chicago u.s. judge friday deal major financial blow illinois order cash-strapped state pay 586 million month medicaid providers ensure continue medical care poor disable residents order judge joan lefkow also stipulate illinois send billion medicaid providers fiscal year start saturday pay exist 3.1 billion backlog unpaid bill illinois comptroller susana mendoza whose office pay state bill say rule take state finance horrific catastrophic call state lawmakers immediately pass budget payments state pension fund state payroll include legislator pay general state aid school payments local governments combination likely cut say statement payments state bond-holders continue uninterrupted decision come illinois lawmakers fail reach consensus budget friday leave state bad credit rat nation poise enter third-straight fiscal year without full operate budget governor bruce rauner office comment rule lefkow issue order june conclude illinois comply federal consent decree regard medicaid order allow attorneys represent illinois million medicaid recipients seek subsequent order force state increase payments managed-care organizations turn pay doctor hospitals others late order judge say state fail offer payment plan would result substantial compliance consent decree stem lawsuits file illinois 1992. attorneys represent medicaid recipients say illinois allocate 160 million month healthcare program able subsequently seek reimbursement half high payment federal government without payments doctor hospitals clinics key healthcare providers would stop see medicaid patients else simply go business altogether tom yates legal council health justice say statement illinois unprecedented budget impasse republican governor democrats control legislature balloon state unpaid bill pile 15 billion judge order illinois boost medicaid bill payments