The number of medical school graduates who stay in Illinois after graduating from the state’s public universities is plummeting.

Crain’s Chicago Business reports school officials offer different reasons why, but some point to Illinois’ two-year budget impasse.

The state has two public medical schools: Southern Illinois University’s School of Medicine and the University of Illinois College of Medicine. The number of medical graduates from those schools who stay in Illinois for their residencies has hit a combined all-time low.