SPRINGFIELD – 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 cutting the Medicaid health program by $2.7 billion or about 14 percent of the total. 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.

Lawmakers said other government programs, from schools to prisons to agriculture, will share a $900 million cut, or about 5 percent of what they're getting now.