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Family caregivers struggle to fill the gap in affordable long-term support and services

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Florida ranks 43rd in the nation for overall quality of long-term care for aging adults and people with disabilities, according to an AARP report.

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Florida Mental Health Advocacy Coalition

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Permanent Supportive Housing

There is a critical need for affordable and permanent supportive housing for all Floridians, especially those living with serious mental illness.

Florida ranks 4th in lack of available supportive housing-behind Texas, California, and New York.

A safe home is a prerequisite for recovery.

Lack of Supportive Housing Contributes to:

Increased Hospital and Jail Costs

Homelessness

Overpopulation in Jails and Prisons

Overutilization of Emergency Rooms and Hospitals

Affordable Supportive Housing Leads to:

Recovery and Overcoming Symptoms of Mental Illness

Employment and Volunteering

Higher Quality of Life

Ability to Contribute to the Community

Supportive Housing Saves Lives & Money

Ability Housing was the recipient of a special appropriation of funding through the Florida Housing Finance Corporation to fund one of three pilot sites to demonstrate the effectiveness of providing PSH to high utilizers of crisis services who are experiencing housing instability. The pilot sites are located in Duval, Miami-Dade and Pinellas Counties. Read more...

The NAMI Advocacy Group of Broward County created a Vision for Supportive Housing for Those with Mental Illness.

FLMHAC is pleased to support the Florida Housing Finance Corporation's 2023 Statewide

Permanent Supportive Housing Workgroup as they develop a Plan for Supportive Housing. The workgroup meetings are open to the public, but do require registration. More information and meeting materials may be found here: https://www.floridahousing.org/programs/statewide-permanent-supportive-housing-workgroup

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Florida Mental Health Advocacy Coalition

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Florida Mental Health Advocacy Coalition

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Improving the lives of individuals and families affected by behavioral health conditions.

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Defining the Problem - Welcome to Casa Familia

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Existing affordable housing options are extremely limited, offer few opportunities for social engagement and enrichment, and often do not meet the needs of individuals with IDD. In Florida only 5 communities serving less than 500 individuals have been developed, and none are located in Miami-Dade, Broward or Palm Beach, three of the most populous counties in the State.

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5/17/2021 The Shimberg Center’s Evictions & Foreclosures data application now includes eviction and foreclosure filing counts in Florida county and circuit courts. The evictions data was recently featured in Locked Out, an Orlando Sentinel series on the impacts of COVID-era evictions on Florida rent…

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HUD.gov / U.S. Department of Housing and Urban Development (HUD)

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Since 1997, Housing Choice Vouchers (HCVs) have been awarded under different special purpose voucher program types to serve non-elderly persons with disabilities (NED):

FY 2009 NED Category 1 and Category 2: The Notice of Funding Availability (NOFA) for Rental Assistance for Non-Elderly Persons with Disabilities (NED) was published in the Federal Register on April 1, 2010 (NOFA).This NOFA was the outcome of collaborative efforts between HUD and the Department of Health and Human Services' (HHS) Centers for Medicare and Medicaid Services (CMS).

Category 1 vouchers enable non-elderly persons or families with disabilities to access affordable housing on the private market. Awards for Category 1 vouchers were announced on October 1, 2010. 4,321 vouchers were awarded to 46 PHAs in 19 states, Washington, DC, and Puerto Rico. Category 1 Press Announcement with list of PHAs

Category 2 vouchers enable non-elderly persons with disabilities currently residing in nursing homes or other healthcare institutions to transition into the community. Awards for Category 2 vouchers were announced on January 6, 2011 and became effective February 1, 2011. 948 vouchers were awarded to 28 PHAs in 15 states. Category 2 Press Announcement with list of PHAs

For more information on NED Category 2 vouchers, please visit theNED Category 2 FAQs page.

Designated Housing vouchers enable non-elderly disabled families, who would have been eligible for a public housing unit if occupancy of the unit or entire project had not been restricted to elderly families only through an approved Designated Housing Plan, to receive rental assistance. These vouchers may also assist non-elderly disabled families living in a designated unit/project/building to move from that project if they so choose. The family does not have to be listed on the PHA's voucher waiting list. Instead they may be admitted to the program as a special admission.

Once the impacted families have been served, the PHA may begin issuing these vouchers to non-elderly disabled families from their HCV waiting list. Upon turnover, these vouchers must be issued to non-elderly disabled families from the PHA's HCV waiting list.

Certain Developments vouchers enable non-elderly families having a person with disabilities, who do not currently receive housing assistance in certain developments where owners establish preferences for, or restrict occupancy to, elderly families, to obtain affordable housing. These non-elderly families with a disabled person do not need to be listed on the PHA's housing choice voucher waiting list in order to be offered and receive housing choice voucher rental assistance. It is sufficient that these families' names are on the waiting list for a covered development at the time their names are provided to the PHA by the owner.

Once the impacted families have been served, the PHA may begin issuing these vouchers to non-elderly disabled families from their HCV waiting list. Upon turnover, these vouchers must be issued to non-elderly disabled families from the PHA's HCV waiting list.

The types of developments that are covered by certain development vouchers are:

Section 8 new construction projects

Section 8 substantial rehabilitation projects

State housing agencies Section 8 projects

Section 8 new construction projects under the Section 515 rural housing program

Section 8 housing assistance program for the disposition of HUD-owned projects

Housing assisted under Section 202 of the Housing Act of 1959

Housing financed by a loan or mortgage insured under Section 221(d)3) of the National Housing Act that bears an interest rate determined under Section 221 (d)5)

Housing insured, assisted, or held by the Secretary or a State or State Agency under Section 236 of the National Housing Act.

One-Year Mainstream Housing Opportunities for Persons with Disabilities: One-Year Mainstream vouchers enable non-elderly disabled families on the PHA's waiting list to receive a voucher. After initial leasing, turnover vouchers must be issued to non-elderly disabled families from the PHA's voucher waiting list.

Project Access Pilot Program (formerly Access Housing 2000): On December 19, 2000, HUD established this initiative to provide vouchers to selected PHAs that partnered with State Medicaid agencies in order to assist non-elderly disabled persons transition from nursing homes and other institutions into the community. Four hundred vouchers were awarded to 11 agencies. Upon initial issuance, these vouchers went to a Project Access family. Upon turnover they are to be issued to non-elderly disabled families from the PHA's waiting list.

NED FAQs: Provides questions and answers related toall NED vouchers

NED Category 2 FAQs: Provides questions and answers specifically for NED Category 2 vouchers

Reestablishing of NED Vouchers

On June 14, 2011, HUD issued Notice PIH 2011-32 superseded by Notice 2013-29 providing guidance to PHAs that all vouchers awarded since 1997 for non-elderly disabled families, including all award types listed on this web page above, must be reestablished and maintained as NED vouchers. Since 1997, over 400 PHAs have been awarded a total of approximately 55,000 vouchers specifically for non-elderly disabled families. To see this list of PHAs and their NED voucher baselines, click here (MS-Excel).

NED PHAs and PHA Contact Information

NED PHAs (MS-Excel): Provides a list of PHAs that have received funding for NED vouchers since 1997 and their baseline numbers of vouchers. Individuals who are interested in obtaining a NED voucher may utilize this list to identify whether there is a PHA in their area with NED vouchers.

For contact information for all PHAs by State, not only PHAs that administer NED vouchers, click here.

NED Resources

Notice PIH 2013-19:Revised Policies and Procedures for Special Purpose Housing Choice Vouchers for Non- Elderly Disabled Families and Other Special Populations
Provides instructions to PHAs on reestablishing vouchers for NED families, and guidance to PHAs on reasonable accommodations and related issues for individuals with disabilities.

PIH Notice 2013-18: Revision Requests for Exception Payment Standards for Persons with Disabilities as a Reasonable Accommodation

FY 2009 NOFA:Rental Assistance for Non-Elderly Persons with Disabilities

NED FAQs: Provides questions and answers related toall NED vouchers

FHEO Guidance: A memo to FHEO Field Office staff to provide guidance on compliance and monitoring strategies related to assisting persons with disabilities transitioning from institutions

NED Category 2 Resources

Related Information

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Since 1997, Housing Choice Vouchers (HCVs) have been awarded under different special purpose voucher program types to serve non-elderly persons with disabilities (NED): FY 2009 NED Category 1 and Category 2: The Notice of Funding Availability (NOFA) for Rental Assistance for Non-Elderly Persons with Disabilities (NED) was published in the Federal Register on April 1, 2010 (NOFA) .This NOFA was the outcome of collaborative efforts between HUD and the Department of Health and Human Services' (HHS) Centers for Medicare and Medicaid Services (CMS).

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HUD.gov / U.S. Department of Housing and Urban Development (HUD)

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Section 811 Supportive Housing for Persons with Disabilities

Summary:
Through the Section 811 Supportive Housing for Persons with Disabilities program, HUD provides funding to develop and subsidize rental housing with the availability of supportive services for very low- and extremely low-income adults with disabilities.

Purpose:
The Section 811 program allows persons with disabilities to live as independently as possible in the community by subsidizing rental housing opportunities which provide access to appropriate supportive services.
Type of Assistance:
The newly reformed Section 811 program is authorized to operate in two ways: (1) the traditional way, by providing interest-free capital advances and operating subsidies to nonprofit developers of affordable housing for persons with disabilities; and (2) providing project rental assistance to state housing agencies. The assistance to the state housing agencies can be applied to new or existing multifamily housing complexes funded through different sources, such as Federal Low-Income Housing Tax Credits, Federal HOME funds, and other state, Federal, and local programs. The last appropriation was appropriated for traditional 811 capital advances was made in FY 2011.
Capital Advances
HUD has traditionally provided interest-free capital advances to nonprofit sponsors to help them finance the development of rental housing such as independent living projects, condominium units and small group homes with the availability of supportive services for persons with disabilities. The capital advance can finance the construction, rehabilitation, or acquisition with or without rehabilitation of supportive housing. The advance does not have to be repaid as long as the housing remains available for very low-income persons with disabilities for at least 40 years.

HUD also provides project rental assistance contracts for properties developed using Section 811 capital advances; this covers the difference between the HUD-approved operating cost of the project and the amount the residents pay--usually 30 percent of adjusted income. The initial term of the project rental assistance contract is 3 years and can be renewed if funds are available.

Each project must have a supportive services plan. The appropriate State or local agency reviews a potential sponsor's application to determine if the plan is well designed to meet the needs of persons with disabilities and must certify to the same. Services may vary with the target population but could include case management, training in independent living skills and assistance in obtaining employment. However, residents cannot be required to accept any supportive service as a condition of occupancy.

Nonprofit organizations with a Section 501(c)(3) tax exemption from the Internal Revenue Service can apply for a capital advance to develop a Section 811 project.
Project Rental Assistance
A new Project Rental Assistance program was authorized by the Frank Melville Supportive Housing Investment Act of 2010, and was first implemented through a demonstration program in FY 2012.

Under this program, state housing agencies that have entered into partnerships with state health and human services and Medicaid agencies can apply for Section 811 Project Rental Assistance for new or existing affordable housing developments funded by LIHTC, HOME, or other sources of funds. Under the state health care/housing agency partnership, the health care agency must develop a policy for referrals, tenant selection, and service delivery to ensure that this housing is targeted to a population most in need of deeply affordable supportive housing. This Section 811 assistance comes in the form of project rental assistance alone. No funds are available for construction or rehabilitation.

Eligible grantees are state housing agencies that have entered into partnerships with state health and human services and Medicaid agencies who then allocate rental assistance to projects funded by tax credits, HOME funds, or other sources.

Eligible Customers:
For projects funded by capital advances and supported by project rental assistance contracts (PRACs), households must be very low-income (within 50 percent of the median income for the area) with at least one adult member with a disability (such as a physical or developmental disability or chronic mental illness).

For projects funded with Project Rental Assistance, residents must be extremely low-income (within 30 percent of the median income for the area) with at least one adult member with a disability. States may establish additional eligibility requirements for this program.

Application:
Applicants must submit an application in response to a Notice of Funding Availability (NOFA) posted on Grants.gov.

Technical Guidance:
This program is authorized by Section 811 of the National Affordable Housing Act of 1990 (P.L. 101-625) as amended by the Housing and Community Development Act of 1992 (P.L. 102-550), the Rescission Act (P.L. 104-19) the American Homeownership and Opportunity Act of 2000 (P.L. 106-569), and the Frank Melville Supportive Housing Act of 2010 (P.L. 111-374). Program regulations are in 24 CFR Part 891. To learn more about the Section 811 program, see Section 811 Supportive Housing for Persons with Disabilities ( HUD Handbook 4571.2) and Supportive Housing for Persons with Disabilities, Conditional Commitment to Final Closing ( HUD Handbook 4571.4) which are available on HUDclips.

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Multifamily Housing - Program Description

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Section 811 Supportive Housing for Persons with Disabilities Summary: Through the Section 811 Supportive Housing for Persons with Disabilities program, HUD provides funding to develop and subsidize rental housing with the availability of supportive services for very low- and extremely low-income adults with disabilities.