Perspectives On Integrating Health Into The Low-Income Housing Tax Credit: A Qualitative Study

While there is increasing attention to the ways in which safe and affordable housing may promote improved health, less work has focused on the role of the Low-Income Housing Tax Credit (LIHTC) program-the largest source of affordable housing in the United States. Through qualitative interviews, we e...

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Bibliographic Details
Published in:Health affairs (Millwood, Va.) Va.), 2020-04, Vol.39 (4), p.622-630
Main Authors: Shi, Marc, Baum, Abigail, Pollack, Craig E
Format: Article
Language:English
Subjects:
Affordable housing
Best practice
Case studies
Criteria
Funding
Green buildings
Green development
Health care policy
Health education
Health needs
Health promotion
Health services
Households
Housing
Income
Income taxes
Infrastructure
Interviews
Low income groups
Low income housing credit
Neighborhoods
Nonprofit organizations
Partnerships
Poverty
Public health
Public housing
Qualitative research
Rehabilitation
Stakeholders
Tax credits
Taxation
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Summary:While there is increasing attention to the ways in which safe and affordable housing may promote improved health, less work has focused on the role of the Low-Income Housing Tax Credit (LIHTC) program-the largest source of affordable housing in the United States. Through qualitative interviews, we examined the perspectives of diverse stakeholders in the housing sector on the opportunities and obstacles involved in including health-related criteria in LIHTC funding decisions. Our interviews revealed a growing desire within the housing sector to address health needs but, with the exception of green building criteria, a lack of clear standards on best practices. Stakeholders noted the challenges of effectively partnering with local health institutions, the need to develop sustainable payment mechanisms for health-related services, and the importance of locating developments near health-promoting resources. By describing mechanisms for integrating health services into the affordable housing infrastructure, this study helps lay the groundwork for the development of cross-sector partnerships.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2019.00853