into effect. There were about 13,500 people receiving home- and community-based services in 2011 compared with more than 23,000 in 2023, it told the court.</p> <p data-pp-blocktype="copy" data-pp-id="36.0">The state also said it has significantly increased funding that is earmarked to pay front-line direct support professionals who assist individuals with daily living needs in the community, such as eating and grooming.</p> <p data-pp-blocktype="copy" data-pp-id="37.0">In a statement to reporters, the human services department called these and other improvements to the system “extraordinary.”</p> <p data-pp-blocktype="copy" data-pp-id="37.1">Lawyers for the state argued that those improvements are enough to end court oversight.</p> <p data-pp-blocktype="copy" data-pp-id="37.2">“The systemic barriers that were in place in 2011 no longer exist,” the state’s court filing said.</p> <p data-pp-blocktype="copy" data-pp-id="38.0">Among those who were able to find homes in the community is Stanley Ligas, the lead plaintiff in the lawsuit that led to the consent decree. When it was filed in 2005, he was living in a roughly 100-bed private facility but wanted to move into a community home closer to his sister. The state refused to fund his move.</p> <p data-pp-blocktype="copy" data-pp-id="39.0">Today, the 56-year-old lives in Oswego with three roommates in a house they rent. All of them receive services to help their daily living needs through a nonprofit, and Ligas has held jobs in the community: He previously worked in a bowling alley and is now paid to make public appearances to advocate for others with disabilities. He lives near his sister, says he goes on family beach vacations and enjoys watching professional wrestling with friends. During an interview with reporters, Ligas hugged his caregiver and said he’s “very happy” and hopes others can receive the same opportunities he’s been given.</p> <figure data-pp-id="40" data-pp-blocktype="image-sets" class="bb-image-set size14 center wide-sm wrap "> <div class="multi"> <img class="" alt="" width="3000" height="2001" loading="lazy" js-autosizes src="https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-212_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=534&q=75&w=800&s=9bf0f260821db4683438a0395cbdd593" srcset="https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-212_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=4d3704f9aa734ed8661e2bfcea7a4413 400w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-212_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=534&q=75&w=800&s=9bf0f260821db4683438a0395cbdd593 800w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-212_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=3137d05e59fdb880458f80781ee0100b 1200w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-212_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=867&q=75&w=1300&s=8cee2d4165bf0493a6584195e7e60629 1300w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-212_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=967&q=75&w=1450&s=7d6a3376fff378ca607990c8fd3bbe40 1450w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-212_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=e8cab89e74de5c814245ee13c958f8e5 1600w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-212_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1334&q=75&w=2000&s=8ac0120c8ebbeb3bb4609e57d4cf83b1 2000w" /> <img class="" alt="" width="3000" height="2001" loading="lazy" js-autosizes src="https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-120_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=534&q=75&w=800&s=51cac1b01b00ff52f1da3e4cfcacdf5b" srcset="https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-120_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=85839c8e8844720fceb7daf4d184727d 400w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-120_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=534&q=75&w=800&s=51cac1b01b00ff52f1da3e4cfcacdf5b 800w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-120_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=8fbee1e596f739434d0dcba9f0126e32 1200w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-120_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=867&q=75&w=1300&s=e67b1c27e08b243641e34a26e0910162 1300w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-120_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=967&q=75&w=1450&s=eb90b69b443638206379ce21aad24912 1450w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-120_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=01eb3a2b21730fc495dc89eb02697ec7 1600w, https://img.assets-d.propublica.org/v5/images/20240205-Glascock-Choate-120_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1334&q=75&w=2000&s=e6aaab4eb79364e8cd769999f12545e4 2000w" /> </div> <figcaption class="attribution"> <span class="attribution__caption">First image: Stanley Ligas, 56, lives with three roommates at his home in Oswego, Illinois. Second image: Ligas’ clinical mentor, Nicholas Czech, helps prepare snacks.</span> <span class="attribution__credit"> <span class="a11y">Credit: </span> Taylor Glascock, special to ProPublica </span> </figcaption> </figure> <p data-pp-blocktype="copy" data-pp-id="41.0">While much of that progress has come only in recent years, under Gov. JB Pritzker’s administration, it has proven to be vulnerable to political and economic changes. After a prolonged budget stalemate, the court in 2017 found Illinois out of compliance with the Ligas consent decree.</p> <p data-pp-blocktype="copy" data-pp-id="42.0">At the time, late and insufficient payments from the state had resulted in a staffing crisis inside community group homes, leading to escalating claims of abuse and neglect and failures to provide routine services that residents relied on, such as help getting to work, social engagements and medical appointments in the community. Advocates worry about what could happen under a different administration, or this one, if Illinois’ finances continue to decline as projected.</p> <aside class="bb-ad full | hide-print"> <div class="htlad-inline-2"></div> </aside> <p data-pp-blocktype="copy" data-pp-id="44.0">“I acknowledge the commitments that this administration has made. However, because we had so far to come, we still have far to go,” said Kathy Carmody, chief executive of The Institute on Public Policy for People with Disabilities, which represents providers.</p> <p data-pp-blocktype="copy" data-pp-id="45.0">While the wait for services is significantly shorter than it was when the consent decree went into effect in 2011, there are still more than 5,000 adults who have told the state they want community services but have yet to receive them, most of them in a family home. Most people spend about five years waiting to get the services they request. And Illinois continues to rank near the bottom in terms of the investment it makes in community-based services, according to <a href="https://stateofthestates.ku.edu/">a University of Kansas</a><a href="https://stateofthestates.ku.edu/"> analysis</a> of states’ spending on services for people with intellectual and developmental disabilities.</p> <aside data-pp-id="46" data-pp-blocktype="promo" data-pp-location="story promo" dir="ltr" class="bb-promo-story story-promo-group size04 right out02 wide-sm wrap | hide-print" > <div class="story-promo-group__logo user-level--0__show user-level--1__show"> <svg role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 574.24 75" fill="currentColor"> <title>ProPublica</title> <path 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d="M403.85,52.21c0,8.88-7.11,13.14-22,13.14H357.58v-4.2l5.56-1.36V23.35L358.26,22V17.93h23.92c12.6,0,19.51,3.79,19.51,11.72,0,6.17-4.06,9.08-10.91,9.89v.27C399.31,40.76,403.85,45.1,403.85,52.21ZM375,38.32h5.76c6.1,0,9-2.78,9-7.79,0-5.22-3.12-7.59-9-7.59H375Zm16.8,13.41c0-5.62-3.79-8.67-11.25-8.67H375V60.34h6.64C388.07,60.34,391.79,57.29,391.79,51.74Z"/><path d="M451.07,48.62l-4.4,16.73H408v-4.2l5.28-1.36V23.35L407.65,22V17.93h22.76V22l-5.28,1.36v37l14.16-.81L447,47.26Z"/><path d="M475.4,61.15v4.2H453v-4.2l5.28-1.36V23.35L453,22V17.93H475.4V22l-5.28,1.36V59.8Z"/><path d="M478,41.78c0-15.85,12.13-24.86,27-24.86a35.6,35.6,0,0,1,18.29,5.15l-2,13.21h-4.2l-1.69-9.08a13.23,13.23,0,0,0-10.09-4.13c-9.15,0-14.7,6.57-14.7,18.22,0,13.21,6.84,19.31,15.24,19.31,6.17,0,10.23-3.39,13.41-9.55l4.27,2c-4.27,10-11.65,14.36-21.07,14.36C488.4,66.37,478,56.48,478,41.78Z"/><path d="M574.24,61.15v4.2H551.48v-4.2L557,60l-2.85-8.13h-16.6l-3.12,8.2,5.42,1.15-.07,4.2-16.53-.07v-4.2l4.27-1.08,14.9-37.33-4-1.29V17.93h13.69L569.3,60Zm-27.57-31-.47-1.56-.47,1.56-6.23,16.73h12.94Z"/> </svg> </div> <div class="user-level--2__show user-level--3__show"> <div class="lead-in"> <p class="lead-in__title" id="read-more">Read More</p> </div> </div> <a href="https://www.propublica.org/article/illinois-choate-employee-camera-caught-beating-patient" class="story-promo section-articles" > <div class="story-promo__art"> <img class="lazyload" alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271%27%20height%3D%271%27%20style%3D%27background%3Atransparent%27%2F%3E" width="75" height="75" data-sizes="auto" data-srcset="https://img.assets-d.propublica.org/v5/images/20220902-Choate-Exterior-PDedit1_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fp-x=0.5&fp-y=0.5&h=75&q=70&w=75&s=c33d24b0b3169cb69189ebb3130889b3 75w, https://img.assets-d.propublica.org/v5/images/20220902-Choate-Exterior-PDedit1_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fp-x=0.5&fp-y=0.5&h=150&q=70&w=150&s=fc5b746f019a62008c0e5d9953a9f880 150w, https://img.assets-d.propublica.org/v5/images/20220902-Choate-Exterior-PDedit1_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fp-x=0.5&fp-y=0.5&h=400&q=70&w=400&s=87a12f95c75b50f8701c11d7a7bda51d 400w" /> </div> <div class="story-promo__info" dir="auto"> <strong class="story-promo__hed">A Security Camera Caught an Employee Beating a Patient. It Took 11 Days for Anyone to Take Action.</strong> </div> </a> </aside> <p data-pp-blocktype="copy" data-pp-id="47.0">Advocates who believe the consent decree has not been fulfilled contend that Illinois’ continued reliance on congregate settings has tied up funds that could go into building up more community living options. Each year, Illinois spends about $347,000 per person to care for those in state-run institutions compared with roughly $91,000 per person spent to support those living in the community.</p> <p data-pp-blocktype="copy" data-pp-id="48.0">For Rogers, the days inside Kiley are long, tedious and sometimes chaotic. It can be stressful, but Rogers told reporters that she uses soothing self-talk to calm herself when she feels sad or anxious.</p> <p data-pp-blocktype="copy" data-pp-id="49.0">“I tell myself: ‘You are doing good. You are doing great. You have people outside of here that care about you and cherish you.’”</p> </div> <footer class="article-footer" data-pp-location="article footer"> <div class="topics-list | hide-print"> <p class="topics-list__label"><strong>Filed under —</strong></p> <ul class="topics-list__group"> <li class="topics-list__topic"> <a class="topics-list__topic-link" href="https://www.propublica.org/topics/health-care">Health Care</a> </li> <li class="topics-list__topic"> <a class="topics-list__topic-link" href="https://www.propublica.org/topics/mental-health">Mental Health</a> </li> </ul> </div> <div class="rich-byline-group"> </div>  </footer> </article> <div class="post-article" data-pp-location="post-article"> </div> </main> <script type="application/json" class="svelte-config"> {"componentName":"ArticlePageSectionMoreInTopic","props":{"title":"More in Health Care","url":"https://www.propublica.org/topics/health-care"},"contextArray":[]} </script> <div class="article-page-section-recirc | hide-print svelte-hrgjoc" data-pp-location="recirc more in topic"><div class="article-page-section-recirc__content svelte-hrgjoc"> <div class="page-section svelte-8uolrw"><strong class="page-section__heading svelte-8uolrw"><a href="https://www.propublica.org/topics/health-care" class="link-style--no-decoration link-style--hover-underline svelte-8uolrw">More in Health Care</a> <div class="icon svelte-8uolrw"><svg role="img" xmlns="http://www.w3.org/2000/svg" fill="none" height="16" viewBox="0 0 16 16" width="16"><title>Caret</title><path clip-rule="evenodd" d="m9.5858 8.00008-5.29289-5.2929 1.41421-1.41421 6.70708 6.70711-6.70708 6.70712-1.41421-1.4142z" fill="currentColor" fill-rule="evenodd"></path></svg></div></strong> <div class="page-section__container page-section__container--full-below-xl svelte-8uolrw page-section__container--scroll-snap stack stack--row stack--spacing-gutter"> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/thomas-weiner-montana-medical-board-renewed-st-peters-hospital"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/LJohns_WeinerStory-47_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.3989&fp-y=0.3095&h=267&q=75&w=400&s=d168ac9605b61c7615d9472d8e0ce438 400w, https://img.assets-d.propublica.org/v5/images/LJohns_WeinerStory-47_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.3989&fp-y=0.3095&h=533&q=75&w=800&s=f04022ba86b3b819a26add6052240c8f 800w, https://img.assets-d.propublica.org/v5/images/LJohns_WeinerStory-47_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.3989&fp-y=0.3095&h=800&q=75&w=1200&s=91fcc8cb7b2184727360e43726ed3b65 1200w, https://img.assets-d.propublica.org/v5/images/LJohns_WeinerStory-47_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.3989&fp-y=0.3095&h=1067&q=75&w=1600&s=27e9edc33d72e366f1293387fb4bb69c 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/thomas-weiner-montana-medical-board-renewed-st-peters-hospital"> The State Medical Board Has Evidence This Doctor Was Hurting Patients. It Renewed His License — Twice. </a> </h3> <p class="story-card__dek" > The Montana hospital that fired Dr. Thomas C. Weiner turned over thousands of pages of documents, but members of the board say they were unaware of them. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/j-david-mcswane">J. David McSwane</a>, ProPublica, and <span class="name">Mara Silvers</span>, <a href="https://montanafreepress.org/">Montana Free Press</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-21EDT05:00">March 21, 2025, 5 a.m. EDT</time> </span> </p> </div> </div> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/before-a-breath-stillbirth-documentary"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/BeforeaBreath_Still_Promo_3by2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=7f921b2a31a3cd94faa7ad9922ee7644 400w, https://img.assets-d.propublica.org/v5/images/BeforeaBreath_Still_Promo_3by2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=a13a833500e73581f336f2755e1625f3 800w, https://img.assets-d.propublica.org/v5/images/BeforeaBreath_Still_Promo_3by2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=502fd27f943baf1734cd920a68d99584 1200w, https://img.assets-d.propublica.org/v5/images/BeforeaBreath_Still_Promo_3by2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=4ec470543d346d28f72baf0db3c5c565 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <a class="story-card__series" href="https://www.propublica.org/series/stillbirths">Stillbirths</a> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/before-a-breath-stillbirth-documentary"> Thousands of Families Experience Stillbirth. Three Moms Tell Their Stories in a New Documentary. </a> </h3> <p class="story-card__dek" > More than 20,000 stillbirths occur in the U.S. each year, but 1 in 4 may be preventable. “Before a Breath” sheds light on three mothers fighting to change those statistics. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/nadia-sussman">Nadia Sussman</a>, <a class="name" href="https://www.propublica.org/people/liz-moughon">Liz Moughon</a>, <a class="name" href="https://www.propublica.org/people/duaa-eldeib">Duaa Eldeib</a>, <a class="name" href="https://www.propublica.org/people/margaret-cheatham-williams">Margaret Cheatham Williams</a> and <a class="name" href="https://www.propublica.org/people/lisa-riordan-seville">Lisa Riordan Seville</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-20EDT08:00">March 20, 2025, 8 a.m. EDT</time> </span> </p> </div> </div> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/glenmark-pharmaceuticals-recalls-fda-inspection"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/fda-glenmark-folo_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true-1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.9229&fp-y=0.6626&h=267&q=75&w=400&s=6ed4a5da21cf205785332f452fdd185d 400w, https://img.assets-d.propublica.org/v5/images/fda-glenmark-folo_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true-1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.9229&fp-y=0.6626&h=533&q=75&w=800&s=4f8766eade447d0dd8cb249896a3cfb3 800w, https://img.assets-d.propublica.org/v5/images/fda-glenmark-folo_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true-1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.9229&fp-y=0.6626&h=800&q=75&w=1200&s=48b61caae07fb9b77b8451aea8983f89 1200w, https://img.assets-d.propublica.org/v5/images/fda-glenmark-folo_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true-1.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.9229&fp-y=0.6626&h=1067&q=75&w=1600&s=277470649a636e3267c3b831eb8127d5 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/glenmark-pharmaceuticals-recalls-fda-inspection"> The FDA Finally Visited an Indian Drug Factory Linked to U.S. Deaths. It Found Problems. </a> </h3> <p class="story-card__dek" > The inspection comes after a ProPublica investigation revealed that drugs made at the Glenmark Pharmaceuticals plant accounted for an outsized share of U.S. recalls for pills that didn’t dissolve properly and could harm people. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/patricia-callahan">Patricia Callahan</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-20EDT06:00">March 20, 2025, 6 a.m. EDT</time> </span> </p> </div> </div> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/st-lukes-hospital-idaho-abortion-ban"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/20250307-gordon-st-lukes-controversies-3x2-72dpi.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=d54e156c324ce494fb90b15e9cd7b55f 400w, https://img.assets-d.propublica.org/v5/images/20250307-gordon-st-lukes-controversies-3x2-72dpi.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=f81ef05460f2961b0dcf490024158079 800w, https://img.assets-d.propublica.org/v5/images/20250307-gordon-st-lukes-controversies-3x2-72dpi.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=b606fedb0c02ca91b49edca233ee2dff 1200w, https://img.assets-d.propublica.org/v5/images/20250307-gordon-st-lukes-controversies-3x2-72dpi.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=4716e5cac1155adff34aec448001ec61 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/st-lukes-hospital-idaho-abortion-ban"> This Hospital System Fought COVID, Then a Far-Right Leader. Now It’s Taking on Idaho’s Abortion Ban. </a> </h3> <p class="story-card__dek" > St. Luke’s, Idaho’s largest health system, was outspoken in defending its staff during a backlash against masks and vaccines. It also sued right-wing figure Ammon Bundy — and won. Now it’s backing its doctors on the abortion front. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/audrey-dutton">Audrey Dutton</a>, ProPublica, and <span class="name">Kelcie Moseley-Morris</span>, <a href="https://statesnewsroom.com/">States Newsroom</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-12EDT05:00">March 12, 2025, 5 a.m. EDT</time> </span> </p> </div> </div> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/lincare-wrongful-death-lawsuit-sleep-apnea-oxygen"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/Big-Oxygen-Death-Lawsuit-Promo.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5011&fp-y=0.3409&h=267&q=75&w=400&s=a1295b163e7c00ddbf2288320123d82b 400w, https://img.assets-d.propublica.org/v5/images/Big-Oxygen-Death-Lawsuit-Promo.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5011&fp-y=0.3409&h=533&q=75&w=800&s=d0620e9a1574415bc96a382b9f8cf579 800w, https://img.assets-d.propublica.org/v5/images/Big-Oxygen-Death-Lawsuit-Promo.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5011&fp-y=0.3409&h=800&q=75&w=1200&s=f8d28da5112952e88b044fefd6abfc66 1200w, https://img.assets-d.propublica.org/v5/images/Big-Oxygen-Death-Lawsuit-Promo.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5011&fp-y=0.3409&h=1067&q=75&w=1600&s=8af3d22a189b91c8ba90c3c4984d90c4 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/lincare-wrongful-death-lawsuit-sleep-apnea-oxygen"> What a Wrongful Death Lawsuit Reveals About America’s Largest Oxygen Provider </a> </h3> <p class="story-card__dek" > When an at-risk sleep apnea patient needed his breathing machine replaced, Lincare, a $2.4 billion behemoth with a decadeslong history of regulatory and legal problems, acted slowly. The result was disastrous. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/peter-elkind">Peter Elkind</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-10EDT06:00">March 10, 2025, 6 a.m. EDT</time> </span> </p> </div> </div> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/missouri-pregnancy-resource-centers-anti-abortion-tax-credit-bill"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/MO-Abortion-SB681-v2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=04698f4436ecdb36c69f7be1236d8847 400w, https://img.assets-d.propublica.org/v5/images/MO-Abortion-SB681-v2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=69ce7846eae881790981e5fd4952dd9f 800w, https://img.assets-d.propublica.org/v5/images/MO-Abortion-SB681-v2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=818d9bf6e4fe74e4d375964259ef0727 1200w, https://img.assets-d.propublica.org/v5/images/MO-Abortion-SB681-v2_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=fcec0e7990ea5107e4de5c196a0ca578 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/missouri-pregnancy-resource-centers-anti-abortion-tax-credit-bill"> A New Missouri Bill Would Let Residents Donate to Anti-Abortion Centers Instead of Paying Any Taxes </a> </h3> <p class="story-card__dek" > Four months after Missouri voted to legalize abortion, Republican lawmakers are proposing a 100% tax credit — capped at $50,000 per year — for taxpayers who donate to crisis pregnancy centers. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/jeremy-kohler">Jeremy Kohler</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-05EST05:00">March 5, 2025, 5 a.m. EST</time> </span> </p> </div> </div> </div> </div></div> </div>  <div class="most-read | hide-print" data-pp-location="most read"> <strong class="most-read__heading">Most Read</strong> <ol class="most-read-group"> <div class="most-read-story"> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/trump-irs-firings-doge-fraud-law-job-performance"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/GettyImages-2200021508.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=267&q=75&w=400&s=bc8451fddd12b7129d14f69e3332177e 400w, https://img.assets-d.propublica.org/v5/images/GettyImages-2200021508.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=533&q=75&w=800&s=2f25bb4736dc9f8244ee130b6808068e 800w, https://img.assets-d.propublica.org/v5/images/GettyImages-2200021508.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=800&q=75&w=1200&s=f4b282e72b1913f2c90a4a82e2509899 1200w, https://img.assets-d.propublica.org/v5/images/GettyImages-2200021508.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=1067&q=75&w=1600&s=02a96ae917f3010c7f220dd22759de5f 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/trump-irs-firings-doge-fraud-law-job-performance"> Emails Reveal Top IRS Lawyer Warned Trump Firings Were a “Fraud” on the Courts </a> </h3> <p class="story-card__dek" > The Trump administration cited “performance” failures to justify its mass firing of IRS workers. But this claim was “false,” a senior agency attorney warned officials, because the administration had not conducted any such performance assessment. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/andy-kroll">Andy Kroll</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-19EDT05:00">March 19, 2025, 5 a.m. EDT</time> </span> </p> </div> </div> </div> <div class="most-read-story"> <div class="story-card story-card--standard"> <div class="lead-art"> <a class="aspect-3-2" href="https://www.propublica.org/article/thomas-weiner-montana-medical-board-renewed-st-peters-hospital"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%273%27%20height%3D%272%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/LJohns_WeinerStory-47_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.3989&fp-y=0.3095&h=267&q=75&w=400&s=d168ac9605b61c7615d9472d8e0ce438 400w, https://img.assets-d.propublica.org/v5/images/LJohns_WeinerStory-47_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.3989&fp-y=0.3095&h=533&q=75&w=800&s=f04022ba86b3b819a26add6052240c8f 800w, https://img.assets-d.propublica.org/v5/images/LJohns_WeinerStory-47_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.3989&fp-y=0.3095&h=800&q=75&w=1200&s=91fcc8cb7b2184727360e43726ed3b65 1200w, https://img.assets-d.propublica.org/v5/images/LJohns_WeinerStory-47_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.3989&fp-y=0.3095&h=1067&q=75&w=1600&s=27e9edc33d72e366f1293387fb4bb69c 1600w" width="400" height="267" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/thomas-weiner-montana-medical-board-renewed-st-peters-hospital"> The State Medical Board Has Evidence This Doctor Was Hurting Patients. It Renewed His License — Twice. </a> </h3> <p class="story-card__dek" > The Montana hospital that fired Dr. Thomas C. Weiner turned over thousands of pages of documents, but members of the board say they were unaware of them. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/j-david-mcswane">J. David McSwane</a>, ProPublica, and <span class="name">Mara Silvers</span>, <a href="https://montanafreepress.org/">Montana Free Press</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-21EDT05:00">March 21, 2025, 5 a.m. EDT</time> </span> </p> </div> </div> </div> <div class="most-read-story"> <div class="story-card story-card--standard"> <div class="lead-art thumbnail"> <a class="aspect-1-1" href="https://www.propublica.org/article/recording-reveals-leland-dudek-thoughts-trump-doge-social-security"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271%27%20height%3D%271%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/GettyImages-2199866739_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=105&q=75&w=105&s=3bebd0c465c749f9daee0267baf6d67b 105w, https://img.assets-d.propublica.org/v5/images/GettyImages-2199866739_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=210&q=75&w=210&s=7d43255e03cbf1152729caa546f37c1e 210w" width="105" height="105" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/recording-reveals-leland-dudek-thoughts-trump-doge-social-security"> “The President Wanted It and I Did It”: Recording Reveals Head of Social Security’s Thoughts on DOGE and Trump </a> </h3> <p class="story-card__dek" > In a recording obtained by ProPublica, acting Social Security Commissioner Leland Dudek portrayed his agency as facing peril, while also encouraging patience with “the DOGE kids.” </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/eli-hager">Eli Hager</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-12EDT10:25">March 12, 2025, 10:25 a.m. EDT</time> </span> </p> </div> </div> </div> <div class="most-read-story"> <div class="story-card story-card--standard"> <div class="lead-art thumbnail"> <a class="aspect-1-1" href="https://www.propublica.org/article/more-americans-will-be-caught-up-trump-immigration-raids"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271%27%20height%3D%271%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/022125_Jonathan-Guerrero-Melchor_Propublica_0388_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=105&q=75&w=105&s=5efa2fffdfeaf1228cdc41717058f6d3 105w, https://img.assets-d.propublica.org/v5/images/022125_Jonathan-Guerrero-Melchor_Propublica_0388_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=210&q=75&w=210&s=a33a5d63d3e20a66efc3b04c0fb0972c 210w" width="105" height="105" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <a class="story-card__series" href="https://www.propublica.org/series/the-new-immigration">The New Immigration</a> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/more-americans-will-be-caught-up-trump-immigration-raids"> Some Americans Have Already Been Caught in Trump’s Immigration Dragnet. More Will Be. </a> </h3> <p class="story-card__dek" > Federal immigration authorities have a history of wrongfully detaining U.S. citizens. Advocates warn that the Trump administration’s immigration policies mean that more citizens will get caught up in raids and sweeps. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/nicole-foy">Nicole Foy</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-18EDT14:05">March 18, 2025, 2:05 p.m. EDT</time> </span> </p> </div> </div> </div> <div class="most-read-story"> <div class="story-card story-card--standard"> <div class="lead-art thumbnail"> <a class="aspect-1-1" href="https://www.propublica.org/article/propublica-russell-vought-prophetic-trump-second-term"> <img alt="" src="data:image/svg+xml;charset=utf-8,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271%27%20height%3D%271%27%20style%3D%27background%3Atransparent%27%2F%3E" srcset="https://img.assets-d.propublica.org/v5/images/GettyImages-2193469686_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=105&q=75&w=105&s=904d51aa3af5f384db5aa17f08268a7b 105w, https://img.assets-d.propublica.org/v5/images/GettyImages-2193469686_maxWidth_3000_maxHeight_3000_ppi_72_quality_95_embedColorProfile_true.jpg?crop=focalpoint&fit=crop&fm=webp&fp-x=0.5&fp-y=0.5&h=210&q=75&w=210&s=d6e6e6f8ce69d444491637704e28984f 210w" width="105" height="105" loading="lazy" js-autosizes /> </a> </div> <div class="story-card__description"> <a class="story-card__series" href="https://www.propublica.org/series/a-closer-look">A Closer Look</a> <h3 class="story-card__hed" > <a href="https://www.propublica.org/article/propublica-russell-vought-prophetic-trump-second-term"> The October Story That Outlined Exactly What the Trump Administration Would Do to the Federal Bureaucracy </a> </h3> <p class="story-card__dek" > Historians have hindsight when they look into the past; journalists have the facts on the ground and context to help them look ahead. That means we can sometimes be surprised by how prescient a story turns out to be. </p> <p class="story-card__byline"> <span class="story-card__byline-author"> by <a class="name" href="https://www.propublica.org/people/stephen-engelberg">Stephen Engelberg</a>, </span> <span class="story-card__byline-dateline"> <time class="timestamp" datetime="2025-03-20EDT07:00">March 20, 2025, 7 a.m. EDT</time> </span> </p> </div> </div> </div> </ol>  </div>  <style> /* re-assert som CSS Custom Properties from v5 */ .admin-shortcuts { --fonts-sans: "Graphik", sans-serif; --scale0: 1rem; --scale-1: 13px; --scale-2: 11px; --scale-3: 9px; --spacing-2: 4px; --spacing-1: 8px; --spacing0: 16px; --spacing1: 24px; --spacing2: 32px; --spacing3: 64px; } .admin-shortcuts { position: fixed; z-index: 10000; bottom: 0; right: var(--spacing0); width: auto; display: flex; flex-direction: row; justify-content: center; align-content: center; gap: var(--spacing0); padding: var(--spacing-1) var(--spacing0); 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Illinois Wants to End Oversight of Developmental Disability Institutions — ProPublica