Affordable Care Act

The Affordable Care Act is a game-changing tool in the national effort to end homelessness.  The expansion of Medicaid eligibility (at state choice) to all persons whose incomes are at or below 133 percent of the Federal Poverty Level will significantly increase health coverage and access to health care and services among people experiencing homelessness, especially single individuals experiencing chronic homelessness.  In addition, low-income families and individuals will have access to affordable health insurance that can prevent financial catastrophe associated with illness, which can precipitate their entry into homelessness.  Moreover, the Affordable Care Act is also transforming our nation’s approach to health care to focus on “whole person” needs and outcomes rather than on specific medical procedures, creating new opportunities to provide services linked to housing (e.g. in permanent supportive housing). 

While the Affordable Care Act is an important tool, it is also a complex one.  This page provides useful information to help communities and organizations working to end homelessness understand how the Affordable Care Act can help prevent and end homelessness.  On this page you will find an overview of how the Affordable Care Act can prevent and end homelessness, a guide to engage people experiencing homelessness to enroll in Medicaid and other types of health insurance, information on Medicaid’s role in financing services in permanent supportive housing, and more. 

General Info on ACA and Homelessness

Medicaid Expansion and Enrollment

Medicaid Financing for PSH Services

Resources from USICH Member Agencies