Oregon Balance of State HIV/AIDS Housing & Services Systems ...

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Oregon HIV/AIDS Housing and Services Systems Integration Plan—Appendices A-53 Section 811 - Supportive Housing for Persons with Disabilities http://www.hud.gov/offices/hsg/mfh/progdesc/disab811.cfm Nonprofit organizations can use Section 811 funds to construct, acquire, and/or rehabilitate supportive housing for very low-income persons with disabilities, including those with disabilities resulting from HIVinfection. The support services should address the residents’ individual needs, provide optimal independent living, and provide access to the community and employment opportunities. Section 811 funding is provided in two parts: a one-time capital advance, essentially a grant, to fund development, and ongoing project-based rental assistance that pays the difference between the tenant payment and the operating cost. Housing Choice Voucher (Section 8) Rental Assistance Programs http://www.hud.gov/offices/pih/programs/hcv/about/index.cfm The Housing Choice Voucher Program (formerly called the Section 8 Program) provides vouchers which are administered by public housing authorities. Vouchers allow income-eligible households to find and obtain rental housing independently. Tenants typically pay 30 percent of their income, while the voucher pays the difference, up to the HUD-established Fair Market Rent (FMR) for the area. A tenant can pay more than 30 percent of their income if the cost of the unit exceeds the FMR, but cannot pay more than 40 percent of their income. Public housing authorities can also designate up to 15 percent of their vouchers to be project-based in new construction or rehabilitated housing. Project-based vouchers stay with a particular unit, so that incomeeligible tenants can come and go, but the unit stays affordable. Tenants cannot take the vouchers away from the unit for use elsewhere. Housing Choice Vouchers for People with Disabilities (Mainstream Program) http://www.hud.gov/offices/pih/programs/hcv/pwd/mainstream.cfm In Fiscal Year 1997, HUD moved a portion of the funds originally earmarked for the Supportive Housing for Persons with Disabilities (Section 811) program to create this separate tenant-based program. The Housing Choice Vouchers for People with Disabilities (Mainstream Program) provides vouchers to persons with disabilities to allow for more housing choice. Low Income Housing Tax Credits http://www.huduser.org/datasets/lihtc.html Created in 1986, the Low Income Housing Tax Credit allows qualified owners of or investors in eligible lowincome rental housing to reduce their federal income taxes on a dollar-for-dollar basis for a ten-year period, subject to compliance. Low-income housing developers use these credits to attract investors, who commit to funding a project in return for the tax credit. Available tax credit dollars are allocated to states based on population, equal to $1.75 per capita in 2002 and adjusted for inflation thereafter. States administer their own competitive process for the credits. The Low Income Housing Tax Credit program has become the primary federal resource for developing low-income
A-54 Appendices—Oregon HIV/AIDS Housing and Services Systems Integration Plan housing. Tax credits funded approximately 1.3 million units through 2003, and contribute to the development of approximately 73,000 additional units per year. 2 Human Resources Services Administration, Ryan White HIV/AIDS Treatment Modernization Act http://hab.hrsa.gov/treatmentmodernization The Ryan White HIV/AIDS Treatment Modernization Act (formerly known as the Comprehensive AIDS Resources Emergency (CARE) Act) is federal legislation that addresses the unmet health needs of persons living with HIV disease by funding primary health care and support services. In fiscal year 2006, Congress reauthorized the CARE Act under its new name and appropriated $2.06 billion 3 for use under the Act, which serves more than 500,000 people each year. 4 The Act, which is administered by the HIV/AIDS Bureau (HAB) of the Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services, is split into titles with different focuses and eligibility. Several titles allow funding of some housing services, as described in the HRSA publication “Housing is Health Care” (2000), 5 though policy changes have been considered but not finalized since the 2006 reauthorizations. Part A (formerly Title I) of the CARE Act funds emergency services for people living with HIV/AIDS in metropolitan areas with populations of at least 500,000 and more than 2,000 reported AIDS cases in the previous five years. Part B (formerly Title II) funds are awarded to all states by formula and provide primary healthcare and support services that enhance access to care for people living with HIV/AIDS and their families. Part B/Title II also supports AIDS Drug Assistance Programs (ADAPs) and, at the local consortia level, can fund community needs assessments and the organization and delivery of HIV services. Part C/Title III funds early intervention HIV services in outpatient settings and Part D/Title IV supports coordination of services to youth, women, and families living with HIV/AIDS through public and private nonprofit groups. Two additional new components have been added to the CARE Act; Part E covers General Provisions (including audits, privacy protections, and the severity of need index), while Part F consolidates these CARE Act programs: • Special Projects of National Significance (SPNS), which fund innovative models of care and support the development of effective delivery systems for HIV care. The SPNS Program is considered the research and development arm of the CARE Act. • HIV/AIDS Education and Training Centers • Dental Reimbursement Program • Community-Based Dental Partnership Program 2 The Danter Company, Statistical Overview of the LIHTC Program, 1987 to 2003. Available online: www.danter.com/taxcredit/stats/htm (Accessed: October 7, 2005). 3 U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau, CARE Act Administration Fact Sheet. Available online: http://hab.hrsa.gov/programs/Administration/index.htm (Accessed: March 2, 2007). 4 U.S. Department of Health and Human Services, Health Resources and Services Administration, Ryan White Comprehensive AIDS Resources Emergency (CARE) Act Appropriations History: FY 1991 to FY 2005. Available online: ftp://ftp.hrsa.gov/hab/fundinghis04.xls (Accessed: May 31, 2005). 5 U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau, Housing is Health Care (2001). Available online: http://hab.hrsa.gov/tools/guidance/housing.htm (accessed January 31, 2008).
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