Geography: National

H.R.1 is estimated to reduce federal spending on Medicaid by more than $1 trillion over ten years, and cause as many as ten million people to lose their health insurance.

The new law enacts policy and funding changes to key housing development financing tools: the Private Activity Bonds (PABs) and 4% Low Income Housing Tax Credit (LIHTC) Program and the 9% LIHTC Program.

This document provides a framework for practice in family supportive housing settings. It is intended to be a capacity-building tool for those who are designing or already providing case management services for families living in supportive housing. However, those in the supportive housing field are encouraged to further enhance this tool with their own experiences and practice protocols.

This guide is intended for supportive housing administrators and practitioners who are developing and involved in supportive housing efforts that serve families with children. Families being served by supportive housing efforts face a complex set of challenges including long-term and repeated homelessness, child welfare involvement, mental health issues, domestic violence, and a parental history of trauma. The instability, trauma and complex needs of these families not only impact their housing outcomes, but also their parenting and child development outcomes. Permanent supportive housing for these families provides a platform for adult healing, family strengthening and a healthier life course for the children and youth. To support a family’s ability to use the opportunity that supportive housing provides fully it will be important for supportive housing providers to build an environment that is both developmentally appropriate to the needs of children and responsive to the unique needs and pressures of parents.

This sample tenant manual was developed by the Center for the Study of Social Policy in collaboration with the Corporation for Supportive Housing. It is specifically designed as a resource for supportive housing providers working with families, especially those families involved with the child welfare system. The goal was to develop a tenant manual that could be easily adapted for sites that are providing supportive housing for families. While it may be most useful to programs serving families at a single site such as an apartment building or a cluster of apartment units managed by the same housing provider, we encourage providers of scattered site housing to review and adapt with landlords as you find useful.

H.R.1, as signed into law on July 4, 2025, contains more than three hundred provisions that change tax policies and entitlement programs, including many that impact the supportive housing industry and the people we serve. CSH’s initial impact analysis is focused on three sections of the law that will require state-level decisions in the short term.

H.R.1 includes requirements and budgetary changes that will make continuous health care coverage a challenge for individuals who are experiencing homelessness or have experienced homelessness and housing instability, including most supportive housing residents. This brief summarizes solutions to help states ensure that Medicaid eligible individuals remain enrolled and compliant with the new law.

The purpose of the CSH Supportive Housing Services Staffing and Budget Tool is to support agencies, communities, and project planners to estimate comprehensive costs for supportive housing services. The tool uses a template that includes built-in assumptions around best practice for four staffing models: Assertive Community Treatment (ACT), Intensive Case Management (ICM), Tenancy Support Services (TSS), and Critical Time Intervention (CTI). Each of these models is well-researched and has a strong evidence base for efficacy with supportive housing tenants across a variety of constituencies. The tool allows the user to model out scattered site and project-based programs and input their average staffing costs, budget assumptions, and productivity expectations to determine rates needed by agencies for a fiscally sustainable program.

Last updated: August 2025

The Strong Families Fund is the largest pilot pay-for-performance project to finance Resident Service Coordination (RSC) in affordable housing for lower-income families. The initiative was created to measure the impact of resident service coordination on tenant and building performance within affordable housing. The performance-based contract approach helps to align all collaborating partners with a shared vision of success. This report reviews the results of the data collected through the first phase of the initiative. It demonstrates that using this performance-based approach to resident service coordination in affordable housing is a powerful way to increase economic mobility, health & well-being, housing stability, and community engagement and safety.

View the Executive Summary