Creating New Integrated Permanent Supportive Housing Opportunities for ELI Households: A Vision for the Future of the National Housing Trust Fund

The long-awaited activation of the National Housing Trust Fund (NHTF) program, which will primarily be targeted to rental housing for extremely low-income (ELI) households, represents an important new opportunity for states to begin shaping the future of our nation’s ELI housing policies, including a robust expansion of integrated permanent supportive housing (PSH) units for the most vulnerable ELI populations. Over the past decade, in response to the enormous and growing demand for PSH, a number of state housing agencies – including Pennsylvania, North Carolina, and Illinois – have successfully pioneered new ELI financing approaches to increase the supply of integrated PSH units. This report documents innovative ELI financing strategies developed by these three states which could be adapted for NHTF capital and operating subsidy funding to begin closing the enormous gap in ELI and PSH supply.